A medical biller coder is responsible for handling the billing processes and insurance within a hospital, clinic, or similar facility. They must gather patient information and records to analyze and translate them into codes according to the insurance and medical guidelines. Moreover, it is crucial to verify all patient forms and ensure their accuracy as it will serve as a basis on essential documents and medical record-keeping. There may also be instances where a medical biller coder must devise payment plans for patients, communicate with families and guardians, and coordinate with physicians.

Medical Biller Coder Responsibilities

Here are examples of responsibilities from real medical biller coder resumes representing typical tasks they are likely to perform in their roles.

  • Manage chart completion (ICD-9-CM and CPT coding), chart assembly and analysis and patient information privacy/security.
  • Use EMR software to manage patient records and files reinforce and uphold patient confidentiality as required by HIPAA and clinic.
  • Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
  • Read EOB's and data entry.Was a 7 physician practiceBecame a CPC though the AAPC in 2001
  • Review special projects to ensure quality of medical records review are performed accordingly by other CPC's.
  • Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
  • Have experience in all commercial insurances and government insurances including Medicare and Medicaid.
  • Interpret and review medical record documentation to assign accurate CPT-4 procedure and assign ICD-9 diagnosis codes.
  • Certify coder for cardiology & vascular.
  • Bill insurance claims using HCFA 1500 and UB-92 form.
Medical Biller Coder Traits
Analytical skills have to do with gathering information from various sources and then interpreting the data in order to reach a logical conclusion that benefits the business.
Detail oriented involves being extremely mindful and observant of all details.
Integrity involves honesty and a high regard of morals.

Medical Biller Coder Job Description

When it comes to understanding what a medical biller coder does, you may be wondering, "should I become a medical biller coder?" The data included in this section may help you decide. Compared to other jobs, medical biller coders have a growth rate described as "much faster than average" at 11% between the years 2018 - 2028, according to the Bureau of Labor Statistics. In fact, the number of medical biller coder opportunities that are predicted to open up by 2028 is 23,100.

Medical biller coders average about $17.59 an hour, which makes the medical biller coder annual salary $36,595. Additionally, medical biller coders are known to earn anywhere from $30,000 to $44,000 a year. This means that the top-earning medical biller coders make $14,000 more than the lowest earning ones.

Once you've become a medical biller coder, you may be curious about what other opportunities are out there. Careers aren't one size fits all. For that reason, we discovered some other jobs that you may find appealing. Some jobs you might find interesting include a health information technician, information management specialist, release of information specialist, and records manager.

Medical Biller Coder Jobs You Might Like

Medical Biller Coder Resume Examples

Medical Biller Coder Skills and Personality Traits

We calculated that 17% of Medical Biller Coders are proficient in Medical Records, Insurance Companies, and Icd-10. They’re also known for soft skills such as Analytical skills, Detail oriented, and Integrity.

We break down the percentage of Medical Biller Coders that have these skills listed on their resume here:

  • Medical Records, 17%

    Use excellent communication skills between myself and the physician to ensure accurate interpretation of physician handwritten notes and electronic medical records.

  • Insurance Companies, 17%

    Obtained patients' medical history and effectively communicated with insurance companies to verify benefits coverage and eligibility of patients.

  • Icd-10, 5%

    Utilized knowledge of CPT, ICD-9-CM, and ICD-10 to properly translate performed services into numerical code for insurance company reimbursements.

  • Customer Service, 5%

    Provided excellent customer service by actively listening to customer information and concerns and taking swift and decisive action on their behalf.

  • Cpt-4, 4%

    Interpreted and reviewed medical record documentation to assign accurate CPT-4 procedure and assigned ICD-9 diagnosis codes.

  • Hcpcs, 3%

    Support and participate in process and quality improvement initiatives by maintaining updated files for HCPCS, ICD-9, and PQRI codes.

