Medical Billing vs. Medical Coding: What’s the Difference?

Medical billing and medical coding are two terms that are frequently mentioned in the same breath. To use the two interchangeably, however, would be a mistake. What’s the difference between medical billing and medical coding?

Essentially, medical billers build the bridge that connects physicians to patients and insurance providers. In order for a doctor or other medical specialist to receive payment for anything from a standard checkup to a costly operation, certain data regarding the nature of the services provided must be entered into billing software and transmitted to the insurance provider (or, if the patient lacks insurance, directly to the patient). Billers must have a keen eye for detail in order to ensure that all of the data provided is correct. They must also be prepared to follow up on delinquent accounts or investigate unpaid claims. Additionally, medical billers frequently work from home or in an office independent of the physician who employs them.

Medical coding, in contrast, focuses primarily on assigning the correct alphanumeric codes to the specific diagnoses and treatments outlined in each patient’s file. Coding requires a more in-depth knowledge of medicine, and is more likely to involve working with the medical provider on site. While it is entirely possible to forge a successful career in billing or coding alone, you may want to consider learning both in order to broaden your horizons and expand your employment opportunities.