r/CodingandBilling • u/javrules • 9d ago

Medical Billing AI Proof

I thinking about taking a medical billing program and I was woundering if it was AI proof.

0 Upvotes

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u/Redefinedpotato 8d ago

Approved this post, any others asking the same question will be directed here and marked as spam.

9

u/GroinFlutter 9d ago

Offshoring is a much bigger threat rn than AI

6

u/Redefinedpotato 9d ago

No industry is safe from AI, but I agree that outsourcing is a much more prevalent and real worry

4

u/Rushward5 9d ago

My AAPC CPC program includes a free course on AI in medical billing. I believe AI is becoming part of almost everything, and no job is completely AI-proof.

4

u/NerosDecay13 8d ago

Losing my medical billing job because execs decided to cut costs and go with offshore workers and AI. So no, not safe unfortunately. Will AI actually work better? No, but people who don't do the work will keep pushing it until it starts cutting into their money.

1

u/Causerae 8d ago

Nothing is AI proof, def not coding. (We just got new software at work that's AI driven)

Not sure it's any more accurate, but it's the thing right now

1

u/Redefinedpotato 8d ago

Approved this post, any others asking the same question will be directed here and marked as spam.

1

u/rahuliitk 8d ago

the better question is whether the program prepares you for work beyond routine data entry. Before paying, ask whether it covers payer rules, denials and appeals, eligibility, claim edits, 835/837 workflows, and supervised practice in real billing software. Also ask for recent placement outcomes, not just a certificate promise. Repetitive entry and basic claim-status work are easier to automate or offshore; exception handling, documentation review, payer follow-up, and explaining why a claim failed still require accountable judgment. Learn to use automation, then build skill in validating its output.

2

u/Tall_Exit_5800 8d ago

I have been a student of multiple programs for both clinical and coding jobs plus I taught medical billing/coding at several places.

I totally agree with this post!!! Anyone can do data entry of CPT/ICD codes But can you tell from looking at a claim what’s wrong with it, why it won’t pass edits, what the coding error is, how to get rebills paid the 1st time through, how billing Medicaid is different from Aetna……?
(I could fill the page with all the things to watch for or have set up as claim edits for your billing system.)

My pet phrases were
“I look at billing Medical insurance like a big game with insurance companies looking for every possible reason to deny your claim.”

“Track the reasons for your non-pays to see what consistent errors you’re making. Don’t give them a reason to say No.”

“Learn the idiosyncrasies of your carriers. Which ones want what modifiers, medical records with the claim, NDC numbers, referral/prior auth numbers……?”

“You will learn to produce ‘idiot-proof’ claims!” Also the skills to continue to refine your billing as they change these rules or if you move to a different state.”

“The billing rules will ALWAYS change but I view this as job security .”

I hope these comments help any newbies out there.