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Frequently Asked Questions

What are the advantages of choosing Medical Coding and Billing as a career?

Being qualified physician with an expert knowledge in Medical Terminology, you can complete the training in 1-2 Months. Generally the physicians with Medical Coding knowledge are given much preference for the Medical Coding Job. With experience you can become Quality Analyst.

Doctors are preferred in this field. Don't miss this opportunity.

Its like reviewing charts in hospital, analyze and comment. You will enjoy this job as you will be doing what you learnt in the medical school and you will be updating your knowledge.

What will be the nature of Job

Hospitals/ Clinics outsource the work to India. Medical coder need to analyze Medical Records, identify Reason for visit/Diagnosis/Treatment etc and assign the numerical codes. Typically Junior coder can code 60 files per day (8 hours), senior coder 100 files per day (8 hours).

What are the inputs and outputs of job/process

Input is Medical Record, Output is Medical Codes.

What I should choose, Medical coding or Medical Billing?

Medical Coding: Analyze the Medical Records and assign the Medical Codes.
Medical Billing: Submission of codes to the insurance, collections, discussion with physicians, nurses, insurance agents etc for the reimbursement.
The Objective of Medical Coder: Accurate and Ethical Coding
Objective of Medical Biller: Collections
You should learn both Medical coding and billing.

Is it required to learn Medical Billing?

Yes, the objective of learning Medical Coding is to do accurate medical billing. With out Medical coding Knowledge, Medical Billing is not possible.

if I take online training, can i get enough knowledge?

Medsun Trainers, Dr Santosh Kumar Guptha, CPC, CPC-H, CPC-P, CMBS, CMRS, CHA, CHL7 with 8 years of real time experience and Dr Yaseen, MD, CPC designed the course for easy understanding and equipped with hundreds of practice questions, Sample Medical Records which enables to learn perfectly.

What are books required for the Medical Coding and Billing Training?

• ICD-9 2010 for Diagnosis Coding
• CPT 2010 for Procedure Coding
• HCPCS 2010 for the Supplies/ Drugs Coding

Medesun doesn’t provide above mentioned manuals as these are protected by the US copyrights. Students can request the manuals from Medesun previous students. Once you enroll, will mail you the previous students list and you can request the manuals. Medesun requests all previous students to help new students by providing support and required assistance

What are the certification exams for the Medical coding and billing?

Most preferred certification exam for Medical Coding is CPC [Certified Professional Coder]
www.aapc.com
Exam prerequisite: Graduation
Fees: $400
Mode of Exam: Pen and paper exam [Open book, you can use coding manuals]
Study guides: Not included
Duration: 5 hours
Number of Questions: 150
Essay Questions: NO
Type of Questions: All are Multiple Choice Questions
Certification Validity: 10 years ( Must submit 18 CEUs every year to renewal the certificate)
Who Certifies: American Academy of Professional Coders.
Exam Location: Chennai and Delhi
In 2008, CPC exam was conducted 3 times in year
In 2009, CPC exam was conducted 5 times.
2010 schedule not yet released, please visit www.aapc.com/certification/locate-examination.aspx frequently.
CPC: Certified Professional Coder: Physician based coding, eligible to work for Clinics/ Group Practices
CPC-H: Certified Professional Coder: Hospital based coding, eligible to work for Hospital outpatient department
CPC-P: Certified Professional Coder: Payer based coding analysis. In patient coding: eligible to work for payers.
For CPC/CPC-H/CPC-P exam, you should use only original books.

CMRS: Certified Medical reimbursement Specialist: Focuses on Medical coding/billing and collections

Exam prerequisite: Graduation
Fees: $424
Membership: Included
Study Guide: Included
Mode of Exam: Online [Open book, you can use coding manuals]
Duration: Self paced
Number of Questions: 800 Questions
Essay Questions: NO
Type of Questions: All are Multiple Choice Questions
Certification Validity: 3 years ( Must submit CEUs every year to renewal the certificate)
Who Certifies: American Medical Billing Association.
In 2009, CMRS was conducted 4 times in Medesun.
Exam Location: Medesun Healthcare Solutions, Hyderabad. ( *** Dr Guptha is the only approved instructor and examiner for CMRS exam)
Schedule: 4 times per year
For more details for CMRS exam : Visit www.ambanet.net
*** One Retake is allowed: If you fail exam first attempt, you can take exam again

There are so many certification how should I plan my career?

