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1. Factors to Consider for Hiring Medical Coding Service Providers A medical coder is skilled, trained and knowledgeable individual having ability to convert healthcare diagnosis, procedures, and medical services into universal medical alphanumeric codes. Medical records are used for taking diagnoses and procedure codes. Medical coding professionals make sure to use appropriate codes, so the adequate claim is paid by insurance carriers. They review all the clinical statements and assign standard codes to them. Many medical coding professionals also provide Medical Billing Services. However, when the volume of the work is high, it is recommended to hire separate individuals for medical coding and medical billing processes. The basic job of a medical coder is to transform medical records of patient into standardized codes, so they can be easily understood by third parties including healthcare facilities and insurance companies.

2. Most of the Medical Billing Outsourcing companies offer Medical Coding Services, Medical Billing Services etc. A medical coder takes specialised training and education to deal with accuracy and exactness in the job. They are familiar with medical standardized codes, medical terminology, pharmacology, and anatomy, diseases, insurance and healthcare.

3. As there are plenty of Medical Billing Outsourcing companies offering Medical Coding Services, it is good to consider following factors to make a wiser choice:  A medical coder should be familiar with government and private payer regulations.  One should look for medical coders that keep themselves abreast with the coding changes. You can ask them different sources they use to stay up to date.  It is good to get as much information as possible to make a wiser choice. As most of Medical Billing Outsourcing companies have online portfolios nowadays, so you can check their website.  It is recommended to hire a medical coder having years of experience of working on multiple billing software and Electronic Medical Record (EMR) systems.

4.  Medical coders are primarily hired to make sure that insurance claims are approved. However, it depends on the accuracy of medical coding. It is important to hire a medical coder having a high coding accuracy up to 95%.  One should also ask a medical coder, how they correct effort after the claim is denied by the insurance company. A medical coder should be well versed with the entire process, most importantly the actions they take after a claim has been denied by an insurance company due to a coding error.  Your chosen medical coder should have relevant certification as proof of their skills and accuracy. It is recommended to hire a medical coder who has cleared the Certified Professional Coder (CPC) exam from reputed bodies for coding certification. Why Outsource Insurance Credentialing Services to Third Parties? When physicians or healthcare units need to bill an insurance company for receiving reimbursement, they need to undergo process of credentialing in which the insurance company verifies the education, training, experience, and competency of the physician or medical service provider. It usually takes 90 to 120 days to complete the process of insurance credentialing.

5. Medical Credentialing of a healthcare physician is one of the critical steps. A trivial mistake may cause a delay and it eventually result in wastage of time and loss of revenue. However, nowadays, there are many companies offering Certified Medical Coding Service and Insurance Credentialing Services to physicians and health care units, so as to make the process fast and hassle free. Nowadays, many physician and healthcare service providers prefer to outsource medical coding and Insurance Credentialing Services to third parties. When you Outsource Insurance Credentialing services, they help to navigate the process of provider enrolment and medical credentialing. Their service usually includes the following aspects:  Preparing the necessary documents and certificates and filling the necessary application forms  Verifying all the records and certificates

6.  Submitting all the forms and documents and assuring faster approvals.  Taking all necessary steps to complete enrolment formalities and medical billing credentialing  Maintaining all the necessary records for the entire process  Keeping track of all registrations  Processing re-credentialing wherever required Benefits of outsourcing insurance credentialing services Outsourcing certified medical coding service and credentialing service is beneficial for healthcare professionals as well a healthcare units in numerous ways:  It makes the whole process easy, fast and hassle free for physicians and healthcare units  It tends to improve the credibility of physicians among the insurance companies, so they can get prompt payments.  It tends to increase revenues and reduce the delays in payments as well as account receives bale days.  It leads to improve the goodwill of a health care professional and the processing completed in a timely manner.  Physician can divert more time and attention on improving the quality of services offered to patients. Contact US We welcome the chance to speak with you regarding your needs, and how we can assist you. Please feel free to contact us via mail, phone, or email using the contact form below.

7. Elite Medical Business Solutions, Inc PO Box 7877 Romeoville, IL 60446 https://elitemedbiz.com Telephone Number: (800) 646-4176 Fax Number: (866) 881-2971 E-mail: Info@EliteMedBiz.com