Medical Billing & Coding

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Price: $1,799.00

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 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, 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.

  • An overview of healthcare and the insurance industry
  • The organization and use of the 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-10-CM
  • Basic claims processes for medical insurance and third-party reimbursements
  • Completing common insurance forms, tracing delinquent claims, and appealing denied claims

Education and Certification

  • Students should have or be pursuing a high school diploma or GED.
  • Numerous national certification exams are available for students who complete this course including American Academy of Professional Coders (AAPC), American Health Information Association (AHIMA) and others.
  • Certain national certification organizations suggest 6 months to 2 years of practical work experience prior to pursuing certain national certification exams.

Detailed Course Topics Covered

  • 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 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 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
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.