
Like insurance claims, Medical billing is the process of making medical claims from health insurance companies. The customers pay out for the claim to the healthcare provider or companies for a particular period of time. The companies collect fees, which are meant for providing medical services using a medical bill.
Simply put, medical billing is the service of pooling money for medical services. The medical bill is a claim that insured person makes to receive medical facilities. With this bill, the insured individual can translate a healthcare service into a medical claim, which is also called a billing claim. Medical billing services are coding and billing, which are done by trained professionals.
What does a medical billing do?

As it’s a claim making process, the medical biller uses the codes provided by the medical coder so that he can verify and submit the claim to the insurance company or healthcare services provider.
Then, the follow-ups take place with both, the insurer (or, the insurance company) and the insured person (or, the patient). This is how the medical claim is settled while compensating the medical office. While doing so, the verification happens. The verifier or billing services provider checks if the patient was billed correctly and timely payments paid. This practice results in receiving reimbursement of the work done by the biller. This is why people search for an authentic biller who can optimise revenue performance for the practice.
What does a medical coder do?

The role of a medical coder is very significant, as he reads the medical chart of the patient and assesses it to diagnose the patient and further the procedure.
Once done, he puts all diagnoses and procedures in an order according to a national classification system. While doing so, he assigns a specific alphanumeric or numeric code to each diagnosis or procedure.
Some people think that medical billing and coding are similar terms. But actually, medical coding is different from billing. In coding, the medical coder reviews clinical records and statements. Then, standards codes are assigned using CPR, ICD-10-CM and HCPCS Level II classification systems. The diagnoses and procedure codes are collected from medical records or documents like transcription of physician notes, laboratory and radiologic results etc.
On the flip side, the medical biller just processes, follows up for compensations to be sent to insurance companies. He typically assembles and maintains the data regarding diagnoses and procedures. Simply put, he starts and communicates about the procedure of making claims or reimbursement while the coder typically assigns codes and verifies medical invoices & statements. For instance, recording charge data entry, claims transmission, payment posting and insurance follow-ups define his role. If required, he communicates with general physicians and other healthcare professionals to get clarity on a specific subject. Besides, he is able to understand what the medical record states because of his familiarity with related codes.
Together, both keep the medical office revenue cycles running smoothly.