Careers in Medical Billing & Coding: Professions & Education Requirements

If you are considering the field of medical billing and coding as a career then you should create a career plan for yourself prior to finishing school. There are a few specific areas you can find yourself becoming employed with the billing and coding skill set.

The common areas you can potentially become employed after school are as follows:

Professions Job Responsibilities Usual Education Requirements
Child Psychologist

Doctor’s/Clinic  office ( to include, MD, DO, DPM, PT, OT)

Coders working in a doctor’s office are often responsible for handling the financial affairs of the medical professionals in the office. They maintain crucial patient information and work with the patients’ insurance companies to ensure patients get billed the proper amounts. Coding Certification or Entry Level Experience
Clinical Psychologists

Hospital – inpatient coder

 

 

Inpatient coders follow ICD guidelines as they write and organize code for specific diagnoses and treatments for billing and statistical purposes. They do everything from locate and fix mistakes to review patient histories, examinations, and visits to the emergency room and assign the proper codes for billing. Coding Certification or Entry Level Experience
Rehabilitation counselors

Hospital – outpatient coder

 

Outpatient coders are a similar but distinct job from inpatient coders. They are responsible for accurately assigning medical codes for diagnoses and services performed in outpatient settings like same day surgeries, physical therapy, diagnostic testing, and chemotherapy. You will need specific payment knowledge and CPT coding skills. Coding Certification or Entry Level Experience
Social and community service managers

Remote service

 

 Another way to outsource coding duties is to find a remote service. Remote coding services ensure that patient charts are processed in the system, billing and coding is accurate and efficient, and they deal with all chart types from many different kinds of healthcare providers who are looking for dedicated professional to do their coding duties for them. Coding Certification or Entry Level Experience

Skilled Nursing Facility

 

 Coders working for a skilled nursing facility must be aware of the rigid regulations that govern reimbursement of services from a skilled nursing facility. They need to have knowledge of which codes qualify for consolidated billing and which don’t and generally need to stay on top of the complex billing process for skilled nursing facilities. Coding Certification or Entry Level Experience
Social and community service managers

Practice Management Company

 

 These companies usually are good for novice coders looking for administrative support. These companies are usually large, and you can specialize in certain medical areas where you and your team are responsible for providing accurate billing and coding for a group of accounts. Coding Certification or Entry Level Experience
School and career counselors

Insurance Company

These are the people responsible for ensuring that proper coding is being submitted to the insurance company. Sometimes it can involve reviewing the records of a practice to ensuring everything is in order. Coding Certification or Entry Level Experience
Social and community service managers

Teaching ( eventually once certified, trained and with experience)

If you don’t want to be a coder or biller, you can always turn to teaching the next generation. As a teacher you provide instruction in overall coding, specific codes like CPT and ICD-9 and work to help students gain knowledge and skills on how to code in different environments. Coding Certification or Entry Level Experience
Social and community service managers

Laboratory

 Coding in a medical laboratory isn’t all that different from other places to be employed as a coder except you may need to know the industry well. You will analyze and record data for charts and graphs, and provide coding for all testing, diagnosing, and treating that goes on. This will help keep lab results organized and easy to find. Coding Certification or Entry Level Experience