MEDICAL BILLING VS MEDICAL CODING : What is the difference and what do billers and coders do?
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- Опубліковано 6 вер 2024
- Have you heard medical billing and medical coding lumped together (maybe you're in a Medical Billing and Coding Specialist program?) and not sure if they're the same thing? Well, in this episode I break down the differences between medical billers and medical coders and their essential functions as part of the revenue cycle.
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Ive been doing medical billing and coding for 3 years. I did a year of online school through CareerStep but did not get my coding certificate but I did graduate so it helped make my resume pretty lol. I started working from home January 2022 which was my goal! I spent two years working hard to learn the "language". My goal is to have my own company that is based at home and create a program for single parents to start with no experience needed and be trained by me. Great career!
Curious as to why you did not take the exam since you finished the online program? Also, do you still feel you don't need the certification?
Hello Taylor, I would like to know how it is going with you wanting to help single parents out with your company your wanting to start up. I am a single mother, I would love to follow you through your journey.
Hi can u train me
Hey tailor,
Like to connect with you and tow this path.
How can I chat you privately?
I hope you can hire me if you have your own company..😊
Just became a CPC-A this year. And I already make more than I did as an assistant principal of a K-8 school. Thanks for your videos!
That's awesome but also makes me so sad for our educators.
@@ContempoCoding yes! Teachers and all school staff are so under paid!
Thank you for the information! I think your job as an assistant principal might have influenced in you getting this better position. And of course your potential. I'm a coding student and never had an administrative/office job. Doubt they would consider me for a good position. There isn't a lot of people willing to talk about coding salary which I think would be helpful. For this reason your comment means a lot 🙏
@@bellavie1506 I think you have a great chance at a living salary doing coding. As an assistant principal I was making 55000 a year. Now as an apprentice coder I’m making over 80,000. You can too! You just have to keep a look out for jobs.
@@joshuanance thank you 😊🤞
I started my medical coding and billing job two months ago.. with zero experience! Let me tell you...this job is mentally trying.................
It keeps you on your toes for sure!
hello Melanie V
Tiring
same here! well, now you are into it for 7 months how is it going? I also started with zero experience!
Did you get a degree or a diploma and how easy was it to get a job, thanks
Awesome explanation! I was a biller about 15 years ago, but I only worked third party claims, and I worked on the back end. There is so much I do not know regarding the overall revenue cycle of a claim. I’m gonna study and get certified for the CPB and next year go after my CPC♥️ wish me luck🌺
Roberta Hosey That sounds like a good plan.
Hi Roberta
I have 10 years of experience in Medical billing and revenue cycle. I started my own medical billing organisation in 2018 and we are working for third party.
Now I am trying to get Doctors / Clinics for Billing business from US directly.
Could you please help me to get a Doctor / Clinic.
Thank you
@@endeveedu7481 hello, I have a question, can Medical Billers work from home?
@@cecilferminperez2625 yes
@@cecilferminperez2625 of course they can.
I went from being a LVN into MIBC. I love doing MIB. I still have constant contact with patients, then I still get to advocate for my patients and provider. I’m prepping to get my certification AAPC.
Hi, I'm a LPN as well and I'm considering going into the field as well. Do you work more on the coding side or billing side and which do you prefer
I feel like this helped me so much with Choosing between Going to college for this vs Being a Medical administrative assistant
I just wish there wasn’t such a paywall. I can’t afford to buy a course, books, and a lifetime membership just for a chance at a higher pay. I was so ready to jump into this because I’m so good at memorizing numbers but to have to pay per month just to have this job is ridiculous.
Short answer is at 4:45
Totally Clear.. Love the way you clarify these differences. Thanks
Glad it was helpful!
Many moons ago I worked as a biller for a very specialized DME company and also a tiny bit for a PT practice - I did NOT enjoy the process. I loved when I could get equipment for our patients paid for but on the flip side was very frustrated when the surgery and device were approved but the daily supplies to use the device was routinely denied. I also worked and seriously enjoyed my time as a ER unit secretary (about 15 years) but now it is time to complete my CPC training. I know that I just want to stick to the coding side of the business. Thankfully I have some great mentors. I am an empty nester that wants a bit of a career change.
I'm very anxiously looking forward to going back to school for billing and coding. thank you for that
Awesome! Good luck to you, Michelle!
