1. 1
Introduction to Professional Billing and Coding Careers

2. Key Terms and Abbreviations
admitting clerk
centralized billing office (CBO)
certifications
insurance verification representative
managed care
medical biller
medical coder
patient account services (PAS)

3. Key Terms and Abbreviations
registered health information technician (RHIT)

4. Chapter Objectives
After completing this lecture, you should be able to complete the following learning objectives:
1.1: Recognize different types of facilities that would employ allied health personnel.
1.2: Define job descriptions pertaining to a position.
1.3: Discuss options available for certification.

5. Employment
1.1: Recognize different types of facilities that would employ allied health personnel.

6. 1.1: Employment Allied Health Personnel
Employed by a wide range of healthcare facilities and businesses:
Solo, small-group, and large-group physician practices
Multispecialty clinics
Hospitals
Patient account services facilities (PAS)
Centralized billing offices (CBO)

7. 1.2: Define job descriptions pertaining to a position.

8. 1.2: Job Descriptions Medical Office Assistant
Responsible for administrative duties in physician offices such as patient scheduling, reception, telephone communication, and medical records.

9. 1.2: Job Descriptions Medical Office Assistant Job titles include:
Medical assistant
Administrative medical assistant
Secretary
Medical receptionist

10. 1.2: Job Descriptions Medical Biller
Responsible for submitting insurance claims and obtaining payment for balances due from patients and insurers.

11. 1.2: Job Descriptions Medical Biller Job titles include:
Patient account representative
Billing specialist
Billing coordinator
Claims processor
Reimbursement specialist

12. 1.2: Job Descriptions Medical Coder
Responsible for researching and accurately coding diagnoses and procedures submitted on insurance claims.

13. 1.2: Job Descriptions Medical Coder Job titles include:
Health information coder
Medical coding specialist
Health information technician

14. 1.2: Job Descriptions Registered Health Information Technician (RHIT)
Responsible for compiling, processing, and maintaining patient medical records to ensure their accuracy, completeness, and compliance with facility standards and healthcare regulations.

15. 1.2: Job Descriptions Registered Health Information Technician (RHIT)
Responsible for compiling, processing, and maintaining patient medical records to ensure their accuracy, completeness, and compliance with facility standards and healthcare regulations.

16. 1.2: Job Descriptions Registered Health Information Technician (RHIT)
Job titles include:
Medical records clerk or specialist
Medical records analyst
Medical records director
Office manager

17. 1.2: Job Descriptions Payment Poster
Responsible for posting payments to patient accounts and making any needed account adjustments.
Job titles include:
General cashier

18. 1.2: Job Descriptions Medical Collector
Responsible for obtaining payment on patient accounts, most often through telephone contact with patients and insurers. Collectors may also handle patient and insurance billing.

19. 1.2: Job Descriptions Refund Specialist
Responsible for analyzing patient accounts to determine if a refund is required, and if so, to whom the payment should be made.

20. 1.2: Job Descriptions Insurance Verification Representative
Responsible for contacting insurance companies to verify patient benefits and coverage and may also perform precertification and/or preauthorization of services.

21. 1.2: Job Descriptions Admitting Clerk
Responsible for greeting and registering patients, obtaining patient paperwork, and data entry of demographic and insurance information.
Job titles include:
Registrar
Front desk representative

22. 1.2: Job Descriptions Privacy Compliance Officer
Responsible for educating patients and family members on HIPAA privacy regulations and ensuring that privacy practices are maintained in the handling of patient medical records.

23. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

24. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

25. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

26. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

27. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

28. Table 1.1 -- Facilities, Job Titles, and Certifications
1.2: Job Descriptions
Table Facilities, Job Titles, and Certifications

29. Options for Certification
1.3: Discuss options available for certification.

30. 1.3: Options for Certification
Professional Certifications
Medical Assistant
National Certified Medical Office Assistant (NCMOA)
Certified Medical Administrative Assistant (CMAA)

31. 1.3: Options for Certification
Professional Certifications
Medical Billing
Certified Medical Billing Specialist (CMBS)
Certified Medical Reimbursement Specialist (CMRS)