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), 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. 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, CPT, and HCPCS manuals to identify correct codes
Detailed review and practice using the alphabetic index and tabular list of the ICD-9-CM
Detailed review and practice coding examples from all sections within the CPT
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 and Coding Guidelines
Introduction to the organization and use of the ICD-9-CM and CPT manuals
Basics of diagnostic and procedural coding
The Health Insurance Claim Form (CMS 1500)
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, and Late Effects
Coding surgical procedures of the integumentary system
Coding surgical and medical procedures of the cardiovascular 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 and insurance problem solving
Third-party reimbursement issues
Course Access Time
Students are given 6 months to complete the program. Extensions are available if needed, fees may apply.
Patricia has a degree in Medical Assisting from The Career College of Northern Nevada, Dental Assisting from the Community College of the Air Force, and is currently working on her B.S. in Criminal Justice Studies from Grand Canyon University in Arizona. She has over 10 years of experience working in doctors offices and has been an Air Force Reservist since 2009. She has worked as an instructor for multiple schools over the last 4 years teaching medical and dental assistant curriculum, as well as OSHA safety requirements and career development.
Students should have or be pursuing a high school diploma or GED.
Students who complete this program will have the opportunity to pursue the National Healthcareer Association (NHA) Certified Medical Administrative Assistant (CMAA).
Windows 7, XP or Vista
56K modem or higher
Soundcard & Speakers
Firefox, Chrome or Microsoft Internet Explorer
Mac OS User:
Mac OS X or higher (in classic mode)
56K modem or higher
Soundcard & Speakers
iPad iOS 5.1 (or latest)
We recommend setting your screen resolution to 1024 x 768 pixels.
System will support the two latest releases of each browser. When using older versions of a browser, users risk running into problems with the course software.
Windows Users: Mozilla Firefox, Google Chrome, Microsoft Internet Explorer
Mac OS Users: Apple Safari, Google Chrome Mozilla Firefox
Students will recieve these textbooks with their program:
2012 Step-by-Step Medical Coding
Workbook for 2012 Step-by-Step Medical Coding
2012 ICD-9-CM, Hospital Edition Volumes 1, 2, & 3, 9th
2012 CPT Current Procedural Terminology, Professional Edition