What Does a Medical Billing and Coding Do?
Coding diagnoses and procedures while supporting billing accuracy and compliance
Medical Billing and Coding specialists assign codes, validate documentation, and support clean claim submission. They help prevent denials by ensuring coding follows guidelines and payer rules, and they may assist in audits and compliance checks.
Typical responsibilities include:
- Assigning ICD diagnosis codes and CPT procedure codes accurately
- Reviewing charts and documentation to confirm coding support
- Applying modifiers and coding rules to prevent claim errors
- Auditing coded claims for accuracy and compliance
- Supporting billing teams with coding clarifications and corrections
- Keeping up with annual guideline changes and payer requirements
- Maintaining coding documentation and audit trails for reviews