Coding/insurance specialists are responsible for filing paperwork pertaining to insurance-billing of patients for medical services. They generally fulfill a sort of secretarial role within a medical establishment and deal with the influx and organization of patient information to ensure the correct persons are billed the correct amounts. Scheduling and processing payments are two of this job's main roles, but these specialists must also be well-educated in medical terminology, as conveying care instructions and other pertinent information to patients about medical issues is an important part of the job.
Those in this position work in indoor medical environments, so cleanliness is important to help contain and prevent the spread of diseases/viruses. They are typically employed by doctors' offices, but may also be found in large hospitals and even collection agencies which may outsource their services. A typical workday involves working with other office and medical staff, as well as helping many patients check in and out throughout the day. Information must often be collected on-the-spot and inspected for accuracy, as any billing records will rely on it.
A minimum of an associate’s degree in health administration, information management, or a related field is generally required for this position, and these specialists usually work during traditional business hours. However, those who work in hospitals may have shifts at any time of the day or night.
Coding/Insurance Specialist Tasks
Protect the security of medical records to ensure that confidentiality is maintained.
Identify, compile and code patient data, using ICD-9-CM and CPT and other standard classification coding systems.
Enter data, such as history and extent of disease, diagnostic procedures and treatment into computer database.
Compile, abstract and maintain patient medical records to document condition and treatment.
Review records for completeness, accuracy and compliance with regulations.