Crystal May, CCS, CPC, CDEO, CPMA, CRC, Approved Instructor’s Post

🏥 Curious about what it takes to be a medical billing and coding specialist? Let's decode the daily life of these unsung heroes of healthcare administration! 📑 🔍 **Behind the Scenes:** Ever wondered who handles all the insurance claims, invoices, and payments at your healthcare provider's office? That's where the medical billing and coding specialists step in, acting as the essential link between medical facilities and insurance companies. 🩺 **Job Description Breakdown:** While the terms "billing" and "coding" may seem interchangeable, they are distinct roles. Coders decipher doctors' notes into industry-standard codes for tracking and billing, while billers ensure invoices are accurate and payments are processed correctly. 🤔 **Requirements & Skills:** From medical terminology and basic math to computer proficiency and communication skills, a successful career in medical billing and coding demands a diverse skill set. Are you up for the challenge? 📈 **Career Outlook:** With the healthcare industry booming, the demand for skilled billing and coding specialists is on the rise. Plus, certifications like the CPC® credential can give you a competitive edge in the field. Would you consider a career as a medical billing and coding specialist? Share your thoughts below! 💬 https://lnkd.in/gSrqwAgq

Medical billing is not mere data entry! Medical billing is a complex field where an individual is constantly learning and growing. I have employees, who worked in other billing companies previously, tell me that they have learned more while working at CodeRite than they ever did in their previous positions. I don't want to judge how others run their business, but I have seen people being hired for billing positions and given a set of codes and rules to enter on a daily basis. They are not encouraged to ask questions or find answers on their own. Their growth is stifled and it frustrates them. I believe that empowering your employees with knowledge and agency to find solutions makes for a happy and productive employee. Employees who have a say feel more engaged in the company and enjoy their job. Don't take medical billing as just data entry entities. We are higher level thinkers and doers. We are constantly reviewing coding and payer guidelines and see ourselves as advocates and partners with the practices we work with. Healthcare insurance billing and coding field is dynamic and if you are not empowering your employees to look beyond what's in front of them, you are doing a disservice to them and your clients.

Medical billing is not mere data entry! Medical billing is a complex field where an individual is constantly learning and growing. I have employees, who worked in other billing companies previously, tell me that they have learned more while working at CodeRite than they ever did in their previous positions. I don't want to judge how others run their business, but I have seen people being hired for billing positions and given a set of codes and rules to enter on a daily basis. They are not encouraged to ask questions or find answers on their own. Their growth is stifled and it frustrates them. I believe that empowering your employees with knowledge and agency to find solutions makes for a happy and productive employee. Employees who have a say feel more engaged in the company and enjoy their job. Don't take medical billing as just data entry entities. We are higher level thinkers and doers. We are constantly reviewing coding and payer guidelines and see ourselves as advocates and partners with the practices we work with. Healthcare insurance billing and coding field is dynamic and if you are not empowering your employees to look beyond what's in front of them, you are doing a disservice to them and your clients.

🔍 The Intersection of Talent Acquisition and Medical Billing [Collection] 🔍 As the healthcare industry continues to grow, the demand for qualified talent in medical billing is also on the rise. The role of medical billers and coders is crucial in ensuring accurate and timely reimbursement for healthcare providers, and the recruitment process in this field has its unique challenges. In our latest collection, we explore the intersection of talent acquisition and medical billing, uncovering effective strategies to attract and retain skilled professionals in this specialized area. From understanding the necessary skills and qualifications to developing an inclusive and diverse workforce, these insights shed light on the key aspects of talent management in medical billing. 💼 One of the key takeaways is the need for a comprehensive understanding of medical billing processes. Talent acquisition professionals must familiarize themselves with the specific terminology and requirements of this field to effectively assess candidates' skills and aptitude. 💪 In addition to technical proficiency, a holistic approach that considers soft skills such as communication, attention to detail, and problem-solving is vital. Medical billing professionals interact with patients, healthcare providers, and insurance companies, making effective communication essential in this role. 🌎 Promoting diversity and inclusivity is another crucial factor in talent acquisition. Embracing diversity in the medical billing workforce brings different perspectives and ideas, leading to improved problem-solving and innovation. Inclusive practices also ensure equal opportunities for all candidates, fostering a positive work environment. ✨ As the demand for skilled medical billers continues to rise, it is essential for talent acquisition professionals to adapt their strategies to attract and retain top talent. By understanding the specific challenges and opportunities of this field, organizations can build a robust workforce that drives efficient healthcare revenue cycles. #TalentAcquisition #MedicalBilling #HealthcareIndustry #RecruitmentStrategies #InclusiveWorkforce #DiversityAndInclusion

