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  2. Clinical coder - Wikipedia

    en.wikipedia.org/wiki/Clinical_coder

    Some medical coders elect to be certified by more than one society. The AAPC offers the following entry-level certifications in the U.S.: Certified Professional Coder (CPC); which tests on most areas of medical coding, and also the Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC). Both the CPC and COC have apprentice ...

  3. Certified medical reimbursement specialist - Wikipedia

    en.wikipedia.org/wiki/Certified_Medical...

    The CMRS designation is awarded by the Certifying Board of the American Medical Billing Association (CBAMBA) after an exam. Although there is no state or federal requirement for a medical billing professional to become certified to practice medical billing, the goal is to provide a professional certification that upholds a high ethical standard ...

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Achieving a high clean claims rate is a key metric for measuring the efficiency of the billing cycle. Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4]

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  6. Current Procedural Terminology - Wikipedia

    en.wikipedia.org/wiki/Current_Procedural_Terminology

    The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.

  7. Medical practice consultants - Wikipedia

    en.wikipedia.org/wiki/Medical_practice_consultants

    Medical Practice Consultants or Healthcare Management Consultants typically advise licensed healthcare providers and health-systems on business and administrative issues. [ 1 ] [ 2 ] These topics commonly include governance, operations, human resources , finance, billing , coding, transactions and marketing.

  8. Revenue cycle management - Wikipedia

    en.wikipedia.org/wiki/Revenue_cycle_management

    An important aspect of the revenue cycle is compliance with medical coding regulations. Such regulations generally require keeping track of what treatments are provided to patients and for what reason, and medical coding is a standardized way of record such information (and sharing it with third parties, such as insurers).

  9. Evaluation and Management Coding - Wikipedia

    en.wikipedia.org/wiki/Evaluation_and_Management...

    Evaluation and management coding (commonly known as E/M coding or E&M coding) is a medical coding process in support of medical billing. Practicing health care providers in the United States must use E/M coding to be reimbursed by Medicare , Medicaid programs, or private insurance for patient encounters.

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