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Decoding the World of Medical Coders

Decoding the World of Medical Coders: TeleDevelopment + Heathcare Services

In order to meet requirements and regulations with the United States healthcare delivery system, medical coders must achieve certification from the American Academy of Professional Coders (AAPC).

Through a specialized education process, aspiring coders get an area of specialty and some qualifying exams. With this, AAPC-certified professionals get official recognition for their achievement, excellence, and expertise.

Medical coders are expected to be educated in anatomy, physiology, and medical terminology. This can be obtained by earning the AAPC-trademarked Certified Professional Coder (CPC) credential. The AAPC has stressed that certified medical coders must have a good understanding of anatomy and physiology, the disease process, and clinical procedures. This is to apply the correct codes that make up health records, claims, and the business side of medicine.

And this is where TeleDevelopment Services comes in. It is one of the industry leaders in the Philippines providing the best and highest-quality medical coding training. Proud to acquire the official AAPC license, TeleDevelopment has been the only one in the business process management (BPM) industry to offer the CPC course. It will also be the first in the country to offer medical billing courses. Hence, it will have classroom and online training activities for daily and weekend classes.

Coding vs. Billing

Medical coding involves transforming healthcare diagnoses and procedures, as well as medical services and equipment, into universally acceptable medical alphanumeric codes. Transcription of a documentation of physician’s notes plus laboratory and radiologic results form part of the documentation of medical records. The records will then provide information for the diagnoses and procedure codes.

For medical coding professionals, they help ensure that the codes are correctly applied during the medical billing process. They must ensure correctness in abstracting data or information from the medical documentation, assigning the proper medical codes, and creating a claim for insurance service providers to pay.

The main task of a medical coder is to review clinical statements and assign standard codes using certain level classification systems. But the work of the medical biller is quite different. A medical biller processes and follows up on claims sent to health insurance companies. Primarily, this is for the reimbursement of services that the healthcare provider has just rendered.

Two Sides, Same Coin

Circumstantially, it is possible that the coder and the biller may be one and the same person. Or they work side by side to ensure that clients properly pay their medical invoices. Consequently, they are like two sides of the same coin. Doing a smooth coding and billing process helps avoid pitfalls and incidents such as denials of insurance payment.

The key to becoming a skilled and successful medical coder is education and training. Therefore, coders must have a thorough knowledge of anatomy and medical terminology. Furthermore, coders must be familiar with their proprietary top-notch codebook resources and their coding systems, and the corresponding guidelines. Especially, what codes are accepted to various insurance plans, which government and payer regulations to follow. Finally, how to be compliant while coding.

Consequently, medical codes must narrate the entire story of the patient’s encounter with the doctor. And to capture reimbursement for services rendered, the codes must be as specific as possible.

Medical coding courses like those offered by TeleDevelopment have US-certified instructors with a combined experience of more than 40 years in the medical and BPM fields, including training support on ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding.

With a high passing rate and training certification acknowledged around the world, medical coding graduates have the privilege to apply as a certified coder in any country. For inquiries about our healthcare services enrollment and referral program, please email TeleDevelopment at marketing@tdsgs.com, or click the Healthcare microsite werk.ph/teledevelopment-medical-coding-academy to register directly.

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About TDS Global Solutions (formerly TeleDevelopment Services Inc.)

TDS has established key partnerships with organizations to serve and stimulate growth in the IT-BPM industry. It has spent decades providing outsourcing solutions, management consulting services, talent assessments, executive recruitment, and vendor selection & management  for crucial departments of call center operations. For more info, please email TDS at marketing@tdsgs.com or dial US number (1-888) 788-4441.

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