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Job Duties : MB vs MC

Comparison Medical Billing & Medical Coding

Medical billers work primarily with patient’s data and insurance companies on claims submissions, and often perform more customer-service oriented tasks than coders. Medical coders generally work with healthcare professionals to accurately categorize the services and products provided to patients. The following tables detail the differing career tasks and trajectories of billers and coders.

Medical Billing Medical Coding
Entering data with proprietary billing software Communicating with physicians, nurses, and other healthcare professionals to categorize the services a patient has received
Submitting claims to insurance companies Applying CPT, HCPCS, and ICD-10 CM standardized codes to patient records to accurately reflect the services received
Following up with patients, healthcare professionals, and insurance providers to make sure claims are paid for Entering data through Electronic Health Record (EHR) and Electronic Medical Record (EMR) software used in hospitals and physicians’ offices
Managing account payments and invoices Examining operative reports used during surgery to apply procedure codes
Investigating rejected or denied claims Performing medical chart audits when a claim is denied
Ensuring that physicians and patients receive reimbursements from insurers Remaining up-to-date with the latest revisions to coding standards and federal regulations
Verifying the accuracy of standard healthcare codes used by medical coders to classify services and products Examining patient charts and histories to ensure coding accurately reflects a patient’s medical care