Medical Billing and Coding

Have you thought about becoming a Professional Medical Biller and Coder? Medical Billing and Coding Professionals are an integral part of the medical field, working in medical offices and hospitals.

In recent years, there has been a rapid increase in medical tests, treatments, and procedures that will be increasingly scrutinized by health insurance companies, regulators, courts, and consumers. Also, patient information must be entered into computer databases to comply with the new Federal Legislation requiring the use of electronic patient records. All of these factors have combined to create a potential job market for qualified medical records technicians.

Upon successful completion of the Medical Billing and Coding course, students may apply for entry level positions doing medical billing or coding in a medical office setting and sit for certification examinations.

The National HealthCareer Association (NHA), American Health Information Management Association (AHIMA), and American Academy of Professional Coders (AAPC) all offer national entry-level certification exams in the Billing and Coding Industry. Students should determine which exam they wish to sit for upon personal career goals. This class will prepare you to take the NHA, AAPC, and AHIMA National certification exam.

Some typical tasks for the Medical Billing/Coding Professionals include:

  • Registering of patient information
  • Performing insurance verification, pre-authorization and referral tasks.
  • Preparing and posting transactions on day sheets, charge tickets, and patient accounts.
  • Coding and billing insurance claims.
  • Collecting patient payments and performing collection activities

Learning Objectives:

Upon successfully completing this course, students will be able to:

  • Use knowledge of medical terminology
  • Apply and interpret International Classification of Diseases codes.
  • Code accurately procedures and diagnoses on all claims submitted to insurance carriers.
  • Prepare accurately medical and disability claims for the physician’s office.
  • Apply and interpret Current Procedural Terminology codes.
  • Translate to the highest level of specificity and link between ICD-10-CM codes and CPT codes.
  • Prepare appeals for all underpaid claims.
  • Inform health care providers and their staff of changes in insurance practice policies.
  • Explain insurance benefits, policy requirements, and filing procedures to patients. Introduction of ICD-10-CM Diagnostic coding.