Before you start job-hunting as a medical billing and coding specialist, give some thought to what sort of environment you want to work in. The possibilities are almost endless, and if you think about your preferences before you search for a job, you can narrow down your list of possible employers, saving yourself a boatload of time.

The majority of medical billing and coding training programs begin with basic human anatomy and physiology, more commonly referred to as body systems. You need to understand how each organ within a particular body system works, how disease or illness affects the system, and why the treatment was necessary. Most textbooks contain diagrams specific to each body system.

Compliance — it’s such a serious word, and for good reason. When people in the healthcare industry speak about compliance by healthcare providers, they mean that an office or individual has set up a program to run the practice according to the laws established by federal or state governments and regulations established by the Department of Health & Human Services (HHS) or other designated agencies.

At the top of the government heap is the biggest government payer of them all: good old Medicare. Medicare is funded by payroll taxes deducted from every employed American. (You’ve probably seen the acronym FICA, which stands for Federal Insurance Contributions Act, on your pay stub. This FICA deduction is what helps fund Medicare.

So, what does a medical biller and coder do? To secure timely payment for the provider (that is, your employer or client), you’ll find yourself working and communicating with many different people. As a representative of the office, being friendly and approachable to patients and payers alike is fine. After all, the professional demeanor you exhibit toward patients, fellow office staff, your superiors, and the payers with whom you work goes a long way in helping you establish your role as advocate-in-chief.

Working as a medical biller and coder is a challenging and rewarding job that takes you right into the heart of the medical industry. You are the touchpoint for everyone involved in the healthcare experience, from the patient and front office staff to providers and payers. To succeed, you'll need to know how to file an error-free claim, important acronyms, and what to look for in a payer contract.

Medical Coders have found that certain modifiers are appropriate for surgical or diagnostic procedures. Other modifiers are appropriate for claims submitted for reimbursement of office visits, referred to in the coding world as evaluation and management, or E&M, visits. Here are the modifiers you’re most likely to use: Modifier 25: You use this modifier when a procedure is performed on the same day that an E&M visit occurred.

Claims processing in Medical Billing and Coding refers to the overall work of submitting and following up on claims. When you’re not interfacing with the three Ps — patients, providers, and payers — you’ll be doing the “meat and potatoes” work of your day: coding claims to convert physician- or specialist-performed services into revenue.