✍️✍️🎯🎯👉👉Here we will learn today about #Medical #Billing & it's importance.😊☺️ Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for healthcare services provided by healthcare providers. It involves translating healthcare services into billing codes, submitting claims to insurance companies, and ensuring timely reimbursement. The importance of medical billing lies in its role in ensuring healthcare providers receive proper compensation for the services they render to patients. Without effective medical billing, healthcare organizations may experience delays or denials in payment, leading to financial challenges and potential disruptions in patient care. Revenue generation through medical billing involves optimizing the billing process to maximize reimbursement for services provided. This includes accurately documenting patient encounters, coding services correctly, submitting clean claims, and following up on unpaid or denied claims to resolve issues promptly. To get a job in medical billing, individuals can pursue formal education and training programs in medical billing and coding, obtain relevant certifications (such as Certified Professional Biller or Certified Professional Coder), gain experience through internships or entry-level positions, and network with professionals in the healthcare industry. To acquire clients for medical billing services, individuals or companies can market their services to healthcare providers, hospitals, clinics, and other healthcare organizations. This may involve showcasing expertise in medical billing, highlighting experience with specific specialties or billing software, offering competitive pricing, and providing excellent customer service. Ibna Saleem #MedicalBilling #HealthcareBilling #RevenueCycleManagement #HealthcareFinance #HealthcareRevenue #BillingAndCoding #HealthcareManagement #JobSearch #ClientAcquisition #Networking #Insuranceclaims #Medicallbillingjobs #Physicians #Healthcareproviders

🌟 37 Days as a Medical Billing / QA Associate at Lily Hospitals Ltd! 🌟 I'm excited to share that it's been 37 days since I transitioned into my new role at Lily Hospitals Ltd, the leading health group here in Nigeria. Moving from a Pharmacy Technician to a Medical Biller has been a challenging, exciting, and rewarding journey filled with growth and new experiences. Here are a few key takeaways from my journey so far: - Career Transition: My background in pharmacy has been instrumental in understanding medical terminology and billing practices, making this career shift smoother than expected. - Soft Skills Utilization: From emotional intelligence to effective communication, I’m able to apply all the soft skills I’ve honed over the years in this role. - Technical Skills:My proficiency in Excel and tech-savviness in navigating different insurance portals has been key in handling the complexities of billing. - Challenges as Motivation: Managing different insurance policies, understanding fee-for-service and capitation, and staying detail-oriented have been challenging but motivating factors that push me to go above and beyond. - Collaboration: I’m grateful for the supportive and collaborative team** at Lily Hospitals, who have been key to my success in this role. The role of a Medical Biller is crucial in the healthcare ecosystem. we ensure that hospitals receive their due revenues from insurance companies, keeping the system running efficiently. Without medical billers, hospitals could suffer financially, especially when dealing with insurance-related claims. 🔑 Why Medical Billers Are Essential: - We provide quality billing services to internal and external customers. - We help ensure revenue generation and prevent financial losses. - Medical billers play a pivotal role in maintaining the financial health of hospitals. I love what I do, but as a lifelong learner, I’m always looking to grow. I look forward to continuing to learn and progressing into even more inspiring roles in the future! To all Medical Billers out there: YOU are the powerhouse of the hospital! Your impact keeps the wheels of healthcare turning smoothly. Let’s keep building this profession together! I’d love to hear your thoughts—how can we make the medical billing profession better? Let’s connect and collaborate to elevate this vital field. 💬 Professional Bodies for Medical Billers: - National Association of Medical Billing and Coding (NAMBC)– U.S. - Healthcare Financial Management Association (HFMA) – Global - Association of Medical Billers of Nigeria (AMBIN) – Nigeria #MedicalBilling #HealthcareHeroes #MedicalBillersUnite #RevenueCycleManagement #HealthcareFinance #LifeLongLearner #TeamworkMakesTheDreamWork #InsuranceBilling #MedicalBillingProfession #BillingExcellence #GlobalHealthcare #MedicalBillingNigeria #LetsGrowTogether

[ Medical Billing Concepts, Job Opportunities in Medical Billing, AR analyst part in detail ] The course was really well organized. Perhaps English is the instructor's second language but I really appreciate the efforts the instructor put in to make this course informative. At the exid of the day, it's the knowledge that matters. As some one who knew nothing about medical billing and RCM, I found this to be a great introduction and overview of what happens in the US health care system. Dear instructor, Thank you very much. What I have learned in this course :-- • Medical Billing Concepts, Job Opportunities in Medical Billing • Parties Involved in Medical Billing • Denial Analysis, Working on Unpaid Claims • Insurance Calling Scenarios • Charge Entry, Payment Posting, Revenue Cycle Management, Accounts Receivable At last I have learned denial handling with example, denial mitigation plan • AR ageing review • Client KPI #medicalbilling #coding #ushealthcare #lifescience #pharma #jobs #chargeposting #paymentposting #rcm

