What Is A Medical Coder By: admin

A Certified Professional Coder® (CPC®) is an individual of high professional integrity who has passed a medical coding certification examination sponsored by the American Academy of Professional Coders (AAPC). The examination consists of questions regarding the correct application of CPT®, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies.

A CPC® is an individual who in addition to on the job experience as a medical coder has achieved a measurable level of knowledge and expertise in reviewing and adjudicating coding of services, procedures and diagnoses on medical claims.

The CPC®'s abilities include:
• Demonstration of proficiency in adjudication claims for accurate medical coding for diagnoses, procedures and services performed by physicians and recognized licensed non-physician providers in physician-based settings.
• Proficiency is required across a wide range of services, which include:
o Evaluation and management
o Anesthesia
o Surgical services
o Radiology
o Pathology
o Medicine
• A sound knowledge of medical coding rules and regulations go hand in hand with keeping current on issues regarding medical coding compliance, and reimbursement. A trained medical coding professional can best handle issues such as medical necessity, claims denials, bundling issues and charge capture.
• A CPC® will be able to integrate medical coding and reimbursement rule changes into practice culture in a timely manner to include updating fee schedules and super-bills.
• A CPC® has demonstrated knowledge of anatomy, physiology and medical terminology commensurate with ability to correctly code provider services and diagnosis.


For more information on Medical Coding please visit:
http://www.medicalcodingpro.com/

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