Description:
Click here to Enroll Now or check with your local CareerForce center to see if you qualify for federal funding.
370 Course Hours | 12 Months Access | $2,995.00
Start Anytime – Work at your own pace
Whether you're just starting work or transitioning into a different field, there has never been a better time to enter a career in Medical Billing and Coding. This course will prepare you for success in this rewarding career as you learn about legal, ethical, and regulatory concepts central to this field, including HIPAA compliance, official coding guidelines, and third-party payer requirements. You will also be able to choose a voucher for the professional certification that best aligns with your interests and career goals.
More than one million practicing physicians in the United States rely on medical billers and coders to receive payment for their services. Besides medical facilities, positions are available with health insurance companies, specialty pharmacies, medical suppliers, consulting firms, and national medical coding and billing companies, so the opportunities are nearly endless!
Medical billers and coders are in high demand. This course offers valuable training in legal, ethical, and regulatory concepts central to this field, including HIPAA compliance, official coding guidelines, and third-party payer requirements. You will also come to understand all phases of the revenue cycle—from patient registration through medical coding, claims submission, reimbursement, and collections. You will also learn common medical terminology to help you converse with others in healthcare easily and with confidence. You will study word parts and the structures and functions of the human body. Also presented are the disorders and medical procedures common to each body system, including musculoskeletal, cardiovascular, respiratory, digestive, nervous, endocrine, integumentary, genitourinary, lymphatic, and immune.
After successfully completing the course requirements, you should be well prepared to find your place in this rewarding healthcare career. You will receive a Certificate of Completion from the school through which you enrolled, and you will also be able to choose a voucher for the professional certification that best aligns with your interests and career goals:
- Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
- Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
- Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
What you will learn:
- Watch the video: Medical Billing and Coding
- Medical coding terminology is required for medical coding, including the structures and functions of the human body
- The disorders and medical procedures common to each body system
- Legal, ethical, and regulatory concepts central to the field, including HIPAA compliance and third-party guidelines for filing insurance claims
- The main coding manuals: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
- How to code diagnoses, services, and procedures for all systems of the body
- Fundamentals of medical billing & coding and medical terminology
- Word parts and the structures and functions of the human body
How you will benefit:
- Get hands-on, practical experience in medical billing and coding that will help you on the job
- Receive a certificate of completion and prepare to sit for the professional certification that best aligns with your interest and career goals
- Receive a voucher for the professional certification exam of your choice
- Receive access to study materials that align with the exam option you choose
- Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
- Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
- Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
Syllabus:
- Medical Terminology
- Introduction to Medical Terminology
- The Musculoskeletal System
- The Cardiovascular System
- The Lymphatic and Immune Systems
- The Respiratory System
- The Digestive System
- The Urinary System
- The Nervous System
- The Special Senses the Eyes and Ears
- The Integumentary System
- The Endocrine System
- The Reproductive System
- Diagnostic Procedures, Nuclear Medicine, Pharmacology
- Medical Billing and Coding
- Introduction to Medical Billing and Coding
- Introduction to Health Insurance
- Managed Healthcare
- Revenue Cycle Management
- Legal Aspects of Health Insurance and Reimbursement
- ICD-10-CM Coding
- CPT Coding
- HCPCS Level II Coding
- ICD-10-PCS Coding
- Pharmacology for Coders
MIDTERM
- Medical Billing and Coding (Continued)
- Clinical Documentation Improvement (CDI)
- Insurance Claims
- Commercial Insurance
- Blue Cross Blue Shield
- Medicare
- Medicaid, CHIP, TRICARE, Workers' Compensation
- Certification
- How to Find a Job in Medical Billing and Coding
FINAL
Requirements:
Hardware Requirements:
- This course can be taken on either a PC, Mac, or Chromebook.
Software Requirements:
- PC: Windows 8 or later.
- Mac: macOS 10.6 or later.
- Browser: The latest version of Google Chrome or Mozilla Firefox is preferred. Microsoft Edge is also compatible.
- Microsoft Word or equivalent (not included with enrollment)
- Adobe Acrobat Reader.
- Software must be installed and fully operational before the course begins.
Other:
Email capabilities and access to a personal email account.
Instructional Material Requirements:
The instructional materials required for this course are included in enrollment. The following digital textbook for the Medical Terminology are accessed via links in the lessons:
- Medical Terminology for Health Professions (eBook)
The following digital textbooks for Medical Billing and Coding are accessed via links in the lessons:
- Understanding Health Insurance: A Guide to Billing and Reimbursement, by Michelle A. Green
- Accompanying Workbook: Understanding Health Insurance: A Guide to Billing and Reimbursement
The following textbooks will be shipped to you approximately 7-10 business days after enrollment in Medical Billing and Coding:
- ICD-10-CM Expert for Physicians
- CPT Professional
- HCPCS Level II Professional
Choice of study guide/voucher package upon course completion:
- CBCS Study Guide
- Professional Review Guide for the CCA Examination and ICD-10-PCS Expert
- Official CPC Certification Study Guide
Please Note: You will receive a digital book if the physical book is on backorder.
*The course includes the current year of coding books, and you will be responsible for purchasing your updated coding books from year to year.
Prerequisites:
There are no prerequisites to take this course.
Certification Requirements:
In order to sit for national certification exams, candidates must have a high school diploma or equivalent. Therefore, it is recommended you have this before enrolling in this course. Certification exams offered by AAPC and NHA are only available online to candidates located in the US. AHIMA only offers in-person exams in both the US and Globally.
FAQs:
What is medical billing and coding?
Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.
What is the difference between a Medical Biller and a Medical Coder?
Medical billers are mainly responsible for submitting patient records to government agencies and insurance companies for services that have been provided in the care of the patient. Medical coders gather information on patient records and assign the proper codes for patient diagnosis which are then used by medical billers to submit claim forms.
What is the salary for a Medical Biller and Coder?
According to the AAPC 2022 Salary Survey results, non-certified medical records specialists average $46,321 per year, while certified medical records specialists can average $56,290 annually — 17.7% more than their noncertified colleagues.
How long do you have to go to school to become a Medical Coder?
Our medical coding courses are self-paced and completed in 12 months or less. You will then have the option to prepare and sit for one of the following national certifications: 1) NHA's Certified Billing and Coding Specialist (CBCS), 2) AAPC's Certified Professional Coder (CPC), or 3) AHIMA's Certified Coding Associate (CCA). Once you are certified, you'll have the qualifications you need to find an entry-level job.
What kind of support will I receive?
The course instructor will be available by email to answer any questions and provide feedback on your performance. Occasionally, your course may be supported by a team of industry experts. You will also receive support from the student advising team.
What happens when I complete the course?
Upon successfully passing the final exam, you will be awarded a certificate of completion from the school or organization that you registered through. In addition, you will receive an exam voucher and applicable study materials for your choice of the following national certification exams: 1) NHA's Certified Billing and Coding Specialist (CBCS), 2) AAPC's Certified Professional Coder (CPC), or 3) AHIMA's Certified Coding Associate (CCA).
Does this course prepare you for a certification?
Yes, this course prepares you for three certifications: 1) Certified Billing and Coding Specialist (CBCS) exam, offered by the National Healthcareer Association (NHA), 2) Certified Professional Coder (CPC) exam, offered by American Academy of Professional Coders (AAPC), and Certified Coding Associate (CCA) exam, offered by AHIMA. You will receive a voucher for the certification exam of your choosing after successfully completing the course. Online certification exams through NHA and AAPC are offered in the US only.
Click here to Enroll Now or check with your local CareerForce center to see if you qualify for federal funding.
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