What is the difference between medical billing and medical coding?

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Differences Between Medical Billing and Medical Coding:

1. Definition:

   • Medical Coding: Involves assigning specific codes to medical procedures and diagnoses for documentation and billing purposes.
   • Medical Billing: Focuses on the process of submitting and following up on claims to insurance companies to receive payment for services rendered.

2. Purpose:

   • Medical Coding: Primarily serves for accurate representation of patient encounters for statistical and billing purposes.
   • Medical Billing: Aims at obtaining reimbursement for healthcare services rendered by translating codes into billable claims.

3. Coding Systems:

   • Medical Coding: Utilizes standardized code sets such as CPT, ICD-10-CM, and HCPCS Level II.
   • Medical Billing: Involves the translation of coded information into billing statements using specific codes for pricing and reimbursement.

4. Skill Requirements:

   • Medical Coding: Requires a deep understanding of coding conventions, anatomy, and medical terminology.
   • Medical Billing: Involves proficiency in financial processes, insurance claim submission, and understanding of reimbursement systems.

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