Medical billing and coding is a vital part of health care, ensuring that providers are reimbursed for their services. If you're considering a career in this field in Wisconsin, understanding the necessary steps and requirements is crucial. This article will guide you through the process of becoming a medical biller and coder in Wisconsin, including certification, job prospects, and salary expectations.
What is Medical Billing and Coding?
Medical billing and coding involves translating health care services into universal medical codes and submitting claims to insurance companies for reimbursement. This process ensures that health care providers receive payment for their services and that records are accurately maintained.
Medical Coding
Medical coding is the process of converting medical diagnoses, procedures, and equipment into standardized codes. These codes are used for billing, insurance claims, and maintaining patient records. The primary coding systems used in the United States include:
| Coding System | Description |
|---|---|
| ICD-10-CM | International Classification of Diseases, 10th Revision, Clinical Modification |
| CPT | Current Procedural Terminology |
| HCPCS | Healthcare Common Procedure Coding System |
Medical Billing
Medical billing involves submitting and following up on claims with health insurance companies to receive payment for services rendered by health care providers. It requires a thorough understanding of insurance policies and billing regulations.
Do I Need a Medical Billing and Coding License in Wisconsin?
In Wisconsin, there is no specific state license required to work as a medical biller or coder. However, obtaining certification can significantly enhance your job prospects and credibility in the field.
Becoming a Certified Medical Billing and Coding Professional in Wisconsin
Step 1: Enroll in a Certification Prep Course
While it's not technically required to take a course, enrolling in a certificate program can help you prepare for the Certified Professional Coder (CPC), Certified Professional Biller (CPB), and Certified Coding Specialist (CCS) exams.
Here are a few medical coding and billing programs in Wisconsin:
Training Programs
Compare top-rated HEALTHCARE training programs
Program comparison table coming soon
We're currently building a comprehensive database of training programs. Check back soon for:
- Program duration and format
- Tuition costs and financial aid
- Accreditation status
- Direct links to program websites
In the meantime, contact your state's certification board for approved programs in your area.
Step 2: Get Certified (CPC, CCS or Equivalent)
Certification demonstrates your proficiency in medical billing and coding and can improve your employability. Popular certifications include the CPC, CPB, and CCS, each of which focuses on different aspects of coding and billing.
Step 3: Find a Medical Billing Job in Wisconsin (Or Remote)
Wisconsin offers numerous opportunities for medical billers and coders, both in traditional health care settings and remote positions. Four of the largest health care providers, based on revenue and size, are:
- Aurora Health Care
- Froedtert and the Medical College of Wisconsin
- ThedaCare
- Gundersen Health System
Step 4: Maintain Your Certification
Continuing education is essential to maintain your certification and stay updated with the latest coding practices and regulations. Most certifying bodies require ongoing education credits to renew your certification.
Frequently Asked Questions
How Much Do Medical Billers and Coders Earn in Wisconsin?
According to the Bureau of Labor Statistics (BLS), medical records specialists in Wisconsin earn an average annual salary of $54,370, with an hourly mean wage of $26.14. The total employment for this occupation in the state is approximately 3,660.
The AAPC Salary Survey for Wisconsin provides more nuanced information:
| Certification | Annual Salary |
|---|---|
| Certified OB/GYN Coder (COBGC) | $70,833.33 |
| Certified Inpatient Coder (CIC) | $57,500.00 |
| Certified Outpatient Coder (COC) | $65,468.75 |
| Certified Pediatrics Coder (CPEDC) | $47,500.00 |
| Certified Professional Coder (CPC) | $66,324.70 |
| Certified Professional Biller (CPB) | $60,535.71 |
| Certified Risk Adjustment Coder (CRC) | $66,324.70 |
| Certified Family Practice Coder (CFPC) | $65,000.00 |
| Certified General Surgery Coder (CGSC) | $72,500.00 |
| Certified Orthopedic Surgery Coder (COSC) | $66,944.44 |
| Certified Professional Coder-Payer (CPC-P) | $72,000.00 |
| Certified Emergency Department Coder (CEDC) | $72,500.00 |
| Certified Physician Practice Manager (CPPM) | $83,750.00 |
| Certified Outpatient Coder-Apprentice (COC-A) | $57,500.00 |
| Certified Professional Medical Auditor (CPMA) | $71,700.00 |
| Certified Hematology and Oncology Coder (CHONC) | $57,500.00 |
| Certified Professional Coder-Apprentice (CPC-A) | $45,227.27 |
| Certified Professional Coder-Instructor (CPC-I) | $69,062.50 |
| Certified Documentation Expert Outpatient (CDEO) | $67,916.67 |
| Certified Evaluation and Management Coder (CEMC) | $68,541.67 |
| Certified Professional Compliance Officer (CPCO) | $108,928.57 |
| Certified Ambulatory Surgery Center Coder (CASCC) | $77,500.00 |
| Certified Anesthesia and Pain Management Coder (CANPC) | $90,833.33 |
| Certified Interventional Radiology Cardiovascular Coder (CIRCC) | $67,500.00 |
Where Can Medical Billing and Coding Take You?
A career in medical billing and coding offers diverse opportunities, from working in hospitals and clinics to insurance companies and remote positions. With experience, professionals can advance to roles such as compliance officers, auditors, or managers within the health care industry.
Bottom Line
Becoming a medical biller and coder in Wisconsin involves obtaining the right education and certification, which can open doors to a rewarding career in the health care industry. With competitive salaries and a variety of job opportunities, this field offers a promising future for those interested in health care administration.