You are very lucky that there is much scope for studying and prove your talent. Certification is proof of knowledge. The More certifications, shows that you are more knowledgably. Dr Guptha suggestion

CPC is enough to get a good job and salary, If you have passion to learn more and do more then go for more certifications.

You can plan your career as per the role you may be interested (These are common designations in Indian BPOs)

**** CERTIFICATION IS NOT MUST FOR THE GETTING JOB. BUT CAN HELP YOU TO GET BETTER OPPURTUNITIES AND INCREASED INCOME.

In India almost 90,000 are working for Medical coding and billing, and 10% are certified.

How do I get the job after training?

Once you complete the training and Medesun final test, course completion certification is awarded and will be listed in the Medesun Website.
Follow these steps:

1. Prepare resume (Medesun helps you to prepare resume)
2. Upload you resume to the Job portals like http://www.naukri.com and http://www.monster.com
3. Mail your resumes to the placement companies
4. Visit http://www.naukri.com and http://www.monster.com frequently and apply for jobs
5. Approach the Medical coding and billing companies and apply for jobs

In India these are the cities where Medical Coding and Billing companies are located

• Hyderabad
• Chennai
• Bangalore
• Mumbai
• Pune
• Delhi
• Trivendarum/Cochin
• Chandigarh
• Ahmedabad

What are the salaries?

Salaries are good compared to other fields. Please visit job portals and get the information.

Is there any Job guarantee from Medesun Healthcare Solutions?

NO JOB GURANTEE/ NO PLACEMENT GURANTEE.
Medesun doesn’t guarantee a job, we guarantee that you will get comprehensive job and certification oriented training. We give KNOWLEDGE GURANTEE.

What is the nature of job if I get job as Medical Coder

Generally Coder / Biller Should

1. Read and interpret medical record documentation to identify codable diagnoses and procedures for data capture and billing.
2. Accurately assign diagnostic and procedure codes for reimbursement and statistical purposes
3. Apply knowledge of official coding guidelines to correctly sequence diagnostic and procedure codes
4. Abstract information from patient records to complete insurance claims
5. Have knowledge of various reimbursement methodologies and fee schedules
6. Link diagnostic codes to the proper procedure codes to ensure accurate claims submission

What are the common job titles

Job Titles in INDIA

Medical Coding Executive

1. Code 60-100 medical records perday
2. Correspondence with Doctors (Clients)

Medical Billing Executive

1. CMS-1500 claim form filling (50 per day) Creating invoices
2. Claims submission
3. Working on rejections
4. Denial Analysis
5. EOB/ Payment Postings, processing

Account Receivables Executive

1. Denial management
2. Collections
3. Appeals
4. Re submission of Claims

Coding Supervisor (Senior Position)

1. Coding Charts
2. Quality Check
3. Training the juniors
4. Knowledge Improvement
5. Feedback to Physicians (Clients)

Compliance Officer

1. HIPAA implementation
2. Privacy and Security

EM Auditing. (Senior position)

1. Analyze the medical record documentation
2. Auditing the Codes assigned

Is it Possible to Work at Home as a Medical Coder?

Let's face facts.

Most people dream of the possibility of working from home. The work at home option is appealing for so many reasons: flexibility, lack of commute, more time with family, working at your own pace and on your own schedule, being able to attend to personal matters at scheduled breaks, easy access to the refrigerator, and so many more...

Currently hundreds of medical coders are working from home quite effectively.

Working from home as a medical coder basically requires that the home based medical coder is granted remote access to the hospital or clinic centralized medical coding system.

To work from Home you may require the following:

1. Certification
2. HIPAA awareness
3. Access to the Servers
4. Work Experience minimum of 1 year

The use of a medical dictionary or Internet search engine is most helpful in learning the exact meaning of a medical term. However, if the basic concepts of word building are understood, many words are understandable to the student of medical terminology.

WORK FROM HOME IS POSSIBLE ONLY IF YOU GET THE WORK DIRECTLY FROM THE US. THINK ABOUT HOME BASED WORK ONCE WHEN YOU GET ONE YEAR EXPERIENCE. ONLY MEDICAL CODING CAN BE DONE FROM HOME. MEDICAL BILLING DATA ENTRY CAN BE DONE FROM HOME.

DON’T EXPECT THAT YOU CAN WORK IMMEDIATELY FROM HOME, ITS VERY DIFFICULT TO GET THE WORK. DOING THE WORK IS EASY BUT GETTING THE WORK IS DIFFICULT.

Please don’t hesitate to mail info@medesun.com if you have any questions.
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