What Does Someone in Medical
Billing and Coding Do At Work?

Video Transcript

Host Question:
What are the day to day duties of someone working in medical billing and coding?

Medical Biller and Coder Expert Answer:
On average day as a medical biller, you could expect to review and submit charges or medical claims. Post payments from insurance companies and patients, send out patient statements, work on rejections, denials and outstanding air that you may have on the account. You also sometimes have meetings or take phone calls or outstanding claims. You may need to submit corrected claims or appeals to the insurance companies. And in some cases, you may need to submit medical records or paper copies of the claims. That would be just an average day.

Medical Biller and Coder Expert Answer:
There’s 10 steps to the medical billing and coding cycle and those are all kind of different job titles and that’s patient registration, insurance verification, the actual encounter with the doctor, medical transcription, medical coding charge, industry charge, transmission, accounts receivable and then denial management and then payment posting. Most of those are billing kind of jobs except for when you’re looking at coding. So it depends if you’re in patient registration, your front desk, and you are inputting the insurance and getting copies of everything, their I.d., catching up all their medical records, giving them the clipboard and all the paperwork to fill out. That’s kind of that. And then you input all that. Plus you’re going to be doing insurance verification to make sure that visit is going to be covered. If you’re working at a desk, you’re working billing. You know, it depends on the size of the organization. A mom and pop type doctor set up, you know, a couple of physicians. You’re kind of doing that whole process. You may be doing all of it. Whereas if you’re working for big companies like Kaiser, you may be like working strictly workers comp cases.

Medical Biller and Coder Expert Answer:
It depends on the role that the practice gives a company or that practice gives you the role of play in our day. I want you to respond at the cost of the patients. We want you to verify. I’ll be make sure payments are posted. You know, we have 50 clients that we need to have reviewed. It’s really going to be, if not necessarily, what are the coder? Wants to do our work for it, but it’s like the work that’s needed from them because they can be in all aspects of. They can work the front desk if necessary because they’re trained in the system. It’s so much that we can do. But the life of a builder literally can be anything from what they call an insurance all day. If it’s coding the code enforcement, it could be just reviewing visits from the provider, making sure that information is great, or it could be a little bit of everything within that hour.

Medical Biller and Coder Expert Answer:
I’ve worked at a few different places. It’ll depend if you’re one to work in the hospital or for a hospital, or more like an outpatient physician office. At the hospital, you just kind of have the list and you have a certain genre of patients that you’ll be holding and you’ll just sit down and code those off the computer in the office, setting them in right now. There is a lot more to do. I would say we keep up with all the doctors charges from the hospital, like if he was on call over the weekend. We have to talk to his mid-levels. We have to get his consults or surgeries that he did not schedule from his on call weekend. We have to print all that out of the hospital system will even be putting that data on the patients like their Andrea’s birthday insurance in the computer. We kind look at what they did will print out surgeries or consults or agencies and we’ll go from that. Got to scan it back into our own system. It’s a lot.