What is Medical Billing and Coding?

A stethoscope, a fountain pen, and calculator on top of a document headlined "Explanation of Benefits".

According to Wikipedia, Medical Billing and Coding is the process of submitting and following up on claims with various health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs.


Medical Billing and Coding is much like a challenge or puzzle that puts together pieces of a patient’s healthcare with their doctor and their insurance provider. This information should results in payment to the doctor or hospital on behalf of the patient. It’s just not as easy as it sounds.


As such, Medical Billers and Coders are encouraged, but not required by law, to become certified by taking an exam such as the CMRS Exam, RHIA Exam, CBCS Exam among others. Certification schools such as Northwest Career College are intended to provide a theoretical grounding for students entering the medical billing and coding field.


For several decades, medical billing was done almost entirely on paper. However, with the advent of software designed for medical management, also known as health information systems, it has become possible to efficiently manage large amounts of claims. Numerous software companies have arisen to provide medical billing software to this particularly lucrative segment of the market. Several companies also offer full portal solutions through their own web-interfaces, which negates the cost of individually licensed software packages.


At Northwest Career College, the medical billing and coding classes are offered online and on campus to provide you the perfect blend of practical computer training with hands on training.


Due to the rapidly changing requirements by U.S. health insurance companies, several aspects of medical billing and medical office management have created the necessity for specialized training. Medical office personnel can obtain certification through at Northwest Career College after proper training in the Medical Billing and Coding program in Las Vegas.