MEDICAL CODING.

                                              MEDICAL CODING.



A medical coder translates details from a patient’s medical documents, such as physician's notes, lab reports, procedures, and diagnoses into universal medical codes to maintain accurate medical records. Healthcare providers and insurance companies use these standardized codes for billing and record-keeping.

This administrative role is an important one within the in-demand healthcare industry. Learn more about what a medical coder does and whether this career path is right for you.

What is medical coding?

Medical coding is the process of taking a patient’s health care information like medical procedures, diagnosis, necessary medical equipment, and medical services information from the physician's notes. A medical coder transforms this information into universal medical alphanumeric codes. 

There are three types of universally known medical alphanumeric codes: 

  • International Classification of Diseases (ICD): The World Health Organization (WHO) created this internationally used code. The classification system is largely used for the purpose of health recording and data collection, among other uses. These codes can classify symptoms, diseases, illnesses, and causes of death. 

  • Current Procedural Terminology (CPT): CPT codes identify medical, surgical, and diagnostic procedures and services within the US. The American Medical Association (AMA) developed this system, which includes three categories: procedures and contemporary medical practices, clinical labs, and emerging technologies. 

  • Healthcare Common Procedure Coding (HCPCS): The Centers for Medicare and Medicaid Services (CMS) developed this coding system to help with processing insurance claims for Medicare or other providers. Coders use them to note medical procedures, products, supplies, and services. 

Medical coding's primary use is to ensure medical billing and insurance carriers pay and process claims correctly, but the system is also valuable for research purposes and basic medical record-keeping for patients.

Each code tells insurance companies, researchers, and health care providers the exact diagnosis, procedure, and/or medical service provided. In short, these codes act as a universal way to quantify health care visits and make physician’s notes less abstract for insurance carriers and future health providers. 

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