Medical Billing & Coding Professional Course
80-Hour In-Person Course
Offered during Spring Term Only
This 80-hour course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-10 manual), complete common insurance forms, trace delinquent claims (EOB’s) and use generic forms (CMS 1500) to streamline billing procedures. The course covers the following areas: CPT (introduction, guidelines, evaluation and management), specialty fields (such as surgery, radiology and laboratory), ICD-10 (introduction and guidelines) and basic claims process for medical insurance and third party reimbursement. Students will learn how to find the service codes using coding manuals (CPT & ICD-10).
Medical Billing & Coding Course Topics
- A career as an insurance coding specialist
- Documentation guidelines and legal issues affecting insurance claims and medical records
- Basics of health insurance and procedural coding
- Introduction to CPT Manual
- Evaluation and management services
- Anesthesia/Surgery, Radiology and Pathology/Laboratory Medicine
- Diagnosis Coding
- CPT Modifiers, E and V Codes and Late Effects
- Introduction to International Classification of Diseases, Clinical Modifications, Coding Guidelines
- The Health Insurance Claim Form (CMS 1500)
- HIPAA and Electronic Data Interchange (EDI)
- Tracing Delinquent Claims and Insurance Problem Solving
- Managed Care Systems and Special Plans & Third Party Reimbursement, Medicare, Blue Cross-and Blue Shield Plans, Medicaid and Other State Programs, CHAMPUS and CHAMPVA, Worker’s Compensation, Disability Income Insurance and Disability Benefit Programs
- This entry level course does not require the use of a computer as the focus of a coding professional is the proper use of coding and the related coding manuals
Education & Certifications
- 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 six months to two years of practical work experience prior to pursuing certain national certification exams.
Certificate of Completion Request
Once you have completed the necessary coursework, submit the Certificate of Completion Request Form: