Medical Billing & Coding

Call to order - 844.220.4266

The Medical Billing & Coding Profession
Medical billing and coding is one of the fastest-growing careers in the healthcare industry today! The need for professionals who understand how to code healthcare services and procedures for third-party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices, and other healthcare providers all depend on medical billing and coding for insurance carrier reimbursement. The medical industry will have almost 50% more jobs available by 2018; therefore, a surplus of medical facilities will continue to hire candidates who specialize in medical billing and coding.   

The Medical Billing & Coding Program
This billing and coding course offers the skills needed to perform complex coding and billing procedures. The course covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), the ICD-10 for both diagnosis and procedure coding, ICD-9 (Introduction and Guidelines) and basic claims processes for insurance reimbursements. This billing and coding program delivers the skills students need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement.

    

 

Program Objectives
This course covers the following key areas and topics:

  • An overview of healthcare and the insurance industry
  • The organization and use of the ICD-9-CM, ICD-10-PCS, CPT, and HCPCS manuals to identify correct codes
  • Detailed review and practice using the alphabetic index and tabular list of the ICD-9-CM
  • Comparison between ICD-10 and ICD-9
  • Basic claims processes for medical insurance and third-party reimbursements
  • Completing common insurance forms, tracing delinquent claims, and appealing denied claims


Medical Billing & Coding Detailed Course Information:

  • Introduction to International Classification of Diseases, Clinical Modifications, Coding Guidelines,  Basics of diagnostic and procedural coding
  • Introduction to the organization and use of the ICD-10, ICD-9-CM and CPT manuals
  • The Health Insurance Claim Form (CMS 1500)
  • Reviews of both ICD-10 (diagnostic coding) and ICD-10-PCS (inpatient procedural coding)
  • Various issues surrounding the implementation of ICD-10
  • HIPAA and Electronic Data Interchange (EDI)
  • Review and practice coding Evaluation and Management (E&M) services
  • Review and practice coding from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT, CPT Modifiers, E and V Codes
  • Coding surgical procedures of the integumentary system
  • Coding procedures related to the female genital system and maternity care and delivery
  • Coding for general surgery, radiology, pathology and laboratory services
  • Coding for diagnostic and therapeutic services and the Level II National Codes
  • Tracing delinquent claims, insurance problems & third-party reimbursement issues

Note: In order to qualify for an externship, students must successfully complete the program, including all quizzes and final exams, and be available for a background check and/or a potential drug screen. This program can be completed in 6 months. However, students will have online access to this program for a 12-month period.


Education and Certifications

  • Students should have or be pursuing a high school diploma or GED.
  • There are no state approval and/or state requirements associated with this program. 
  • National Certification Available:
    • American Academy of Professional Coders (AAPC) Certified Professional Coder Exam (CPC or CPC-H Apprentice)
    • American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam
    • National Healthcareer Association (NHA) Billing and Coding Specialist Certification (CBCS)
    • Microsoft Office Specialist (MOS) Certification Exam

Optional Volunteer Clinical Externship Opportunity

Students who complete this program are eligible to participate in an optional volunteer clinical externship opportunity with a local healthcare facility in order to gain valuable hands-on experience. As students progress through their eLearning program, an Externship Coordinator will reach out to coordinate placement.

Note:
Additional documentation including health records, immunizations, drug-screening, criminal background checks, etc. may be required by the externship facility.