Certified medical coders ensure that each claim has high specificity ICD-10 coding. High specificity ICD-10 helps the claims to get paid in first submission and reduce denials. The diagnosis and procedure codes are taken from medical record documentation, physician’s notes, laboratory and radiologic results, etc.
ABC coders 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. ABC coders translate the documentation into standardized codes that tell payers Patient’s diagnosis, Medical necessity for treatments, services, or supplies the patient received, Treatments, services, and supplies provided to the patient and any unusual circumstances or medical condition that affected those treatments and services