Guided Notes

Welcome to Medical Coding & Billing

What medical coders and billers do, how the U.S. healthcare system pays for care, where coders work, and the path to certification.

What is medical coding?

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Every time a patient sees a doctor, has a test or stays in hospital, someone writes it down in the medical record: the reason for the visit, what was found, what was done.

Medical coding translates that written story into standardized codes: • Diagnosis codes say WHY the patient was seen (e.g. type 2 diabetes, a broken wrist). • Procedure/service codes say WHAT was done (e.g. an office visit, an X-ray, a blood test).

Those codes go on a claim (a bill) sent to an insurer, and are also used for statistics, research, public health and quality reporting.