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Insurance Coder: Job Description and Education Requirements

Oct 20, 2021

Inputting medical insurance information into a database or registry is the responsibility of an insurance coder. Coursework is available that teaches overall medical coding and billing. Insurance coders also have the option of becoming certified.

Essential Information

Insurance coders enter patients' medical records information into a database to ensure reimbursement for healthcare services. They typically complete a certificate or degree program and are employed with hospitals, insurance companies or physicians' offices. Opportunities exist for insurance coders to become certified specialists through the American Health Information Management Association.

Required Education Certificate or associate's degree in medical records, health information or a related field
Other Requirements Voluntary certification available through the American Health Information Management Association
Projected Job Growth (2019-2029)* 8% for all medical records and health information technicians
Mean Annual Salary (2019)* $48,270 for all medical records and health information technicians

Source: *U.S. Bureau of Labor Statistics

Job Description for Insurance Coders

Insurance coders are trained to read medical diagnoses, conditions and treatments on patient records and use industry-standard coding systems, such as CPT (Current Procedural Terminology), that are entered into healthcare databases. They have a working knowledge of common insurance reimbursement options and sources, such as Medicare, Medicaid and private insurance, as well as the Health Insurance Portability and Accountability Act (HIPAA).

Employment Outlook and Salary Info

The U.S. Bureau of Labor Statistics (BLS) projected to increase in employment much faster than the average for medical records and health information technicians from 2019-2029 (www.bls.gov). This growth was expected to stem from the increase in medical procedures and the responsibilities associated with electronic data. In May 2020, the BLS reported that most people in this occupation earning salaries between $28,800 and $73,370.

Education Requirements for Insurance Coders

Aspiring insurance coders may consider completing a certificate or an associate's degree program in medical billing and coding. Students take coursework in anatomy and physiology, and are introduced to medical terminology, pathophysiology and healthcare delivery systems. These programs expose students to common software applications used within the industry, as well as common coding guidelines, such as ICD-9, CPT, DSM-IV and HCPCS.

Certification Information

The American Health Information Management Association (AHIMA) offers certification designations for insurance coders, including Certified Coding Assistant (CCA), Certified Coding Specialist (CCS) and Certified Coding Specialist-Physician-based (CCS-P). While AHIMA requires a minimum of a high school diploma to be eligible for taking certification exams, it does recommend completing advanced coding training and acquiring work experience. Beginning and experienced insurance coders obtain a certification designation as a way to boost career opportunities.

Completion of a certificate or associate's degree program is normally sufficient education for an insurance coder. Computer skills, accuracy, and proficiency in using coding and classification software are essential. Certification could be advantageous to career advancement.

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