December 14, 2024

How to Become a Medical Biller and Coder in Idaho

To become a medical biller and coder in Idaho, pursue certification through a prep course, get certified, and secure a job, with salaries averaging $51,160 annually and various career opportunities available.

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What is Medical Billing and Coding?

Medical billing and coding are two distinct but interconnected processes that are crucial for the financial health of health care facilities. They involve translating health care services into codes and submitting claims to insurance companies for reimbursement.

Medical Coding

Medical coding involves the use of specific coding systems to convert health care diagnoses, procedures, and services into universal codes. This process ensures that medical records are accurate and that billing is standardized across the industry.

Medical Coding Systems Comparison

Coding System	Description
ICD-10-CM	International Classification of Diseases, 10th Revision, Clinical Modification; used for diagnosis coding.
CPT	Current Procedural Terminology; used for documenting medical procedures and services.
HCPCS	Healthcare Common Procedure Coding System; used for billing Medicare and other insurance plans.

Medical Billing

Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a health care provider. It involves preparing, submitting, and managing claims for payment.

Do I Need a Medical Billing and Coding License in Idaho?

In Idaho, there is no state licensing requirement for medical billers and coders. However, obtaining certification can enhance your job prospects and demonstrate your expertise to potential employers.

Becoming a Certified Medical Billing and Coding Professional in Idaho

Step 1: Enroll in a Certification Prep Course

The first step in becoming a certified medical biller and coder is to enroll in a certification preparation course. These courses are available online and in-person and cover the essential knowledge needed to pass certification exams.

Step 2: Get Certified (CPC, CCS or Equivalent)

Certification is a critical step in establishing your credibility in the field. Certifications such as the Certified Professional Coder (CPC) or the Certified Coding Specialist (CCS) are widely recognized and respected.

Step 3: Find a Medical Billing Job in Idaho (Or Remote)

After obtaining certification, the next step is to find a job. The four biggest health care providers in Idaho are:

St. Luke's Health System:
- Founded in 1902, it is Idaho’s only locally owned, not-for-profit health system, offering a full continuum of care through its hospitals and clinics.
Saint Alphonsus Health System:
- Operates several hospitals and medical facilities in Idaho, employing approximately 7,014 people.
Saint Luke’s Health Partners Accountable Care Organization (ACO):
- Affiliated with Saint Luke’s Health System, known for its substantial revenue.
Portneuf Health Trust (PHT):
- A smaller health care provider with significant assets.

Step 4: Maintain Your Certification

To remain certified, you must fulfill continuing education requirements and stay updated with changes in medical coding standards.

Frequently Asked Questions

How Much Do Medical Billers and Coders Earn in Idaho?

According to the Bureau of Labor Statistics, medical records specialists in Idaho earn an average annual salary of $51,160, with an hourly mean wage of $24.59. The state employs approximately 1,570 individuals in this field. The AAPC Salary Survey provides more nuanced information:

Certification	Annual Salary
Certified OB/GYN Coder (COBGC)	$52,500.00
Certified Inpatient Coder (CIC)	$57,500.00
Certified Cardiology Coder (CCC)	$47,500.00
Certified Outpatient Coder (COC)	$65,833.33
Certified Pediatrics Coder (CPEDC)	$67,500.00
Certified Professional Coder (CPC)	$61,513.16
Certified Professional Biller (CPB)	$54,821.43
Certified Risk Adjustment Coder (CRC)	$61,513.16
Certified Family Practice Coder (CFPC)	$66,071.43
Certified Orthopedic Surgery Coder (COSC)	$63,750.00
Certified Professional Coder-Payer (CPC-P)	$94,166.67
Certified Emergency Department Coder (CEDC)	$66,250.00
Certified Physician Practice Manager (CPPM)	$87,000.00
Certified Professional Medical Auditor (CPMA)	$74,642.86
Certified Professional Coder-Apprentice (CPC-A)	$45,833.33
Certified Professional Coder-Instructor (CPC-I)	$72,500.00
Certified Documentation Expert Outpatient (CDEO)	$67,500.00
Certified Evaluation and Management Coder (CEMC)	$69,090.91
Certified Professional Compliance Officer (CPCO)	$50,000.00
Certified Professional Coder-Payer Apprentice (CPC-P-A)	$72,500.00

Where Can Medical Billing and Coding Take You?

A career in medical billing and coding can lead to various opportunities within the health care sector, including roles in hospitals, clinics, insurance companies, and even remote positions.

Bottom Line

Becoming a medical biller and coder in Idaho involves obtaining the right education and certification, which can open doors to a fulfilling career in the health care industry. With numerous opportunities for employment and competitive salaries, this field offers a promising future for those interested in the intersection of health care and administration.