The medical coding process is complex and time-consuming, requiring a high level of skill and expertise to translate a patient’s diagnosis into specific codes. Many healthcare facilities are turning to remote medical scribes to ensure that medical records are coded correctly and promptly.
The medical scribe’s role is vital in medical coding by entering patient data into the electronic medical record (EMR). This data generates the coded patient’s medical record, which is then used to bill insurance companies and track patient care. By outsourcing this vital task to virtual medical scribes, physician offices can free up staff to perform other essential duties.
What is medical coding, and why is it important
Medical coding is the process of transforming medical diagnoses and procedures into universal medical alphanumeric codes. Medical billers use these medical codes to charge insurance companies, track patient care, and conduct medical research. Medical billing and coding are essential because it ensures that medical bills are accurate and that patients receive the correct level of care.
Codes are used in healthcare to standardize medical procedures and diagnoses. There are thousands of these codes that medical coders work with for medical billers to utilize in various medical facilities or physician practices. The international classification ensures uniform documentation of healthcare services and various healthcare diagnoses as part of the necessary insurance information across physician practices.
The most common medical codes are the International Classification of Diseases (ICD), used to classify medical conditions and procedures. The ICD is updated every few years to reflect changes in medical practice.
Another standard code set is the Healthcare Common Procedure Coding System (HCPCS), which is used for billing Medicare and Medicaid for medical services rendered. Private insurance companies also use HCPCS codes to reimburse providers for medical services. There are over 5,000 HCPCS codes, which cover a wide range of health procedures and services.
Finally, there is the Current Procedural Terminology (CPT) code set, which physicians use to bill insurance companies for medical services. CPT codes are specific to each medical procedure, and over 100,000 exist. The American Medical Association (AMA) published this code set and updated them regularly.
Medical coders are professionals who use CPT codes or ICD codes for medical record documentation. The health codes are used for billing insurance companies and tracking patient care. Coding is an integral part of the medical billing process.
In order to work as a medical coder, you must have a strong understanding of medical terminology and coding systems. A medical coder should also be able to interpret medical charts and records. To become a certified medical coder, you must pass an American Health Information Management Association (AHIMA) examination.
There are many different medical coding certification programs available. The most common is the Certified Professional Coder (CPC) program offered by the AAPC. The CPC program consists of a written exam and an on-the-job training component. You must complete continuing education courses every year to maintain your CPC certification.
The other main medical coding certification program is the Registered Health Information Technician (RHIT) program offered by the AHIMA. The RHIT program includes a written exam and an on-the-job training component. However, the RHIT program focuses more on medical records and health information management. To maintain your RHIT certification, you must complete continuing education courses every year.
Certified coding associates (CCAs) are medical professionals with expertise in medical coding. They are responsible for ensuring that medical bills are accurate and meet the requirements of insurance companies. To become a certified coding associate, you must complete an accredited medical coding program and pass an exam.
The certified coding associate certification is recognized throughout the medical industry as a sign of competence and expertise in medical coding. CCAs are in high demand and can find employment in various healthcare settings. They may also choose to become freelance medical coders.
The certified coding associate certification is a valuable credential for medical professionals who want to pursue a career in medical coding. It demonstrates your knowledge and skills in this crucial field and can help you secure a job in a rewarding career.
Challenges of hiring a qualified medical coder
There is a great need for medical billing and coding, and there are not enough qualified medical billers and coders to fill open positions. This has created a challenge for healthcare facilities when hiring qualified medical coders.
Factors contributing to the shortage of medical coders are a lot to name. First, the medical billing and coding profession is relatively new. It was only established in the early 1990s. Also, the work of a medical coder tends to overlap with that of a medical biller, so a few pursue healthcare careers as coding specialists.
Second, medical billing and coding are complex and require a strong understanding of medical terminology and coding systems. Professional coders must also pass certification exams and continually update themselves with coding guidelines. A medical biller may also handle the procedural coding system as part of their medical billing system.
