Medical Coding & Billing - General Duties and Jobs

What are the various duties that the medical coding and medical billing professionals have to do? Computerization and globalization has greatly helped in successfully managing the country's vast health care and health insurance needs of the people. The fast growing community of medical coders and billers is a force to reckon with. Here is a list of some of the duties that they may have to handle in the course of their work.

    * Insurance benefits presentation to patients / clients
    * Administrative work / bookkeeping
    * Completion of claim forms
    * Medical billing procedure handling
    * Signature verification
    * Data entry
    * Supervision work
    * Adhering to each insurance carrier's policies and procedures
    * Software based medical data/charts analysis
    * Interaction with healthcare providers
    * Billing work of insurance companies
    * Documenting all activities using the right medical terms
    * Scheduling appointments

What are the different jobs and designations that medical coders / billers can get? Depending on the type of work specialization, and the employer, these are some of the different job titles the qualified medical coders/ billers work may work under.

    * Billing Specialist
    * Patient Account Representative
    * Electronic Claims Processor
    * Billing Coordinator
    * Coding Specialist
    * Health Information technician
    * Claims Analyst
    * Reimbursement Specialist
    * Claims Assistant
    * Professional Medical Collector
    * Claims Processor
    * Claims Reviewer

We know that while claiming the reimbursement for the medical bill from an insurance company it is necessary to prove the medical necessity of the case! It is the medical coder who needs to scan all patient data / record and then prove that all the rendered services were justified.

One of the interesting aspects of working in this sector of the health care industry is that the requirements for the medical biller /coder's job is never limited by either location, gender, race, religion, or physical disabilities. It is well known that the demand for medical and pharmaceutical services is ever increasing and therefore medical coders and billers are getting good employment opportunities.

Claims Adjuster Jobs-Finding the Ideal Insurance Job

If you intend to get a job as a insurance claims adjuster, then you will need a sense of diligence, good investigative skills, and a great sense of humour. People from all over make some of the most amazing claims and it is your job to read the forms, laugh a little, and then seek out the truth of the matter. People sometimes write in a manner that they think is perfectly clear, but which are slightly more humorous than originally intended.

There are, of course, less amusing and more amusing variations of the insurance claims adjuster job. Life insurance claims are rarely funny, and things like flood and fire insurance don't seem terribly amusing either. Car insurance, however, is full of hilarious claims about accidents and their causes that might have a claims adjuster falling off their chair.

Imagine a normal work day, where you are reading claims from people claiming accidents from a variety of causes, ranging from "I lost control when my girlfriend grabbed my testicles" to "a submarine hit my car". (Both of these, by the way, are real claims that were made.)

Of course, there is always the typical claim of that deals with mundane issues such as collisions in heavy traffic, but the phrasing used by many customers is more than enough to start you on your first chuckle of the day. This is including things like: "In an attempt to kill a fly, I drove into a telephone pole." And don't forget the people who blame their car troubles on unknown forces or Voodoo.

The job requires that sense of humour, if you feel that you can handle the thought of people driving off a cliff to avoid a squirrel or into a building as they check the gas prices, or even going through businesses when they forget to put the car in reverse, then this might just be the ideal job for you.

As for the technical aspects of the job, the insurance claims adjuster is the person who investigates the claims that are made, ridiculous and otherwise, negotiate settlements, and authorize payments. Your job is to determine whether the policy that the claimant holds covers the accident or other loss, and how much of the loss should be paid to the claimant. Once you have read the claims form, you will have to conduct interviews with witnesses, police, and hospital staff where applicable, and consult the relevant records held by them regarding the loss.

You will consult with many professional people if you think that someone in the profession can help with your investigation. This might mean talking to a wide range of lawyers, doctors, engineers, construction workers, and more. The information you gather, including video and audio components, is then presented in a report to help evaluate the claim.

If the claim is found to be legitimate, then it becomes your job to negotiate the settlement with the claimant. If it is contested, then it is your job to work within the legal system to protect your company's position. No matter what you find, though, you are sure to find plenty of laughs along the way.