Medical Coding

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Medical coding and Billing are two closely related aspects of the modern health care industry. Both practices are involved in the immensely important reimbursement cycle, which ensures that health care providers are paid for the services they perform.

Now is a very good time to look at a career in medical billing and coding. The American health care system is modernizing and the field of medical billing and coding is growing as a result of a number of factors, chief among them being an aging population, an increasing focus on health data and informatics, and the digitization of health records. As the health care system turns increasingly to electronic health records, billing and coding specialists who are computer-savvy will have a leg up on the rest of field.

MEDICAL CODING

Medical coding is the process of transforming injuries, illness, diseases, treatments, procedures, and diagnostic services into numeric digits. There are thoUnited Statesnds and thoUnited Statesnds of codes for medical procedures and diagnoses. These codes act as the universal language between doctors, hospitals, Coders, insurance companies, clearinghouses, government agencies, and other health-specific organizations.The coder reads the healthcare provider’s report of the patient’s visit and then translates each bit of information into a code. There’s a specific code for what kind of visit this is, the symptoms that patient is showing, what tests the doctor does, and what the doctor diagnoses the patient with. Every code set has its own set of guidelines and rules. Coding accurately and within the specific guidelines for each code will affect the status of a claim. The coding process ends when the medical coder enters the appropriate codes into a form or software program. Once the report is coded, it’s passed on to the medical biller.

MEDICAL CODING CERTIFICATION

A medical coding certification from one of the top professional organizations (AAPC/AHIMA) will increase your base salary and significantly improve your chances for career advancement. 75% of Pradot’s coders are certified from AAPC and some of the coders have duel credentials (CPMA, CPB etc) with multi-specialty coding experience in Medical Coding. Pradot® encourages all its coders to get a general certification from any of the above professional organizations. All the Pradot® coders are certified in ICD-10-CM proficiency test conducted by AAPC. We are steadfast at getting to terms with the approximately 68.000 new codes of ICD – 10 – CM.

CODING SERVICES

One of the main reasons for claim denials is medical coding error. To assist our clients in preventing these errors our team maintain highest level of accuracy in Medical coding and Medical billing. Every step in the process of medical coding is accomplished with perfection to ensure that an accurate and error free claim is submitted to the insurance carriers. Pradot® coders are professional, skilled, and well versed with United States medical coding practices and deliver high-quality medical coding services within a quick turnaround time. They constantly develop and refine internal compliances to meet the requirements of the customer.

Since all health care providers rely on reimbursement to stay in business, it’s critical that procedures on medical coding and billing be done properly so that the proper level of reimbursement is received for each service and to ensure that no reimbursement is lost due to inaccurate, delayed, denied or unpaid claim. Our coders are experts in handling the healthcare claims of physician office, Inpatient/outpatient, SNF, Radiology, Pathology, etc. Our coders submit 95 – 98% of error free claims to insurance companies.

Our experienced and well-trained coders are proficient in providing the following medical coding services:

  • CPT-4, HCPCS coding, and ICD-10-CM medical coding
  • Chart Audits and Code Reviews
  • Payer specific coding requirements
  • Denial Management