The Differences Between Medical Billing and Medical Coding

Medical billing and medical coding are not just essential, but they are the backbone of the healthcare process. It’s crucial to understand their differences, as they are often mistaken for the same thing. However, they are two distinct jobs with different responsibilities, both of which are equally important.

Medical Billing
Medical billing begins when a patient walks into the office by collecting their insurance copay. Billers use this time to ensure that the patient fills out the correct paperwork and that the provider has all relevant information for billing. During patient check-in, the biller may also be responsible for verifying the patient’s insurance coverage or confirming their payment responsibility if they do not have medical insurance.

Medical Coding
Medical coding, the first step in the billing process, is a meticulous task. It involves reviewing the patient’s records to accurately determine the services received and assign them the appropriate code. This precision is vital, as it provides the necessary information for submitting claims to insurance companies. The coder’s attention to detail is crucial to avoid legal issues for the healthcare provider.

After the patient finishes their visit, the information collected by the medical biller is sent to the medical coder, where it is combined into a document known as a “superbill.” This itemized list details the provider’s, patient’s, and visit details and is used to submit the claim to the insurance company.

If you’re considering a career as a medical biller, know that there are numerous opportunities available. Medical billers play an important role in the healthcare process and can expect job security for the foreseeable future.