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).

 

Quick Facts

  • Tuition: $1,899
    Includes all textbooks and materials
  • Select Class: See Class Schedule
  • Register: See Register & Pay
  • Contact: For advising, career counseling, and in-depth questions, call (888) 963-5967
  • General Course Information: Email De N. Vaughn

 

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.