Medical Coding vs Medical Billing: In short

General
1

Medical Coding

Purpose: Converts clinical documentation into universal, standardized codes

Code Sets:

  • ICD-10 - Diagnoses
  • CPT/HCPCS - Procedures

Goal: Ensure every detail of a patient encounter is accurately captured through codes.

Focus: Precision, compliance, and documentation accuracy

Medical Billing

Purpose: Takes those codes and turns them into claims, submits them to payers, and follows up on payments

Tasks Include:

  • Creating and submitting insurance claims
  • Posting payments and managing denials
  • Ensuring providers are reimbursed

Focus: Cash flow, revenue generation, and financial health of the practice

Key Difference:

  • Coders speak the language of medicine through codes
  • Billers turn those codes into revenue.
7 Likes
2

Nice this information was helpful

3

cleared the confusion between the medical coding and medical billing.
Thanks for sharing.

4

Thanks for Sharing the valuable information

5

Thanks for sharing this information.

7

This is helpful thank you i am studying this and confused about both .
Both are valuable and important fields.

8

Nicely explained :raising_hands:t3:

9

Thoughtful information thanks for sharing

10

Both are different.
Thanks for sharing

11

Informative.Thank you for sharing this.

12

Thank you for clearing this confusion.

13

Well explained
Thanks for sharing

14

New intersting topic where I have got more clarity about both topics

15

I was always confused between both of them. Thank you for the information

16

Nicely explained, thank you for this informative post.