Review patient records and assign procedure codes and diagnosis codes. These codes have to be accurate because they are used in the patients’ insurance claims.
Use the CPT system, or Current Procedural Terminology, to code the procedures that have been performed.
Use the ICD-10 coding system (International Classification of Diseases) for choosing the coding for patient diagnoses.
Enter patient data into databases and registries.
Interact with other staff members to learn more about patient records to ensure that you are coding the procedures and diagnoses properly.
Review claims and other documentation to be sure that the coding was done correctly.
Help keep patient files up-to-date, and help maintain patients’ medical histories.
As a medical biller you might:
Use special billing software to submit insurance claims to insurers.
Be responsible for keeping up-to-date with insurance procedures, to insure that claims are submitted correctly.
Interact with patients directly to get their insurance information. You might need to talk with patients about the charges, explain what the billing means, and help patients understand what their benefits cover.
Contact insurance companies directly so that you can follow up on claims that are still waiting to be paid.
Review payment and receivables records to make sure that your employer is receiving accurate and timely payments for the services it provides.