Medical Coding Definition
The formal definition of medical coding is the conversion of healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. Learn about the medical coding procedure and how it is required every time you visit a doctor.
What’s involved in Medical Coding?
The diagnostic and procedure codes are derived from medical record documentation, which includes physician transcription notes, lab and radiologic results, and so on. Medical coders then ensure that the codes are accurately applied during the medical billing process. This includes extracting information from paperwork, assigning relevant codes, and preparing a claim that insurance companies will pay.
A record of a patient's visit not only assists the doctor, but it is also how they are paid. Medical codes convert documents into standardized codes that inform payers about items like:
· A patient’s diagnosis
· The patient's medical necessity for treatments, services, or supplies
· Any unusual circumstances or medical condition that impacted such treatments and services
· To succeed, medical coders must grasp anatomy, physiology, assessment and management services, the business of medicine, and payer regulations.
What Are Daily Tasks of Medical Coders?
Every day, the medical coding and billing process various treatments and claims, and medical codes must communicate the complete story of the patient's visit to the doctor. It must be as specific as feasible in order to secure remuneration for services done. A medical coder's primary responsibility is to examine clinical statements and assign standard codes.
The coder also examines the patient's medical record for evidence of completed work, such as transcription of doctor's notes, requested image studies, ordered laboratory testing, and so on.
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How Medical Coding Is Performed?
A certified medical coder begins by reading the previous day's batch of patient notes for review and coding. They also summaries other important information from the record, such as physician names, procedure dates, and extra information.
The coder then completes the chart and moves on to the next patient's record. The majority of coders spend their days reading, taking notes, and assigning codes.
How Do I Get a Job as a Medical Coder?
To become a medical coder, you must first complete a course and become certified, which takes approximately six months. It is built around the AAPC (American Academy of Professional Coders) curriculum, which is considered the gold standard for outpatient medical coding. You will experience the following course content:
Anatomy review includes circulatory, respiratory, integumentary, digestive, hemic & lymphatic, endocrine, neurological, female and male genital systems, and other topics.
Anesthesia
Radiology
Pathology and laboratory testing
Medicine
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