Medical Coder
vs Medical Biller:
Understanding Key Roles that Drive Accurate
Reimbursements
Decoding the Difference in Healthcare
Revenue Cycle
Website
www.unifyrcm.com
What Is Medical
Billing & Coding?
A billing and coding specialist supports healthcare facilities by
handling invoices, insurance claims, and payments. They oversee
the complete billing process, ensuring accurate documentation of
procedure and diagnosis codes for each patient.
Medical billing and coding are core components of the
healthcare revenue cycle.
Coding translates medical services, diagnose, and procedure
into standardize codes.
Billing uses these codes to create and submit claim to
insurance payer for reimbursement.
What Does a
Medical Coder Do?
Review clinical documentation provided by physicians
and healthcare staff.
Assign accurate codes using standardized coding
system:
Ensures compliance with payer and regulatory
guideline.
CPT (Current Procedural Terminology): Identifies
procedure and medical services perform.
ICD-10 (International Classification of Diseases):
Represent patient diagnose and conditions.
HCPCS (Healthcare Common Procedure Coding System):
Covers supplies, DME, and non-physician services.
What Does a
Medical Biller Do?
Convert coded information into insurance claim.
Submit claim to government and private payers.
Manage payment posting, patient billing, and accounts
receivable.
Tracks claim status and follow up on unpaid or denied
claims.
Difference Between
Medical Coding & Billing
Medical Coding:
Focus on accuracy, compliance, and correct code
assignment.
Coding occur before billing, and both role work together
to ensure a smooth revenue cycle.
Medical Billing:
Focus on claim submission, reimbursement, and revenue
collection.
Why Choose Unify
Healthcare Services
Certified coders and experienced billing specialists.
End-to-end medical billing and coding solutions.
Reduced claim denials and faster reimbursements.
Strict compliance with HIPAA and payer regulations.
Proven expertise across multiple medical
specialties.
Thank You For
Reading Us
353 Middlestone Way, Cuyahoga Falls, Ohio
+1 866-796-0858
www.unifyrcm.com
Contact Us

Medical Coder vs. Biller Decoding the Difference in Healthcare Revenue Cycle.pdf

  • 1.
    Medical Coder vs MedicalBiller: Understanding Key Roles that Drive Accurate Reimbursements Decoding the Difference in Healthcare Revenue Cycle Website www.unifyrcm.com
  • 2.
    What Is Medical Billing& Coding? A billing and coding specialist supports healthcare facilities by handling invoices, insurance claims, and payments. They oversee the complete billing process, ensuring accurate documentation of procedure and diagnosis codes for each patient. Medical billing and coding are core components of the healthcare revenue cycle. Coding translates medical services, diagnose, and procedure into standardize codes. Billing uses these codes to create and submit claim to insurance payer for reimbursement.
  • 3.
    What Does a MedicalCoder Do? Review clinical documentation provided by physicians and healthcare staff. Assign accurate codes using standardized coding system: Ensures compliance with payer and regulatory guideline. CPT (Current Procedural Terminology): Identifies procedure and medical services perform. ICD-10 (International Classification of Diseases): Represent patient diagnose and conditions. HCPCS (Healthcare Common Procedure Coding System): Covers supplies, DME, and non-physician services.
  • 4.
    What Does a MedicalBiller Do? Convert coded information into insurance claim. Submit claim to government and private payers. Manage payment posting, patient billing, and accounts receivable. Tracks claim status and follow up on unpaid or denied claims.
  • 5.
    Difference Between Medical Coding& Billing Medical Coding: Focus on accuracy, compliance, and correct code assignment. Coding occur before billing, and both role work together to ensure a smooth revenue cycle. Medical Billing: Focus on claim submission, reimbursement, and revenue collection.
  • 6.
    Why Choose Unify HealthcareServices Certified coders and experienced billing specialists. End-to-end medical billing and coding solutions. Reduced claim denials and faster reimbursements. Strict compliance with HIPAA and payer regulations. Proven expertise across multiple medical specialties.
  • 7.
    Thank You For ReadingUs 353 Middlestone Way, Cuyahoga Falls, Ohio +1 866-796-0858 www.unifyrcm.com Contact Us