With any new job seeker, there is definitely a catch-22. You can’t get a job without experience, but you can’t get experience without a job.
With coding and billing positions, it is certainly the same way! This could be for a variety of reasons, but MMI wants to be sure you are looking in all positions that could increase your skills and knowledge, as well as put your credential to use! As the COVID-19 public health emergency continues, there is and will be a continuous need for more employees in the healthcare field.
Here are some different job positions to consider than just a medical coder or biller:
Registration and/or Patient Access
If you do not have any healthcare experience, this position is a great way to get your foot in the door at a hospital system. This is typically where denials begin to happen as well, so you can put your knowledge to good use on insurance, coverage, and keeping good documentation on the patient’s medical record.
The Pre-authorization department determines whether a service is likely to be covered or not, meaning they evaluate the expected insurance coverage and expected patient financial responsibility for the service or procedure. More often than not, orders that are called by a physician’s office do not include the information that is necessary to meet medical necessity to cover the service or procedure. Someone with a coding credential should be able to identify this and query the physician to get more information in order to meet medical necessity.
A chargemaster is the file that contains data to report patient services. When you start a new service or discontinue a service, it should be put through the chargemaster. Using the chargemaster typically aids in compliance, leads to fewer claims being denied, aids in accuracy of reimbursement, and more. Maintaining the chargemaster most likely does not require a coding or billing credential, but it could definitely come in handy!