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

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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.

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Certificate of Completion Request

Once you have completed the necessary coursework, submit the Certificate of Completion Request Form:

Certificate of Completion Request Form