Medical Billing and Coding

A medical billing and coding specialist is responsible for assigning specific codes to patient diagnoses and procedures, creating and submitting insurance claims, and ensuring the healthcare facility receives accurate and timely payment.

Working closely with coders, providers, and insurance representatives, Medical Biller and Coders serve as the communication link between the healthcare facility and third-party payers. They are responsible for identifying claim errors, resolving denials, and ensuring compliance with federal, state, and payer regulations.

Because much of the work can be performed remotely, Medical Billing and Coding has become an appealing career path for professionals who are organized, detail-oriented, and comfortable navigating billing software and insurance systems. Strong interpersonal skills are also essential, as billers and coders often interact directly with patients to explain balances, set up payment plans, and answer questions.

Length of Study

3-10 months

Career Level

Gateway/Entry Level, Level Up

Delivery Type

Online (Asynchronous and Synchronous)

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Duties

Coding: Accurately code medical services, diagnoses, and procedures using official classification systems like ICD-10, CPT, and HCPCS.
Billing: Prepare and submit claims to insurance companies and patients for payment.
Claim management: Review rejected or denied claims, identify and correct errors, and re-submit as needed.
Payment processing: Track payments, post them to patient accounts, and follow up on outstanding balances.
Patient communication: Handle patient inquiries about bills, explain costs, and set up payment plans.
Record maintenance: Maintain and update patient information in EHR and billing software, ensuring accuracy and confidentiality.
Insurance verification: Check patient insurance coverage and eligibility before services are rendered.
Collaboration: Work with healthcare providers and other staff to resolve billing discrepancies and ensure accurate information is recorded.

Career Opportunities

Medical Billers and Coders are in demand across a variety of healthcare settings, including: Physician offices and clinics Hospitals and outpatient centers Medical billing companies Insurance and managed care organizations Dental or specialty practices Telehealth and remote billing services With experience, billers and coders can advance into: Billing/Coding Supervisor or Revenue Cycle Lead Insurance Reimbursement Specialist Patient Accounts Representative Revenue Integrity Analyst Medical Office Manager

Day in the Life

A typical day for a Medical Biller and Coder begins with reviewing pending claims and payment reports. They verify patient data and correct any missing data and transmit claims electronically to various payers. Throughout the day, they monitor aging reports, call insurance representatives to resolve denials, and post payments once claims are processed.

When not interacting with payers, Medical Billers and Coders may contact patients to explain balances, set up payment arrangements, or answer questions about insurance benefits. The role requires multitasking and a strong eye for detail, as one error can delay reimbursement. Many billers work in quiet office or home environments, following structured workflows to ensure steady cash flow for their organization.

Job Outlook

The field is projected to grow “much faster than average” (7% or higher) from 2024-2034, with thousands of job openings anticipated.

Disclaimer: Futuro Health reserves the right to change or update program requirements and qualifications at any time.