Most medical biller coders list "medical records," "insurance companies," and "icd-10" as skills on their resumes. We go into more details on the most important medical biller coder responsibilities here:

  • The most important skills for a medical biller coder to have in this position are analytical skills. In this excerpt that we gathered from a medical biller coder resume, you'll understand why: "health information technicians must understand and follow medical records and diagnoses, and then decide how best to code them in a patient’s medical records." According to resumes we found, analytical skills can be used by a medical biller coder in order to "review billing trends and compliance issues charge entry and post and reconcile adjudications research/ analyze unidentified eob for adjustments. "
  • While it may not be the most important skill, we found that many medical biller coder duties rely on detail oriented. This example from a medical biller coder explains why: "health information technicians must be accurate when recording and coding patient information." This resume example is just one of many ways medical biller coders are able to utilize detail oriented: "printed and highlighted important details on explanation of benefits (eob) forms. "
  • Another skill that is quite popular among medical biller coders is integrity. This skill is very critical to fulfilling every day responsibilities as is shown in this example from a medical biller coder resume: "health information technicians work with patient data that are required, by law, to be kept confidential" This example from a resume shows how this skill is used: "follow policies and procedures to assure that the confidentiality, security and integrity of patient data and information are maintained. "
  • In order for certain medical biller coder responsibilities to be completed, the job requires the skill "interpersonal skills." According to a medical biller coder resume, "health information technicians need to be able to discuss patient information, discrepancies, and data requirements with other professionals such as physicians and finance personnel." As an example, this snippet was taken directly from a resume about how this skill applies: "utilized interpersonal skills, medical terminology and followed hipaa procedures. "
  • Yet another important skill that a medical biller coder must demonstrate is "technical skills." Health information technicians must use coding and classification software and the electronic health record (ehr) system that their healthcare organization or physician practice has adopted. This is clearly demonstrated in this example from a medical biller coder who stated: "provided exceptional technical support to customer service representatives and productively trained staff. "
  • See the full list of medical biller coder skills.

    We've found that 16.5% of medical biller coders have earned a bachelor's degree. Furthermore, 2.1% earned their master's degrees before becoming a medical biller coder. While it's true that some medical biller coders have a college degree, it's generally possible to become one with only a high school degree. In fact, one out of every two medical biller coders did not spend the extra money to attend college.

    Those medical biller coders who do attend college, typically earn either a health care administration degree or a business degree. Less commonly earned degrees for medical biller coders include a insurance degree or a medical assisting services degree.

    Once you've obtained the level of education you're comfortable with, you might start applying to companies to become a medical biller coder. We've found that most medical biller coder resumes include experience from University of Oklahoma, Northwestern Medicine, and Alderman Library. Of recent, University of Oklahoma had 3 positions open for medical biller coders. Meanwhile, there are 2 job openings at Northwestern Medicine and 1 at Alderman Library.

    Since salary is important to some medical biller coders, it's good to note that they are figured to earn the highest salaries at Brewer, Prime Healthcare, and NYU Langone Health. If you were to take a closer look at Brewer, you'd find that the average medical biller coder salary is $45,353. Then at Prime Healthcare, medical biller coders receive an average salary of $43,158, while the salary at NYU Langone Health is $42,048.

    View more details on medical biller coder salaries across the United States.

    Some other companies you might be interested in as a medical biller coder include UnitedHealth Group, Parallon Business Solutions, and Medical Management International. These three companies were found to hire the most medical biller coders from the top 100 U.S. educational institutions.

    The three companies that hire the most prestigious medical biller coders are:

      What Health Information Technicians Do

      A health information technician is primarily responsible for managing and handling patient information, ensuring accuracy and confidentiality. They coordinate with various health care workers to gather patient data, laboratory results, test findings, and medical histories, encoding them in clinical databases in a timely and efficient manner. They must analyze every information to detect any inconsistencies, performing corrective measures right away. Furthermore, as a health information technician, it is essential to utilize particular software and systems when processing information, all while adhering to the hospital's policies and regulations.

      We looked at the average medical biller coder annual salary and compared it with the average of a health information technician. Generally speaking, health information technicians receive $1,956 higher pay than medical biller coders per year.

      While the salaries between these two careers can be different, they do share some of the same responsibilities. Employees in both medical biller coders and health information technicians positions are skilled in medical records, insurance companies, and customer service.

      These skill sets are where the common ground ends though. A medical biller coder responsibility is more likely to require skills like "icd-10," "cpt-4," "hcpcs," and "medicare." Whereas a health information technician requires skills like "clinical staff," "regulatory agencies," "office procedures," and "roi." Just by understanding these different skills you can see how different these careers are.