Third, the medical billing and coding profession is not well known, and many people are unaware of what it entails. Keeping up with current procedure terminology while getting the certification exam needed to practice is already challenging. Procedure codes and classification systems are so extensive that not everyone wants to invest time and energy in learning about the procedural coding system.
Fourth, medical billing and coding are highly specialized, and most medical coders have years of experience and training. Clinical documentation is also utilized by a medical biller or a coding specialist.
Finally, medical billing and coding are highly competitive, with many experienced and qualified candidates vying for positions.
Medical billing and coding offer many opportunities for advancement as it is a growing field. A medical coder with experience can move into supervisory or management positions. Those with advanced coding credentials can become certified coding specialists or auditors. There are also many opportunities to work from home as a medical coder.
The role of medical scribes in medical coding
The unprecedented rise of electronic medical records (EMRs) made medical scribes an essential part of the coding process. Medical scribes can also be professional coders who are highly skilled professionals who have expertise in medical billing and coding. They enter client information into the EMR, which generates the coded medical record. This data is then used to bill health insurance companies and track patient care. By outsourcing this task to virtual medical scribes, healthcare facilities can ensure that medical records are coded correctly and promptly.
Remote medical scribes allow healthcare facilities to outsource this critical task, freeing up staff to perform other essential duties. Virtual medical scribes are highly skilled medical billing and coding professionals.
How remote medical scribes help to improve the medical coding process
A vital part of the healthcare industry is medical billing and coding, and medical scribes play a crucial role in ensuring its accuracy. Remote medical scribes allow healthcare facilities to outsource the entry of patient information into the electronic medical record (EMR).
A complex process that involves translating medical information into a standardized format that health insurance companies can understand is what medical billing and coding are all about. The ever-changing rules and regulations governing healthcare reimbursement make this process even more difficult. Medical scribes help improve the coding process by accurately and efficiently entering client information into the EMR. This ensures that a medical coder has accurate information, leading to more accurate and timely billing.
Remote medical scribes also play an essential role in tracking patient care. The coded medical record generated by the EMR can be used to monitor patients’ progress and identify potential problems. This allows healthcare providers to provide better patient care and helps prevent costly medical errors.
Benefits of using virtual medical scribes
One of the benefits of using virtual medical scribes is that they can enter patient information into the EMR faster than staff can. This is important because medical billing and coding depend on accurate and timely data entry. Virtual medical scribes can also maintain a high level of accuracy, which is essential for producing accurate coding.
Most physicians use a remote scribe to answer their phones and enter the information gathered from that first contact into the EMR system. This ensures that the client’s information is always up-to-date and complete. They are also present in the exam room with the client and physician, transcribing the vital information needed for insurance claims. This ensures accurate clinical documentation, which would be essential for coding later.
Additionally, medical scribes can improve communication between healthcare providers and patients. By entering client information into the EMR, medical scribes can help to ensure that all relevant parties have access to the same information. This process helps avoid confusion and miscommunication, which can lead to errors in coding.
Constantly updating the EMR system also ensures that clients get the best treatment based on the most recent laboratory test results and other information necessary to deliver a comprehensive health care plan. This also lessens the workload of everyone involved because each healthcare professional has access to the information that may be required to submit insurance claims or appeals later on.
Another benefit of virtual medical scribes is that they can help healthcare facilities save money. By outsourcing coding to a remote medical scribe service like Portiva, facilities can save on staffing costs. Remote medical scribes are also more affordable than in-house medical coders, which makes them an attractive option for many healthcare facilities.
Remote scribes also have a solid foundation in medical terminology and coding conventions. This ensures that they will be able to code medical records accurately. And because they are not physically present in the medical facility, they can devote their full attention to medical coding rather than being pulled away by other duties.