Recently discovered this career and I’m very interested in it! Thank you for explaining the differences between the two!
Thank you so much for the information! I am taking CEU classes through my community college and have been going back and forth whether to pursue a billing or coding certificate. I am already a certified medical assistant so I had some coding in school and did enjoy that aspect. I look forward to exploring more of your content to gain insight into my new career path.
Does working in the billing department require being on the phone constantly? I want a career in the background of the medical field. No frontline or speaking with patients like a call center. I do well working alone in a quiet environment. Thank you for these videos they are helpful
A lot of stuff now it done through online portals but there can be some phone calls as well. From what I hear lots of waiting on hold. Lol.
@@ContempoCoding
It's the hold time where people grabs coffee or chit chat. It's actually a breather 😂.
Peace Saves same here.
@@ContempoCoding sowould you say a medical biller would be more on the phone than a coder?
I didn't look at this video yet, but I feel exactly the same way. Billing is some serious, serious multi-tasking!
I really appreciate your succinct delivery. I'm starting my medical billing and coding course soon. You helped clear up all of my questions. Have a blessed day ☺️🌼
glad I found you. I am starting medical billing with AAPC on 11/2.
How is it going?
@@tyellsChannel it’s going lol. I like the coding better then billing so now I’m self learning coding with books and UA-cam vids. Waiting to schedule the billing exam with AAPC but nothing avail in my area yet.
@@rickki6 Thats good. So do you plan to work as a medical biller and coder?do you know if you would have that opportunity to work from home one day?
hey erica! any updates on how its going? did you enjoy it? :)
@@alexiai4397 no lol
Thank you for the video! I'm interested in a medical biller career because it can be WFH. But I'm not an English native speaker, so I'm afraid that this job would be lots of communication with others. This makes me a little hesitant to get started. 😭
I watched the webinar and started my program today! So excited and it’s affordable
I absolutely love channel as I just signed up for school and start next week! If I can just say someone like me who knows nothing about billing and coding, I get lost on all your videos mainly because you talk realllyyyyy fast. Even in your introduction video you said a lot really fast and then you use a lot of slang that I have not learned! But once I start school I’ll be back to your videos and hopefully I’ll have a better understanding
Great video ! Going for my medical billing and coding certification online next month this video motivated me to move forward with it. Amazing video ♥️♥️💕
Awesome!! Best of luck to you, Tasia!
@@ContempoCoding thank you ! ♥️☺️
Preppy's been a total game-changer - thanks for the killer recommendation Victoria!
Great information! Starting school in September to become a CPC, love hearing information and explanations from multiple sources! Looking forward to your next one! :)
Great to hear! Best of luck in school!!!
This video was very helpful. You are on it. Your knowledge is helping me determine what I can do in billing and coding. I am considering starting CRC and taking your course since I understand it more in detail and work on getting more coding experience for the CPC. I get the ICD-10 really well and remember the change in 2015 from ICD-9 to ICD-10. Thank you.
Hi Dee. Do you have your CPC also? I was thinking about CRC but some have mentioned it’s best to already be doing coding.
Roberta Hosey Hi, I don’t have my CPC. The issue is since I don’t have enough experience in CPC I will just be a CPC-A. I have over 8 years of experience in healthcare and five years in insurance and understand Medicare and Medicaid. So I figured since CRC focuses on risk adjustment and I have some experience in it to give it a shot.
Dee Barnes awesome🌹
Roberta Hosey thank you. Trying to educate myself as much as I can.
@@Deedenise I am CPC,CRC certified coder, I am currently working on Risk Adjustment coding, on that you would be dealing mostly with Medicare if you are working with elderly and disable patients, or more diverse age group if you are dealing with commercial insurance, very interesting field to be at, I personally I love Risk Adjustment coding (mostly diagnostic coding ICD-10) a lot more than Fee for service coding, it's more fun and you are always learning because it is very clinical, you are always doing research on medical conditions, etc.
You actually helped me understand and answer my question regarding if coding and billers are two different careers then why are most courses both billing and coding? I was thinking I wanted strictly a coding course without all the billing stuff and was frustrated that I couldn’t find any! Now I understand why. Thank you!
