Not all healthcare professions require a degree from a medical school. You can break into the healthcare industry by becoming a medical biller or coder—and you don’t have to earn a degree to do so.
What is medical billing and coding? The two professions are related, but they’re not the same.
In simple terms, medical billing is the process of ensuring healthcare providers receive payment for the services they perform. Medical coding, on the other hand, is the process of translating health and patient information into a universal code.
Medical billing and coding keep revenue flowing through the U.S. healthcare system. At the highest level, medical billing and coding professionals streamline the reimbursement cycle to ensure providers are paid for their services and that patients are billed correctly.
Medical billers and coders keep patient records, calculate charges and review files. They handle insurance claims accurately and efficiently. Medical billers then determine which codes end up on a patient’s bill for third-party billing purposes.
Medical coders use specialized coding classification systems to create standardized codes which correspond to a physician’s diagnosis, procedure, drug or other services. Common classification systems include Current Procedural Terminology®, International Classification of Diseases (ICD-10-CM) and Healthcare Common Procedure Coding System (HCPCS) Level II.
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