When coding is done accurately and efficiently, it reduces patient waiting time. This is because medical coders can submit bills to insurance companies more quickly. This saves waiting time for patients to receive reimbursement from their insurance company.
Patients are also more likely to be happy with their care when coding is done correctly, as this would give them the financial aid they need. Medical coders can track health trends and patients’ progress to identify potential problems early on. This allows healthcare providers to provide better patient care and helps prevent costly medical errors while ensuring their professional fees.
Key considerations when choosing a remote medical scribe provider
When looking for a remote medical scribe provider, it is essential to consider the following factors:
1) Experience and qualifications of the medical scribes. Make sure the medical scribes have experience in coding and are certified in coding.
2) The remote medical scribe provider’s technology. The provider should have robust technology that allows medical scribes to work remotely and securely enter client information into the EMR.
3) The remote medical scribe provider’s customer service. Make sure the provider has excellent customer service so you can quickly get help if you need it.
4) The remote medical scribe provider’s pricing. Ensure a fair price is on the table when a provider quotes you for their services.
5) The remote medical scribe provider’s reputation. A good reputation in the coding community is vital to consider.
By considering these factors, you can be sure to choose a remote medical scribe provider that will best meet your needs.
The Portiva advantage
With Portiva, you can enjoy all the benefits presented earlier, along with the following advantages:
1) Our medical scribes are certified in coding and have many years of experience in the medical field. To work virtually across the United States, Portiva provides you with Certified, Trained, and Registered Nurses that are well-educated and capable of dealing with all types of situations. Also, our remote scribes connect with you in real time to help you with your administrative tasks.;
2) Our technology is robust and secure, allowing medical scribes to work remotely and enter patient data into the EMR quickly and accurately. Portiva scribes make sure that the document contains all of the required medical data for healthcare providers to use;
3) Our customer service is excellent, with 24/7 support available; Portiva guarantees that your requests will be handled swiftly, even if they come in outside of regular business hours;
4) We offer a fair price for our services. Starting at $10/hour, you can find quality recruits who are one-fifth the cost of a full-time professional healthcare practitioner. You won’t have to worry about additional clinic area expenditures, such as rent, transportation, equipment, or staff bonuses.; and
5) We have a good reputation in the coding community. We have never received a single complaint in the decade we’ve been open for business, and our client retention rate is exemplary.
Because Portiva Medical Scribes are all registered nurses, they can quickly and easily adapt to your current workflows. They can follow your specific protocols and procedures to take care of the administrative side of your physician’s office.
You can ensure that patient calls are always answered promptly by linking your office phone to a virtual assistant. With a virtual assistant, you can make phone calls with your caller ID from anywhere, call patients, and insurance companies, refill prescriptions, and talk to other healthcare offices without trouble. In other words, not only would this bring more business your way, but it would also give your staff a break every now and then and let them focus on taking care of your clients.
Your virtual assistant can work on your telephones and computers from anywhere in the world, just as if they were with you in the office. In this manner, you may rest confident that your records are being handled promptly and accurately.
We will handle the administrative details so you can focus on your skills – caring for your patients – while we take care of the rest. A virtual medical assistant, who is both affordable and easily accessible, can help streamline your practice.
In other words, not only would this bring more business your way, but it would also give your staff a break every now and then and let them focus on taking care of your clients. Therefore, we believe that virtual medical scribes are a vital coding component. Virtual medical scribes provide some benefits to healthcare facilities. Their fast data entry, accurate coding, and cost-saving potential make them an attractive option for many medical practices.
When choosing a remote medical scribe provider, there are several factors to consider, such as the scribe’s certification in coding, experience in the medical field, price, and reputation.
Portiva Medical Scribes offers all of these factors plus some additional advantages. Our medical scribes are certified in medical coding and have many years of experience in the medical field. In addition, our technology is robust and secure, allowing medical scribes to work remotely and efficiently. Contact us today to learn more about how Portiva’s remote medical scribe services can help your facility.