5 Medical Coding and Billing Specialist Responsibilities

One of the most important yet demanding positions in any medical office is that of the medical coding and billing specialist. Unlike medical assistants, these specialists are primarily tasked with attending to the day-to-day affairs of the office while seated behind the desk. Though their responsibilities don’t include a whole lot of leg work, their duties are nonetheless vital to the office’s continued success.

If you’re considering becoming a medical coding and billing specialist, you are undoubtedly curious about the position’s responsibilities. Below are five of the duties that these specialists must attend to on a daily basis. If you’re interested in this position, take the first step and schedule a tour of our Gardena campus here at Montes HealthCare College. Now, onto the list.

Stethoscope on medical billing statement on table, all text is anonymous

1. Medical Coding and Billing Specialists Work with Standardized Codes

One of the primary tasks of medical coding and billing specialists involves translating medical services and procedures into standardized codes. They’re often tasked with translating diagnoses, procedures, and medical services into codes that insurance companies and government agencies use to track patient care and process insurance claims. They must know the latest coding guidelines and regulations – skills explained at MHCC.

2. They Must Regularly Submit Insurance Claims

Another daily task that medical coding and billing specialists engage in is submitting claims for payment to insurance companies or government agencies. These claims are a direct means of obtaining compensation from insurance companies or government agencies. They compile the necessary medical codes and patient information into a claim form and submit it to the appropriate payer after the procedure has been performed.

3. They Regularly Follow-up on Unpaid Claims

It’s often the case that claims go unpaid or take a long time to address. A medical coding and billing specialist must follow up if a claim is late. The claim may also be outright denied for various reasons, in which case the specialist must communicate with the insurance company and address the cause of the denial. This process may involve resubmitting claims, appealing denials, or negotiating payment agreements.

4. Ensuring Compliance is a Big Part of Being a Medical Billing and Coding Specialist

Proper compliance with medical regulations and guidelines is essential for maintaining the office’s reputation. Medical coding and billing specialists must ensure compliance with regulations and guidelines set forth by insurance companies and government agencies. This includes staying up-to-date on changes to coding systems and regulations and ensuring that claims are submitted accurately and promptly.

5. Great Customer Service is a Must!

While these specialists don’t often communicate with patients, some degree of customer care is still required. Therefore, having good customer service skills and a healthy rapport with healthcare providers is essential. They may answer insurance coverage and payment questions, explain billing procedures, and help patients navigate the healthcare system. They must be knowledgeable, courteous, and professional at all times.

Schedule a Tour of Montes HealthCare College Today

Are you ready to become a medical coding and billing specialist? If so, take the first step and schedule your tour of our Gardena campus today. You can reach us by dialing our office at (310) 436-7000 or clicking HERE

In addition to campus tours, we also offer students the opportunity to experience a real class before committing to a tuition payment schedule. Get in touch and attend one of our class sessions to see if our programs are right for you. No payment is necessary; simply contact us to request a pre-enrollment class audit.


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(310) 436-7000