      Health information technicians tend to make the most money in the health care industry by averaging a salary of $38,127. In contrast, medical biller coders make the biggest average salary of $39,010 in the finance industry.

      Health information technicians tend to reach similar levels of education than medical biller coders. In fact, health information technicians are 2.1% more likely to graduate with a Master's Degree and 0.2% less likely to have a Doctoral Degree.

      What Are The Duties Of an Information Management Specialist?

      An information management specialist is responsible for maintaining the security benchmark of all databases across the organization to support business functions and client requirements. Information management specialists sort and file data on the network systems and pull up reports from the storage database. They also analyze project management plans and utilize data tools to identify solutions and collect critical information. An information management specialist handles data management system troubleshooting and provide resolution reports to avoid downtime reoccurrence.

      Now we're going to look at the information management specialist profession. On average, information management specialists earn a $48,481 higher salary than medical biller coders a year.

      Not everything about these jobs is different. Take their skills, for example. Medical biller coders and information management specialists both include similar skills like "medical records," "insurance companies," and "customer service" on their resumes.

      But both careers also use different skills, according to real medical biller coder resumes. While medical biller coder responsibilities can utilize skills like "icd-10," "cpt-4," "hcpcs," and "medicare," some information management specialists use skills like "procedures," "health information management," "privacy," and "information technology."

      Information management specialists may earn a higher salary than medical biller coders, but information management specialists earn the most pay in the technology industry with an average salary of $99,091. On the other side of things, medical biller coders receive higher paychecks in the finance industry where they earn an average of $39,010.

      When it comes to the differences in education between the two professions, information management specialists tend to reach higher levels of education than medical biller coders. In fact, they're 13.2% more likely to graduate with a Master's Degree and 0.2% more likely to earn a Doctoral Degree.

      How a Release Of Information Specialist Compares

      A release of information specialist is primarily in charge of retrieving and releasing data to qualified recipients while adhering to the guidelines and confidentiality protocols that aim to protect sensitive information. Although the extent of their responsibilities usually depends on their industry or company of employment, it usually includes maintaining records of procedures and transactions, preparing and processing documents, organizing files, producing progress reports to managers, and keeping an eye out for any inconsistencies, resolving them promptly and efficiently.

      The third profession we take a look at is release of information specialist. On an average scale, these workers bring in lower salaries than medical biller coders. In fact, they make a $709 lower salary per year.

      Using medical biller coders and releases of information specialist resumes, we found that both professions have similar skills such as "medical records," "insurance companies," and "customer service," but the other skills required are very different.

      As mentioned, these two careers differ between other skills that are required for performing the work exceedingly well. For example, gathering from medical biller coders resumes, they are more likely to have skills like "icd-10," "cpt-4," "hcpcs," and "medicare." But a release of information specialist might have skills like "roi," "phone calls," "subpoenas," and "quality checks."

      Releases of information specialist make a very good living in the technology industry with an average annual salary of $55,802. Whereas medical biller coders are paid the highest salary in the finance industry with the average being $39,010.

      Releases of information specialist are known to earn similar educational levels when compared to medical biller coders. Additionally, they're 3.6% more likely to graduate with a Master's Degree, and 0.0% more likely to earn a Doctoral Degree.

      Description Of a Records Manager

      The records manager is an important position that handles the creation, organization, and disposal of records. They are also responsible for establishing systems for their management and the maintenance, verification, and evaluation of extant systems. It will require technical and analytical skills, as well as a great deal of integrity for handling sensitive information.

      Records managers tend to earn a higher pay than medical biller coders by about $29,102 per year.

      While their salaries may vary, medical biller coders and records managers both use similar skills to perform their jobs. Resumes from both professions include skills like "medical records," "data entry," and "hipaa. "

      While some skills are shared by these professions, there are some differences to note. "insurance companies," "icd-10," "customer service," and "cpt-4" are skills that have shown up on medical biller coders resumes. Additionally, records manager uses skills like records management procedures, records management program, office procedures, and privacy on their resumes.

      Now, let's take a closer look at the financials in each career. The professional industry tends to pay more for records managers with an average of $96,823. While the highest medical biller coder annual salary comes from the finance industry.

      In general, records managers reach higher levels of education when compared to medical biller coders resumes. Records managers are 15.3% more likely to earn their Master's Degree and 2.0% more likely to graduate with a Doctoral Degree.