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Medical coding and billing are processes that translate patient information into codes and submit claims to insurance companies. They ensure that healthcare providers are paid for their services and that patients are billed accurately.

Medical coding 

• Translates patient diagnoses, treatments, and procedures into standardized codes
• Uses codes to communicate with insurance companies, government agencies, and other healthcare stakeholders
• Involves reviewing medical charts, notes, and labs

Medical billing 

• Submits claims to insurance companies and other payers
• Ensures that claims are submitted accurately and in a timely manner
• Involves reading and reviewing medical records to create bills
• Involves tracking bill payments and following up on unpaid claims

How they work together

• Medical coders assign codes to patient diagnoses and treatments 
• Medical billers evaluate the codes and submit claims to insurance companies 
• Providers bill patients for the remaining balance after insurance payout

Certified Professional Coder (CPC)

A foundational certification that demonstrates proficiency in coding for medical services, evaluation, and anesthesia. It's considered the gold standard for medical coding and billing.

Certified Professional Biller (CPB)

A certification for those who handle billing operations, such as submitting and following up with insurance claims.

Certified Outpatient Coder (COC)

A certification for coders who work in hospital settings, ambulatory surgical centers, and hospital billing and coding departments.

Certified Inpatient Coder (CIC)

A certification that demonstrates expertise in assigning medical codes for diagnoses and procedures performed in an inpatient setting. 

Certified Coding Specialist (CCS)

A certification that demonstrates coding accuracy, which is important for healthcare organizations. 

Certified Billing and Coding Specialist (CBCS)

A certification that demonstrates knowledge of how to properly code for illnesses, procedures, and other common medical needs in accordance with insurance standards