38101 - Administrative Medical Coding and Billing Specialist
Course Overview
The Administrative Medical Coding and Billing Specialist program takes you through all aspects of medical coding and billing to be prepared to work in the rewarding field of medical coding and billing. The program is instructor-led and includes the following modules: Medical Terminology, CPT-4 Coding, ICD-10-CM Coding, HCPCS Coding, and Medical Billing and Healthcare Specialist. Course is 156 hours.
Medical Coding and Billing professionals ensure the medical services are billed and reimbursed accurately and timely. In their everyday work, medical coders help to secure payer reimbursement, regulatory compliance, and continuity of patient care — all of which are of utmost importance in the business of healthcare. Medical Coders are in demand as our health care system grows with many working remotely from home.
What You'll Learn
Module 1: Medical Terminology is the foundational module for the program. It introduces the foundations of medical language and human anatomy as it applies to medical orders, billers, and office personnel. Prefixes, suffixes, diagnostic and medical terms, and human anatomy in illustration form are covered. Includes the overview and discussion of body systems and disease.
Module 2: Medical Billing & Healthcare Specialist covers third-party payer billing, state and federal rules and regulations, compliance issues, HIPAA, patient record keeping, patient registration, and scheduling. Reviews reimbursement methodologies, fee schedule reimbursement and charge-master issues. Covers CPT and ICD as it relates to billing.
Module 3: CPT-4 Coding starts at the basic level of coding to gain understanding, then progresses into evaluation, management, and surgery sections, followed by all other organ and body systems. The course concludes at the advanced level by coding from the medical record documentation. There will also be a complete review of modifiers.
Module 4: The ICD-10-CM coding provides the format and convention behind the International Classification of Diseases, then builds upon these coding fundamentals until the student can code complex diagnoses from the medical record documentation.
Module 5: HCPCS Level II is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, injections, prosthetics, orthotics, and supplies (DMEPOS). A complete review of HCPCS level II modifiers and their relationship to CPT-4 codes is also covered.
Who Should Attend
- Those who are interested in working as a medical coder and biller in physicians’ offices, clinics, hospitals, insurance companies, large coding outsourcing companies and other healthcare facilities
- Anyone interested in starting a new career in a demanding field, with the opportunity to work remotely from home.
Licensure Disclosures
This course prepares one to become nationally certified as a CPC, Certified Professional Coder with AAPC . The course does not include the national certification exam and is the student's responsibility. For questions about the exam and national certification requirements, please contact AAPCThe medical coding and billing industry does not require a license, instead the industry relies on voluntary, national certifications. Employers may require a national professional certification to ensure compliance. If you are outside of New Mexico, please contact your employer or AAPC for requirements in your specific state.
Additional Information
Student has to score a 70% or greater in all modules and final exams to pass course and obtain a certificate of completion.
This course requires (4) coding books, they are not included in the course fee. Student is responsible to purchase these. We provide details upon registration.
For those using Tuition Remission, fill out TR form:
Use Fall 2026 course# 38106-006 (Mod 1-2); price $2,350.00.
Spring 2027 course# 38106-007 (Module 3-5); price $2,350.00.
Email TR form to: ceregistration@unm.edu
Please list both courses, student has to register for both classes on the form.
TR benefit looks at start date, fall benefit and spring benefit will be utilized.
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UNM Tuition Remission
UNM Staff, Faculty, and Retirees: This course is Tuition Remission eligible under Professional Development. For more information, visit the UNM Tuition Remission information page. To see UNM HR's Tuition Remission for eligibility and tax liabilities, click here
Lupe Chavez is an experienced Senior Special Investigator who has been employed in the Health Care Industry for over 38 years. Her experience ranges from Medical Coding and Billing, Healthcare Compliance and Investigations to Provider and Employee education. She obtained her Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and Certified Professional Billing (CPB) certifications from the American Academy of Professional Coders (AAPC). She also obtained her Certified Compliance Professional Physician (CCP-P) certification from the Board of Medical Specialty Coding. Ms. Chavez was the co-founder of Medical Academy Services LLC and in 2008 became the sole owner of New Mexico Healthcare Consulting Services LLC.