@christinaklarman1077 I'm so glad I could help clarify that for you! Understanding the interconnectedness of coding and billing can definitely shed light on why many courses combine the two. It's all about providing a comprehensive perspective. Thanks for watching and for your comment! 😊🌟
This is interesting. I worked for a 3rd party collection agency on behalf of an insurance company. I quit that job because it seemed immoral and billing specialists did not like me for obvious reasons.
Interesting video. I don't work in billing or coding but I've worked for numerous insurance companies, dealing with ICD 10 codes/ CPT codes from face sheets provided by hospitals/ different facilities.
I have an interview as a billing analyst Tuesday after I have been working for 8 months in a specialist office as a front end receptionist to learn the basics. I finished school at Ultimate Medical Academy for medical billing and coding in January so I'm ready to tackle the next step of the process. This video has helped me understand the difference and confirm this is exactly the direction I need to be going so I can be a contractor in the future and work for myself 😍
Congrats on the new field! I graduate from UMA in October of this year and trying to figure out which field is best for me. I wanted experience on both ends but billing is probably more suited for me.
@@kiaunaleshae I started off before graduation as a front desk receptionist to get the gist of things on the front end, now I'm working at The Hughston Clinic as a billing analyst to get the back end I need until I get my CPCC then I will be first considered for a coder here
how long did it take you in uma
Can you tell me that if you work for self if you are covered to receive health insurance?
Oh wow I'm going into uma this month for this program , how was everything if you dont mind me asking
Thank you so much for this video. I am considering pursuing a certification in medical billing and coding. Thanks to this video, I feel more empowered to decide if I want to pursue this. Currently I'm more fascinated with the coding side. Remembering all of those codes is probably a lot though so I don't know. :)
You don't have to memorize any codes, lol, you just have to learn how to use your coding books to assign codes to diagnoses and procedures.
Thank you so much for all of your very thorough explanations and useful videos😊
I want to thank you SOOO much, for this video because it gave me a better understanding of both. Wow they both sounds challenging.
Thanks for the explanation, I was looking for this very bit of information! I am a medical biller with quite a bit of experience and I strive to be the best at what I do, I believe knowing puts me way ahead, also being Trilingual and fluent in all three, really helps! I wonder if adding the latter would make me a better collector and/or open up future career opportunities.
What's the first step in coding? Do I have to go to school? Is there a small program I can't take, is there a test, can I avoid schools and book, how long does it take to get certified in coding, what website offers a cheap and fast coding class, amd where do I go from there?
I went to my local community college. Just look for a school that offers the medical coder certification. I would be careful with private or just any school online. Unless you know someone you can trust who says their certificate is accepted by employers. It will take just like 2 years. But it depends on the school you go to. In a community college, or any college, there are usually counselors who can guide you through the process. Good luck!
I work the complete revenue cycle and live it
I generally look for the prognosis/diagnosis with backing information/details to confirm or give a CPT/I-CD 9 and 10 codes-I have also, transferred claims from the CMS-1500 to EHR-looked through denials to see why it was denied by phoning providers and insurance companies to gather information, update and reprocess, or relay information to patients as to why the claim was not paid and their responsibility.
I just started my classes for medical billing coding
1st time seeing this video and you mentioned the average salary, so should I mention this to my manager? Now I feel like I'm under paid!
Love CPT and diagnosis coding!
In which field would you make more money in the long-term?
Could you please do more videos talking about billing?
Any specific billing topics?
Thanks for answering. Well since I’m thinking about start studying on my own any would help a lot.
I am new and that was very helpful putting some puzzles in place in my brain 😂. Thank you so much
Happy to help!
This wonderful lady is simply amazing!! Great n amazing!
I took a course last year to become a medical biller. I still have to take my certification test. I’m struggling with it. Do you enjoy this work? And with how tedious and sometimes monotonous it is, are there ways you’ve found to get through the work and not feel totally mentally drained?
I just had a interview for a medical receptionist position today & they asked if I was interested in a medical billing position and I told them yes, if offered. 😬🙈
That's exciting! Good luck, medical billing can be frustrating at times (when insurance denies things) but it's super fascinating and there's never a shortage of things to do!
Did you already have experience as a medical receptionist?
