Medical coding holds a crucial place in RCM (Revenue Cycle Management) which deals with the settlement of insurance claims in developed countries. Medical coding involves the conversion of healthcare diagnoses, medical services and equipment into universally accepted medical alpha-numeric codes. These codes are defined by World Health Organization (WHO). These diagnostic and procedure codes are taken from various medical records namely physician notes, laboratory/radiology results. The main job of a medical coder (or clinical coder) is to analyse the medical records/laboratory results, radiology results etc. and assign codes based on standard classification.
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ICD – 10: International Classification of Diseases which is the 10 th revision Procedure Coding System. ICD – 10 codes are alphanumeric codes used for diagnoses. Every disease, disorder, injury, infection and physiological symptom has its own ICD-10 code.
CPT: Current Procedural Terminology: This is a procedural code and is used for reporting medical, diagnostic and surgical services provided by health care professionals. They are also used to track important health data and measure performance and efficiency. Majority of the codes are numeric in nature.
HCPCS: Healthcare Common Procedure Coding System. The main aim of this system is to ensure accurate, consistent billing and processing of insurance claims. HCPCS codes are mainly used for billing and identify items and non-physician based services such as ambulance services, prosthetic devices.
CPC: (Certified Professional Coder) is a certification that is awarded by AAPC (American Academy for Professional Coders) and is the most recognized credential worldwide. In most countries like USA, Middle East, UK etc. it is mandatory to clear the CPC exam in order to get a job. In India, it is possible to get a job without CPC certification but salaries slabs are lower than that of CPC certified medical coders.
Earning a credential from AAPC has many advantages.
1. You get associated with American Academy of Professional Coders (AAPC) and are updated on the latest developments in the field of medical coding.
2. Introduces you to an eminent community of ongoing support.
3. Connects you to an elite network of certified peers.
4. Enhances your curriculum vitae.
5. Opens up the opportunity to work abroad.
6. Enhances your employability and salary scale (even in a difficult job market).
7. Ensures sharp career growth for both science and non-science graduate.
"I have studied medical coding online. Earlier I was apprehensive whether I would be able to grasp the concept. However, the trainers are well qualified and are experts in medical coding. They were able to clear all my doubts online itself. I was able to complete the course with A Grade and I am now working in a top MNC. I would like to take this opportunity to thank all staff especially my student counsellor, trainer, and placement cell for their sincere efforts."
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