Medical Coding

Medical coding and medical billing are often used interchangeably. They are, however, two distinct processes and functions.

• Medical coding is the process of converting diagnoses, treatments, and medical procedures into standardized codes. 
• Using these codes, medical billing will submit a claim for payment.

Medical Coding Core Mastery

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Medical Knowledge

• Anatomy & Physiology: Understanding body systems, how they function, and how illnesses affect them.
• Medical Terminology: Deciphering complex healthcare terms, abbreviations, and conditions.
• Pathology/Disease Processes: Knowing how diseases disrupt normal body functions.
• Pharmacology: Understanding common medications and treatments. 

Coding Systems & Software

• ICD-10-CM/PCS: For diagnoses (CM) and inpatient procedures (PCS).
• CPT (Current Procedural Terminology): For procedures and services performed by physicians.
• HCPCS Level II: For supplies, equipment, and non-physician services.
• Coding Software: Proficiency in electronic health record (EHR) systems and coding tool

Key Certifications 

• Certified Professional Coder (CPC) (AAPC): Gold standard for professional/physician coding; broad foundation.
• Certified Coding Specialist (CCS) (AHIMA): For experienced coders, focusing on data quality and inpatient records