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What is Medical Coding?

Manage your entire claims process in one location, from charge capture to reimbursement. Tools you need to make billing & collections more convenient, intuitive & productive. Cost-Effective Solution. Integrated Billing. EHR. For Medical Practices. 

Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.

Medical coding happens every time you see a healthcare provider. The healthcare provider reviews your complaint and medical history, makes an expert assessment of what’s wrong and how to treat you, and documents your visit. That documentation is not only the patient’s ongoing record, it’s how the healthcare provider gets paid.

Medical codes translate that documentation into standardized codes that tell payers the following:

Patient's diagnosis

Medical necessity for treatments, services, or supplies the patient received

Treatments, services, and supplies provided to the patient

Any unusual circumstances or medical condition that affected those treatments and services