In this video, learn about the critical medical biller/coder job duties and three ideal personality characteristics for the role. Understanding what a medical biller/coder does on a typical day and the ideal personality traits are key to understanding if this role is a good fit for you. You can ascertain a level of personal interest in performing these duties, and determine if there is a personality conflict.
- If you enjoy a quiet day working at your desk, then the job of a medical biller/coder may be right for you. Some medical billers or coders work a typical nine to five day in a medical office, while others work remotely for a medical billing company and have a more flexible schedule. Some work strictly as medical coders, assigning codes to diseases, injuries, and procedures. Some work strictly as billers, taking the codes and submitting them to the insurance companies for payment. Some work as both. As with many jobs, your day begins with email. Company updates, questions from providers, and information from newsletters and associations about new codes for new procedures. Then you'll check which activities are assigned to you that day and set your priorities. So you may start by looking at surgery cards and spreadsheets, coding out those services and entering them into the system. Then you'll work on edits. So something was sent back from an insurance company about a diagnosis that was not covered. You'll read back through the charts to see if there is something in the chart that is covered. You'll also work on denials. If a provider is questioning the way that you coded something, you might look for a second opinion on unlisted codes. If you are assigned to do audit checks, you'll be making sure everything is accurate and in compliance with insurance, state, and internal guidelines. You may also spend time tracking and trending discrepancies. So for example, if a provider routinely charts and claims are denied, you may tally those on a spreadsheet, listing the discrepancies in order to educate the provider so that improvements can be made moving forward. Your performance on the job will be assessed by accuracy and productivity. So for example, you'll be aiming for 95 to 99% accuracy, and your productivity will be determined by how many charts, notes, or surgeries you can code in an hour. Attention to detail is critical, and so is time management. If the coding and billing are late, insurance companies can deny it, resulting in a loss of revenue. And of course, what would your day be without meetings? There will be meetings either onsite or through Zoom. Working as a medical billing and coder can provide you with a quiet office setting, or even the ability to work from home with a flexible schedule. Either way, you'll have the satisfaction of working in a very secure job in healthcare.