Medical Coder/Biller

AHIMA Foundation

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Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.

Work Process Schedule

Work Process Content

On the Job Training

Anonymous

2.1K

OJT hours

Receptionist Duties

100

Handle incoming and outgoing calls/e-mails to and from Physicians, department administrative assistants, the billing office, compliance office and others; mail, fax, and handle correspondence.

Office Procedures

100

Care and maintain office equipment; develop and maintain mailing lists and tickler file; inventory management; use Query database to retrieve information.

Insurance Coding

Use and understand format, conventions, guidelines and rules of ICD-10-CM diagnostic and procedural coding; coding of insurance forms using ICD-10-CM and CPT; process and complete all insurance forms; code diagnoses and procedures.

Medical Records

200

Retrieving and filing of medical records; keep medical records updated; locate data in and abstract information from medical records.

Health Care Reimbursement

500

Comply with regulations related to fraud and abuse; compare non-government payers versus government payers; compare other prospective payment systems; understand and comprehend reimbursement cycle; apply facility based codes (i.e., Diagnostic Related Groups, Ambulatory Payment Classifications, and Resource Utilization Groups).

Miscellaneous

180

Investigate health plan payment denials and write claims appeal; understand and follow claim rejection and resolution process; use coded data in strategic planning/reporting; perform qualitative and quantitative analysis of health records to evaluate compliance with regulations and standards; research coding updates; examine review systems.

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Medical Coder/Biller

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