The trade of medical insurance coding plays a crucial role in the healthcare industry by ensuring accurate billing and reimbursement processes. Here's how it influences and sustains careers nationally: 1.) Career Stability: As long as there is a need for healthcare services, there will be a demand for medical insurance coders. This creates a stable career path for individuals in this field, offering job security and opportunities for advancement. 2.) Specialized Skillset: Medical insurance coding requires specialized knowledge of medical terminology, anatomy, and coding systems such as ICD-10 and CPT. Individuals who invest in learning these skills can distinguish themselves in the job market and command higher salaries. 3.) Versatility: Medical coders are needed in various healthcare settings, including hospitals, clinics, physician offices, insurance companies, and government agencies. This versatility allows individuals to explore different career paths within the healthcare industry. 4.) Remote Work Opportunities: With advancements in technology and the widespread adoption of electronic health records (EHRs), many medical coding jobs can be performed remotely. This flexibility enables individuals to work from home or in a location of their choice, expanding job opportunities beyond geographic boundaries. 5.) Career Advancement: Medical insurance coding can serve as a stepping stone for career advancement in healthcare administration, compliance, auditing, or even consulting roles. By gaining experience and additional certifications, individuals can progress to higher-paying positions with more responsibility. 6.) Continued Demand: The aging population and changes in healthcare regulations contribute to the continued demand for medical services, driving the need for skilled professionals who can accurately code and bill for these services. 7.) Impact on Healthcare Economics: Accurate coding is essential for healthcare providers to receive proper reimbursement for services rendered. 8.) Medical coders help ensure that healthcare organizations maximize revenue while maintaining compliance with billing regulations, thereby contributing to the overall sustainability of the healthcare system. 9.) Education and Training Opportunities: The demand for medical coders also fuels the growth of educational programs and training courses focused on medical coding and billing. This creates opportunities for individuals to enter the field through formal education or specialized training programs. In summary, the trade of medical insurance coding influences and sustains careers nationally by providing stable employment opportunities, specialized skill development, career versatility, remote work options, avenues for advancement, continued demand, and contributions to healthcare economics. Becoming certified as a Professional Coder starts with the right education. Contact San Tan University today to find out more! (480)809-7167 - Ask for Miss Patricia

Employer #3 Position- Medical Coder Duties- (Pay close attention) • Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations • Complying with medical coding guidelines and policies • Receiving and reviewing patients’ charts and documents for verification and accuracy • Following up and clarifying any information that is not clear to other staff members • Collecting information made by the Physician from different sources to prepare monthly reports  • Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results • Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence Please tell me why the entire 30 question assessment was billing and reconciliation of accounts receivable. AND IT WAS TIMED! I am grateful Google and I are BFF because that was funny. I knew the questons where I had to calculate the co-pay and deductibles because it was for HMO's (which we have) and Medicare (which I am going through the E-Courses now). But I was very unsure of the rest. There were a couple of HIPAA questions, which I was very comfortable with. The prompt at the end instructed that the scores would be sent directly to the employer and to check my e-mail for the next steps. I was so glad I didn't see my score. I just laughed it off and said to myself, "welp, that position wasn't meant for me" 😂 😂 🤣 😅 😂 I posted the duties they listed so you can see why I was thrown a little by the type of questions. But, I gave it my best shot! Guess who's now going to start watching YouTube videos on billing????? 😉 Tip Be ready for anything. When taking these assessments, do your best and leave it all there! Do not beat yourself up afterward. Take it as a learning experience. We got this!

What is Medical Coding and Billing? Every time a doctor interacts with a patient, a code is assigned to their action. Physical exams, lab tests, procedures, and treatments are all assigned a code. These numeric codes are called “Current Procedural Terminology” or CPT codes. Each diagnosis is also coded with the “International Classification of Diseases and Related Health Problems” or ICD-10 code. This universal numeric language ensures that doctors, healthcare providers, and insurance companies use consistent terminology and codes. Your job as a medical coder and biller is to review the charting done by the doctor, nurse, or medical specialist and ensure that it goes onto a “bill” or form submitted to insurance companies for reimbursement. Some coders check for accuracy and overlapping codes, while others focus on insurance regulations and billing requirements. Medical billers and coders must keep up with ever-changing codes and evolving information in the healthcare industry. Medical billing specialists help prevent fraud, waste, abuse, and errors within the medical industry by ensuring patients and insurance companies are invoiced correctly.