I was finding this topic videos and you are the one of them thanks a lot
Hi I went to college to learn billing, coding and graduated. This college didn't offer certificate just diploma. I also did not get medical office experience because they didn't have vendors/clients offering internship. How do I get a job or internship now? I live in Valley Springs, Ca. Thank you
This was very helpful for my next career choice. Thanks
Hi
This is my first post and my first view of this you tube channel. I am very interested in medical charges, A question. Does each doctors office have one MASTER LEDGER or can they have more than one.
I know it is a simple question, but I am having difficulty finding the answer
Thanks. . randall thomas
Would accounting be relevant to medical billing? I know they're not identical but think there could be symmetry.
I love your videos. Very informative.
You are an angel thank you ! Please keep doing what you doing !! You are so helpful! :D
Thank you! Will do!
@@ContempoCoding can I just add that after rewatching a couple of these early videos of yours, I enrolled last night in AAPC's online courses for CPC Certification!! 🙌 I am so excited and look forward to continuing to be subscribed and watching you throughout this journey!!!💜🤗💜 Thank you from a neighbor in Philly!!💜🙏💜
@@TimelordessTardis hello! how is this going? I just signed up
@@odettegourzong3552 good thanks! I take my exam in February 💜🤗💜
This was very helpful! I am still trying piece together the coder and the biller. So once the coder completes the code set, those codes are send to the biller for the biller to submit for reimbursement?
Im in school for billing and coding
Thanks for this video..I have the RHIT, CCS, CPC but am not really loving coding as much as I thought. I'm more interested in the claims and revenue cycle side. Now just trying to figure if I can get hired with my above certifications to become a biller and get on job training or should I get another certification in billing.
Next semester I’m set to receive an associates as a medical billing specialist from my community college. Do I need to also get certified through the AAPC?
Where do you go to get a coating?Reimbursement especialist job
A friend suggested that we both sign up for the AAPC course to become coders. I have zero, absolutely no healthcare experience, but this sounds intriguing as a second career. Could I succeed in this field with no healthcare experience?
Following. I would like to know.
Unless you’ve already taken a medical terminology and anatomy course, I would recommend doing that before doing the pre prep course on AAPC, they also recommend that you do that as well.
when you first started out, did you work for a large company or a small speciality company? which did you like best? billing/coding or both?
Hi Victoria! Can you please make video about cpt book? I’m struggling so bad! 😭
I can if it's okay that I don't really show much of the book when I talk about it. Since it's copyrighted I can't show substantial portions.
Would it be helpful if I did a video on the 2021 book and did sort of a "work along" and turn to this page and that page and explained the layout of the book verbally?
That would be awesome!! Thank you❤️
This video destroyed my doubts,Thank you mam
Hi there! I'm new to the world of coding and billing and have opted for a career change. I purchased the bundle coding and billing from the AAPC. How do I go about it? Where do I start? I've been at the coding portion for well over a couple of months and now feel as if I have neglected the billing portion. What do you suggest?
Thank uu so much great description!
Glad you found it helpful!!
Where do you?
Go to get a coding reimbursement specialist job
Very good information. I am working and Marketing some ideas with a professor who needs to hire 3 people in this field Thanks
Glad it was helpful!
Thank you for posting this! I have 4 yrs experience in accounting & am exploring different careers. So medical billers are the ones who are looking to collect $$ from the insurance companies?
You're welcome! Yes, medical billers are primarily responsible for submitting claims and following up to ensure payment is collected from insurance companies for healthcare services provided. Your accounting experience will be a valuable asset in this field!
Do interview questions on both but mainly billing positions ‼️‼️‼️‼️
Thank you for that explanation!
I have a question. Can i work as a medical biller or coder if i cant speak? Is there a way around talking to people maybe via email.
Thanks for your input
Do medical billers call "customers" or "patients" or do they just call insurance companies? My personality would fit more into a Medical Coder from what you explained, but it seems like you have to be a Medical Biller first ..right? I am trying to go into a different field/career where I don't have to be on the phone as much. I have been trying for the past 5 years or so to get into a "back-end" type of job that does not require me to be on the phone. For the past 13 years of my life I have been in 4 different jobs where I am basically customer service and I HATE IT!
I’ve worked in claims for an insurance company for 20 years. I’m looking into taking a course , and possibly changing careers. What do you recommend to start with? Billing or coding ?
