Be Certified To Get Employed In A Hospital

By DerrikKyle on May 7, 2010, 9:29 am

A good medical coding and billing professional must have good knowledge regarding correct application of CPT, ICD-9-CM diagnosis codes and HCPCS codes that are used for billing professional medical services to insurance companies.A Certified Professional Coder – Hospital (CPC-H) is a medical coding and billing professional employed by a hospital. They are familiar with both the Physician Office Coding as well as the Hospital Based Outpatient Coding. A CPC-H has knowledge of evaluation and management, anesthesia, surgical services, radiology, pathology, medicine, anatomy, physiology and medical terminology along with the ability to correctly code the provider services and diagnosis. The CPC-H has experience in coding and reimbursement issues for outpatient facility services including the use of revenue codes and use of the UB92 form vs. the CMS1500 form. The hospital outpatient coder also has knowledge of APC’s and procedural vs. diagnostic based payment theories. Also the hospital outpatient coder has knowledge of professional billing procedures as well as facility billing procedures and use of Medicare guidelines and all coding resources. A CPC-H has the ability to integrate coding and reimbursement rule changes in a timely manner to include updating the Charge Description Master (CDM), fee updates and the Field Locators (FL) on the UB92 along with a working knowledge of AHA Coding Clinic guidelines in the assignment of ICD-9-CM codes from Volumes 1 & 2. One can look for further details on various websites, and get oneself enrolled for a CPC training camp that will help her get a CPC-H certification.

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