We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.
Finance

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

What does a Certified Professional Coder™ do?

By Elva K.
Updated: May 17, 2024
Views: 10,837
Share

To be a Certified Professional Coder™ means that one is a health information professional who enables hospitals, doctors' offices, outpatient centers, nursing homes, or group practices to be paid for health services. Specifically, Certified Professional Coders™ read health treatment information and assign codes to those procedures so the information can be submitted to insurance companies, Medicare, or Medicaid. The particular codes must be entered properly, because if errors are made in coding, that could reduce the amount that medical providers are paid for the health care services they provide.

Working as a Certified Professional Coder™ means working with procedural coding and diagnostic coding. For example, there are codes that a Certified Professional Coder™ uses to code treatments that doctors provide. There are health care common procedure coding system (HCPCS) codes that pertain to products or services that doctors might provide to patients. The diagnostic codes are codes that pertain to specific diagnoses that doctors might give a patient. For instance, if a patient comes in complaining of arm pain and if the doctor diagnoses the problem, there is a specific diagnostic code for arm pain.

Typically, to prepare for a career as a Certified Professional Coder™, one must complete high school and college. An associate's degree can be done, but individuals interested in becoming a Certified Professional Coder™ usually complete the bachelor's degree in medical coding at an accredited college medical coding program. After completion of the college degree, in order to get appropriate certification, one must pass the Certified Professional Coder™ (CPC) exam, which is the entry-level exam to become a Certified Professional Coder™.

Once they start working, coders often specialize. For example, a coder might choose to specialize in emergency medicine, oncology, or cardiology. At any given time, some specialties might be more in demand than other specialties. Thus, some coders may get paid more than others due to the particular coding specialty they have chosen.

Needless to say, because they work with numbers and codes, coders tend to be very detail-oriented. Also, they tend to be persistent because there are times when they may have to contact a medical provider to get more information about a treatment the provider gave so that the appropriate code can be given. They may also have to contact the insurance company pertaining to a particular claim.

Coders also tend to move into other careers after having several years of coding experience. For instance, coders may decide to become health information directors or coding supervisors. By contrast, a coder may decide to go back to school and become a nurse, which would enable the option of working as a nurse-coder and potentially receiving a higher rate of pay for coding services.

Share
WiseGeek is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.

Editors' Picks

Discussion Comments
Share
https://www.wisegeek.net/what-does-a-certified-professional-coder-do.htm
Copy this link
WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.

WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.