Future of Medical Billing and Coding with Artificial Intelligence

Artificial Intelligence saves money and enhances the efficiency of medical billing and insurance for medical care providers. As machine learning technologies develop, artificial intelligence (AI) has been transformed into many businesses. It is an increasingly valuable tool for the medical billing and coding industry for automated medical coding and to evaluate vast quantities of healthcare data and then make predictions and judgments that are correct over time.

Manual and repeated procedures can be tedious and costly for suppliers in billing and insurance processes. Artificial intelligence might help.

Artificial Intelligence’s Impact on the Healthcare Industry

  • Virtual physicians
  • Patients’ treatment is tailored to their medical history.
  • Medicines are identified based on disease.
  • Candidate identification for clinical trials
  • Disease identification and diagnosis
  • Wearable health monitors
  • Epidemic outbreak prediction
  • Automation of routine activities
  • Surgical Robots

What role does Artificial intelligence play in healthcare?

Artificial intelligence-assisted robotic surgery: Using data from medical records to help surgeons through surgery.

Nurse-like chatbots: Answering basic queries using natural language interpretation, processing requests, and informing the relevant staff person to address patient problems.

Diagnosis: The process of analyzing symptoms and generating objective diagnostic possibilities for medical experts.

Automated Medical Coding and Billing: AI may automatically review medical records and help in automated medical coding and billing.

AI technology has received significant attention in recent years as a tool to prevent care team exhaustion and reduce operating costs — advancements rendered even more urgent by the financial and mental burden imposed by Covid-19.

Natural language processing (NLP), for example, can automatically convert physician notes into billable medical codes, and academics are working on algorithms that use past data to forecast the chance of a claim being denied. Artificial intelligence (AI) in medical insurance is garnering media attention as health care providers see its potential to improve billing and insurance operations.

The Effect of Artificial Intelligence on Medical Coding:

Over the last two decades, the use of computer-assisted medical coding systems has progressively increased across the healthcare continuum. This innovation has provided a means of dealing with the rising complexity of medical code diagnosis and treatment. State-of-the-art machine learning technologies have been included in more current versions of computer-assisted coding systems.

Automated Medical Coding

Ref: Automated Medical Coding Solutions – Megaputer Intelligence

Other components of artificial intelligence also contribute to the enhancement of a system’s capability. Modern machine learning algorithms assist in analyzing clinical documentation charts and notes and determining the best relevant code for a specific situation. Automated medical coding procedures are the emerging addition of AL in the medical sector. Manual medical coding is a time-consuming, costly, and error-prone process. There is a considerable demand to automate the medical coding procedure. However, because the medical domain is complicated, electronic medical records contain a vast quantity of text, and provider terminology varies, this is a challenging undertaking. The technology allows medical practitioners and payers to examine the manual coding of medical records or completely replace them. It offers more accuracy, more detailed findings, transparency, and a faster processing time.

Future of Medical billing and coding:

While it is hard to predict the future with 100 percent precision, medical billing and coding occupations are rising, as are most jobs in the healthcare industry.

People will require more medical care as the population ages. Increased demand for these services means more medical record updates and insurance claims to handle. Even with technological advancements, an increase in healthcare claims can increase the need for a coder’s skill set. With AI automating the healthcare sector, the future of medical coding is empowering, which indicates medical coders are in high demand and increasing so far. The healthcare sector seeks aggressively highly qualified medical coders with extensive professional knowledge. And, as healthcare companies increasingly rely on electronic tools to manage their practices, they will want qualified individuals who understand how to use this technology. And you are one of them!

Key Takeaways

Artificial Intelligence is transforming the healthcare billing and insurance cycle in three ways.

  • Artificial intelligence can optimize backend systems. Administrative procedures such as filing claims or medical coding are significant expenditures and reasons for burnout for health systems. These workflows can be automated and optimized using AI.
  • Recent progress in NLP has simplified the billing and insurance cycle. Significant progress has been made with language models from Google or Open AI in interpreting medical paperwork. Developers like Amazon Comprehend Medical or Google’s Healthcare Natural Language API additionally have published healthcare-focused open-source NLP solutions.
  • Administrative automation solutions will depend primarily on electronic health record (EHR) data. Medical coding systems leverage EHR notes for billing health services, and AI-driven RPA platforms can retrieve data from EHRs to supplement claims forms.


Is Medical Coding a Dying Career?

For individuals in the medical coding and billing sectors, the quick response is “no.” The truth is that coders are still in high demand, particularly those who have finished a Medical Coding Certification school. That is because practically every healthcare provider employs coded paperwork and recordkeeping. A single hospital may use many coders at any given time. But that doesn’t mean technology won’t modify things a little — for the better, in this case.

Will medical coding become obsolete?

No, Medical coding has been the most desired profession. The requirement for coders has not decreased, but the demand has increased for more experienced coders. Combining human analytical skills with technical developments is essential to the continued expansion of this medical area, as it helps medical coders execute their job more quickly and efficiently. Furthermore, an aging population will necessitate increased medical care demand. The necessity for effective record keeping will become increasingly apparent, necessitating the hiring of more trained medical coders.

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Written by: Kaynat Ishfaq
Author has been writing from last 4 years in Healthcare and medical billing field.

Other contributors:

Shahzad H
Revenue Cycle Management Consultant, Medical Billing & AR Audit, Free Standing Emergency Rooms, Micro Hospitals, Compliance, OON Negotiations, Digital Marketing




automated medical coding, medical billing, medical billing and coding, revenue cycle management, accounts receivable recovery, free-standing er billing, free-standing emergency room, out of network negotiations, prior authorizations

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