预览计费和/或编码的职业道路
医疗帐单和编码 涵盖了很多基础，从病人登记开始, securing claim reimbursement and ending with the delivery of payment to the provider. 从头到尾都需要记账员和编码员的协作, insurance companies, patients, 以及众多医护人员.
计费人员和编码人员协同工作，以促进医疗保健收入周期. 人们通常将“医疗账单和编码”视为单一学科. 但是当你考虑把医疗账单和编程作为职业道路时, it’s important to understand these are two different jobs requiring different skills and personality traits. Develop enough experience and you can become a billing and coding specialist—but many students pursue either billing or coding.
Here are the biggest reasons to consider medical billing and coding as two separate jobs:
1. 工作是不一样的.
Medical coders and billers have different responsibilities demanding distinct skillsets and abilities. 每个学科的简短定义:
- Medical coders first must interpret the care provided for patients into codes a computer system can understand. 有几种主要类型的医疗代码, including Current Procedural Terminology (CPT) and International Classification of Diseases, 第十次修订(ICD-10)代码. Assigning the correct diagnosis and procedure codes requires sound knowledge of medical terminology and adherence to CPT coding guidelines / standards.
- Medical billers then use the instructions provided by coders to file insurance claims and post payments to accounts. 对于索赔，医疗信息必须准确. 账单商与保险公司合作制定拒绝/拒绝条款, 敲定细节并发出声明.
2. Personality matters.
计费或编码工作需要独特的个性类型. 如果你认为自己是外向还是内向, 你可能会更好地靠在这一边或那一边;
- I am extroverted. 你可能更喜欢医疗账单方面的工作. Billers need to be comfortable on the phone talking with patients and insurance companies, able to clearly communicate with many different people and smoothly resolve issues when needed.
- I am introverted. 你可能更擅长医学编码. Coders more often do their day-to-day work on their own in occasional collaboration with other healthcare staff. 对于分析来说，这通常是更好的选择, 注重细节的学生对整天与人交谈感到不安.
这不是一个严格的规定. Plenty of students who tend to be introverted can really excel in medical billing—and vice versa.
3. biller与病人一起工作. Coders usually don’t.
并不是每个人都适合在临床环境中与病人打交道. 幸运的是，在医疗保健领域有很多工作, 包括医疗编码, 你可以在不直接接触病人的情况下真正帮助他们吗. Medical coders work behind the scenes in collaboration with physicians, billers and other staff.
医疗计费人员必须与患者沟通. 事情并不总是一帆风顺, and it’s a biller’s job to act professionally and empathize with patients who aren’t always thrilled to discuss costs they never expected to cover. Effective billers help patients understand their charges and are an integral part of the overall healthcare experience.
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豁免报名费4. 较大的医疗机构更有可能分担责任.
随着大型组织对计费和编码服务需求的增加, hospitals often employ specialized coders and billers to carry out their individual responsibilities. 当你在寻找医疗账单或医疗编码方面的第一份入门级工作时, 从医院和其他大型医疗机构开始搜索.
在小型企业中, 比如私人诊所和医生办公室, it is more likely to find individuals who routinely perform both medical billing and coding to streamline the process and limit operating expenses. You may look for this type of role as you further your education and continue developing professional experience in both billing and coding.
5. Alliance vs. autonomy.
考虑医疗编码 alliance 角色和医疗账单和 autonomous role.
Medical coders typically work directly for healthcare organizations in alliance with physicians, 管理人员和其他医护人员.
医疗计费系统可能会更加自主地工作, facilitating communication between the several parties necessary to smoothen the billing process. Billing may be the best starting point for entrepreneurial-minded individuals interested in climbing the ladder in the healthcare administration field.
6. Education & 认证要求.
对记账员和编码员的教育要求是相似的. Many employers may prefer applicants with a diploma or associate degree in either billing, coding or both.
然而，每个职业都有不同的行业认证. 主要认证包括:
- 认证计费和编码专家(CBCS) 来自全国医疗保健协会(NHA). 医疗计费人员和计费人员的合格认证 & coding specialists.
- 认证编码助理(CCA) 来自美国健康信息管理协会. 医疗编码员所需的认证.
7. Salary & job outlook can vary.
而这两份工作密切相关，对学历的要求也差不多, 因为他们基本上是独立的角色，医疗计费员和编码员 不同的平均工资 across the US.
- The 劳工统计局(BLS) reports billing and posting clerks (including medical billers) earn an average salary of $47,120 per year ($22.66 per hour). The BLS projects a 0% 就业增长 2022-2032.*
- The BLS reports medical records technicians (including medical coders) earn an average salary of $48,310 per year ($23.23 per hour). The BLS projects an 9% 就业增长 2022-2032.*
你接受的教育越多, 在该领域发展技能并获得经验, the better chance you’ll have to earn higher pay and qualify for better jobs in medical billing and/or coding. 你可能会进步 从计费和编码到健康信息管理轨道 并增加你未来的收入潜力.
Can I do both?
Absolutely. 摇滚明星可以身兼两职. 那些在外向和内向之间游走的人, get the right education and develop valuable experience in both roles can become a true specialist in billing and coding.
However, you’ll need to be reasonable in your expectations upon graduating with a diploma or associate degree. Finding an entry-level work-from-home job in billing and coding straight out of school can be very difficult. 和其他职业一样, 你需要努力工作，争取得到你真正想要的工作.
How do I start?
选择适合你的道路，接受教育. We can help.
Herzing University offers several online degree and diploma options in medical billing and coding you may complete in 8-20 months. Our program is built to help you earn the education you need to get certified and qualify for your first entry-level job as a biller, coder, or billing & 编程专家-并建立你在新职业中茁壮成长所需的技能. 软件下载在这里帮助你迈出第一步.
Learn more about our 在线医疗计费和编码程序, including our Insurance Billing and Coding Specialist and coding-focused Medical Coding degree options.
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*美国劳工统计局(BLS).S. Department of Labor, Occupational Employment and Wage Statistics 2023 / Occupational Outlook Handbook 2022. 劳工统计局的估计不代表入门级工资和/或薪水. Multiple factors, 包括之前的经验, age, 你想要工作的地理市场和学位领域, 会影响职业成果和收入吗. Herzing neither represents that its graduates will earn the average salaries calculated by BLS for a particular job nor guarantees that graduation from its program will result in a job, promotion, 加薪或其他职业发展.
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