I’m hoping my years in an insurance company will help with a new job once certified.
It really depends on where your interests are. Do you want to work with the insurance companies following up on denials or do you want to work with reading medical records and converting them into codes. The pay is a lot better in coding, but it's often easier to start with medical billing.
What kind of math do you use in the billing and coding jobs and do you need a degree?
You don't need a degree, but a lot of coders still like to have the safety net of having a diploma or an associate's. There's some occasional addition, subtraction, division, and multiplication but nothing major.
I am currently in school and the coding aspect is interesting but I am not sure abut the billing part. I was wondering if this degree would help me get into medical transcriptionist.
hi, I like your video so much, I have some questions, if I am just a beginning and have no any medical background, but I am interested in getting the medical certification, what's your opinion and suggestions? thank you so much.
Hi Mandy! Check out the main channel page -- I have a whole playlist of videos for those interested in medical coding that you can check out! Thanks and good luck!
Me: Not really needing to know about medical milling or coding but just curious
Also Me: Ends up watching the whole video because I love her hair!
Thanks your video helps me a lot
Is it ok to become CPB certified if you haven’t worked in a medical billing position before? I currently work in a patient registration job and didn’t know whether to go ahead with the AAPC online course or wait until I have experience working in a medical billing position?
I’ve also heard some people say CPB certification isn’t necessary because you will learn everything on the job but I figured it would make one a more marketable candidate. What are your thoughts on this?
Thank you so much for all your help you're very smart. You have such beautiful eyes, do you ever do blue or green eye shadow to make them pop. I have a younger brother with green eyes and he loves green and blue shirts and always makes his eye pop. Anyways, I have ADHD and I'm scared medical coding won't be a good fit, do you know anyone with ADHD that's a medical coder ad how they deal with it?
Would this have us in the accounting department? I’m not a numbers girl ?
So should I go for my CPB I have been a medical biller before without it.... I’m definitely getting my CPC but should I do the cpb as well
hi i live in alaska and was thinking taking up this but worried if its a good choice for a person with depression and anxiety disorders?
I have the same question!
Very good question 💙
Can medical billing and coding be done from home ?great content.
I am a former hospital billing clerk and coder from the 1980s. Imagine observing your coworkers coming into work hung over, smelling of booze and their office cronies redistributing their workload. The in office affairs with married people.
I just enrolled in a dual certification (Medical Billing and Medical Coding) through AAPC. Which one should I start first?
how much discretion does either role have or is the decisions and actions taken very decision tree type? Thank you!
In both roles you'd likely have to go through a supervisor with issues.
Since the pay is about the same, which job would you say is generally easier, ty!
Really helpful 👍
Are either of these jobs one that can be done remotely from home?
Thank you for the information
I found it. I just had my baby and I will like to work from home hopefully It wont be hard 😣
Dental Assistant or Medical billing and coding is difficult ? Which is best will you please guide me?
I'm management bachelor in Business studies graduate and want to study these program.
I have No idea on medical background
Do one needs to have fast typing skills? And other computer skills?
You would need the average typing and computer skills needed for any office/computer job.
those who does the checking of codes in the insurance side they are medical coders too right
Hi,
I am working as medical biller for more than a year now on AdaptHealth. I always wanted to learn medical coding. I do not have any tranning on coding. I did some reaserch and found some course online however I am not very confident on jumping on this. Will it be beneficial for me to learn medical coding? Thank you.
Just got my billing and coding and I'm not sure where to start with my degree is there any suggestions? I applied at some clerk jobs but beyond that I'm not sure where Else to apply?
Is it a good idea to get a medical insurance license . So when you do go into medical billing it will be easier?
Do you have any videos on what I can do as my first step to medical coding? My city college says you need medical billing first. I'm very gun hole about this. I need answers please help ma'am !
I have a whole playlist my friend: ua-cam.com/video/QW0F3lqi9nI/v-deo.html
Very informative. Thank you. Do you offer education?
Hi. Im just wondering , Will i be able to take this course and take the exam as a medical biller or coder and Is there business that hires from out of country? e.g Philippines.
amazing i love medical billing filed
So what income am I looking at if Im a Medical records biller and coder?
Hi there! This is the video I made discussing salaries: ua-cam.com/video/L4KhWv-s_Xk/v-deo.html