What is the difference between medical billing and coding claims specialist?
Medical Billing
* Ensures that medical claims are submitted correctly and promptly to insurance companies.
* Works with insurance companies to resolve claims issues.
* Follows up on unpaid claims.
* May also be responsible for patient billing.
Medical Coding
* Assigns codes to medical diagnoses and procedures.
* Codes must be accurate and specific in order for claims to be processed correctly.
* Works closely with physicians and other healthcare providers to ensure that codes are assigned correctly.
* Medical coding is a more specialized field than medical billing.
Claims Specialist
* Responsible for filing and tracking insurance claims.
* Works with patients and insurance companies to resolve claims issues.
* May also be responsible for patient billing.
Here is a table summarizing the key differences between medical billing and coding, and claims specialist:
| Role | Responsibilities |
|---|---|
| Medical Billing | Ensures that medical claims are submitted correctly and promptly to insurance companies. Works with insurance companies to resolve claims issues. Follows up on unpaid claims. May also be responsible for patient billing. |
| Medical Coding | Assigns codes to medical diagnoses and procedures. Codes must be accurate and specific in order for claims to be processed correctly. Works closely with physicians and other healthcare providers to ensure that codes are assigned correctly. |
| Claims Specialist | Responsible for filing and tracking insurance claims. Works with patients and insurance companies to resolve claims issues. May also be responsible for patient billing. |
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