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 become nationally certified as a CPC, Certified Professional Coder with AAPC . 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: 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 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: 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 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.

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 be scheduled in fall term: August 2024 (start) - April 2025 (no class Dec 15th - Jan 15th ). Schedule is Mon/Thurs 5:30pm-8:30pm. 
Full details on the web in May 2024.