Although, medical billing and coding are the terms that are often used interchangeably but in actuality, they are two different career options that share a cause.

They can be better understood when addressed individually:
Medical coders: They are the trained professionals who read medical charts, collect relevant information and assign appropriate medical code to each piece of information. When the medical record of a patient is fully coded, it moves from coder to biller.

Medical biller: They are the trained professionals that collect the assigned codes and correctly fill them into a medical claim form. After the claims are prepared, they then submitted it to insurance companies, and collect payments.
Both of these responsibilities can be combined into one duty, however are often separate.

Due to their integral role and their rapidly growing demand in hospitals and medical institutions, number of medical billing training schools have emerged so to train aspirants about the overall billing and coding process and to make them perfect.

Here is the brief interpretation of the medical billing process.


  • Collection of patient's personal details: In this process, a patient's demographics along with other important information like Date of Service, Place of Service, and more are recorded. Apart from this, patient's insurance documents are also verified for further processing.
  • Secure registration: In order to transmit all important records via FTP, a secure VPN connection is established.
  • Coding: All medical records of the patients are retrieved and reviewed by a coder to assign alphanumeric codes for personal details of the patient.
  • Change entry: once done with coding, billing professionals assign the accurate and correct charges based upon the coding standards.
  • Claims submissions: in this process, claim forms are prepared and submitted to the insurance company by an electronic means to save time and money.
  • Payment posting: In this process, the claims are reviewed by the insurance company on order to generate appropriate reports and payment settlements to the patient's accounts.
As a final step in the medical billing process flow, the status of the payments and concrete feedback is then sent to patients and insurance companies in the form of reports.

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