Certified Medical Biller and Coder

Medical Billing & Coding Specialists, also known as Medical Billing & Coding Technicians, play a key role in the delivery of patient care. Often working from home, Medical Billing & Coding Specialists monitor administered medical care and record and process patient data. This includes treatment records, insurance plan information, payment data and more. Most importantly, Medical Coding & Billing Specialists code medical diagnoses to request payment from patients’ insurance providers.

Medical Billing & Coding Specialists support staff in physicians’ offices, clinics, hospitals, outpatient care facilities, insurance companies and more.

Upon successful completion of this program, learners will display proficiency in the following areas:
• The International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Coding Sets and Manuals
• Basic Medical Terminology and Anatomy & Physiology
• Third-party reimbursement claims and issues
• Tracing delinquent claims and insurance problem solving
• Coding modifiers
• HIPAA and Electronic Data Interchange (EDI)
• Federal regulations and compliance
• Coding for surgical procedures, radiology, pathology, and laboratory services
• Coding of evaluation and management services

Module 1: Healthcare Fundamentals
• The History of Healthcare
• Healthcare Etiquette
• Professional Situations and Applications

Module 2: Communication in Healthcare
• Healthcare Teams
• Team Success
• Champions

Module 3: Medical Documentation and Record Keeping: HIPAA
• Use and Disclosure
• Real Life Scenarios
• HIPAA Laws, Policies, and Requirements

Module 4: Medical Terminology
• Word Structure
• Prefix, Root Word, and Suffix
• Organization of the Body
• Diagnostic Testing and Radiology

Module 5: Anatomy & Physiology
• Anatomy and Physiology Basics
• Musculoskeletal, Integumentary, and Respiratory Systems
• Digestive, Reproductive, and Urinary Systems
• Blood and the Cardiovascular System
• Lymphatic, Immune, and Endocrine Systems
• Nervous and Sensory Systems
• Medical Billing and Coding Anatomy & Terminology

Module 6: Soft Skills
• Teamwork & Patient Service in Healthcare
• Critical Thinking Skills in Healthcare

Module 7: Being a Medical Coder
• Benefits and advantages of being a medical coder
• Different industry certifications offered through AHIMA and AAPC
• Advantages of AHIMA and AAPC membership
• Career advantages of obtaining an industry certification

Module 8: Medical Coding: CPT
• Integumentary, Musculoskeletal, Respiratory Systems
• Cardiovascular, Digestive, Endocrine, Nervous Systems
• Anesthesia, Pathology, Radiology
• Evaluation Management, Medicine, HCPCS Modifiers

Module 9: Medical Coding: ICD-10
• Structure
• General Guidelines
• Chapter Guidelines Part I
• Chapter Guidelines Part II
• Practice Scenarios

Module 10: Medical Billing and Reimbursement
• Billing and Reimbursement
• Health Insurance Basics
• Claims
• Accounts, Collections, and Banking

Module 11: The Evolution of CPT and ICD
• The Current Procedural Terminology (CPT)
• Updates to the coding systems
• Most important changes that impact primary care coding
• The International Classification of Diseases

Module 12: Legal Standards
• Medical Regulations Governing Legal & Ethical Standards
• Applying Medico-Legal Principles to PHI

All required reference materials are provided with this program. Technical requirements:

Internet Connection
• Broadband or High-Speed (DSL, Cable, Wireless)
Hardware Requirements
• Processor – 2GHz Processor or Higher
• Memory – 1 GB RAM Minimum Recommended

Software Requirements
• Operating Systems – Windows 7, 8 or 10; Mac OS x 10 or higher
• Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers – Google Chrome is highly recommended
• Cookies MUST be enabled
• Pop-ups MUST be allowed (Pop-up Blocker disabled)
• Adobe PDF Reader

Employers value employees who carry credentials related to their job function. Certification shows a standard of proficiency has been met within the skillset, giving employers confidence in their expertise. Certification is an investment in yourself and your career in healthcare.
Certification Can Help You
• Improve your earning potential
• Open the door to career advancement
• Provide a foundation of broad and deep understanding
• Help you reach both short-term and long-term career goals
• Increase your job mobility and opportunities, even in a difficult job market
• Associate with AAPC’s strong and long-standing reputation of integrity and excellence
• Connect with an elite network of certified peers. Earning an AAPC credential introduces you into a prominent community of ongoing support

Relevancy – With annual reviews and enhancements, this program guarantees accurate and relevant curriculum that meets employer requirements for the knowledge and skills demanded to successfully enter the workforce.
Career Readiness – Our Career Kit is designed to provide students with the practical tools they’ll need to help find a job once they have completed training and earned their certification. With our Career Kit, students are sure to impress! Using our practical templates and prompts, students can present their BEST self to future employers.
Curriculum Format – We believe career training should be engaging and fun, not exhausting, and boring. To achieve this, we have developed our program with a mix of formats including reading material, video lectures, procedure videos, interactive activities and games, knowledge check ins, and section assessments. By incorporating a balanced mixture of interactivity, engagement, and comprehension testing, this program ensures a well-rounded experience for students that will not only fully prepare them to enter the workforce but also provide a fun, entertaining way to learn. With real-life procedure videos, students are provided a combination of comprehensive instructions, visual and auditory demonstrations, and hands-on practice exercises.

6 Reasons to Complete Your Training With Us

Flexibility

With our programs, you can learn and study at your own pace with access 24/7/365 for the duration of your program. This means you can learn on your own terms and work around your own schedule.

Support

Our online training comes with access to real, live support personnel that will help you through every step from our admissions adviser who will assist you with selecting the right training for you, to our student adviser who will be there with you during your entire training journey.

Relevancy

We have tailored our programs to provide comprehensive training in the technical and soft skills employers are looking for. With direct input and feedback from industry leaders and hiring managers, our program aligns with exactly what you need to successfully enter the workforce.

Certification

Our career training not only gives you the knowledge you need but preparation for the certification exams relevant to your desired career path. If you are pursuing an exciting new career in a field with a national certification, our program will both prepare you to sit for the exam but will often include a voucher for the exam cost.

Simulations and Case Studies

Our training programs have been developed with real learners and professionals in mind, so our programs incorporate real-world case studies and virtual simulations that will provide examples and interactions with real-life situations you may encounter during your career. These allow you to learn by experience with circumstances similar to what will be your daily responsibilities on the job.

Engaging and Interactive

Our training curriculum was developed with you in mind, looking at modern day learners and their needs. Our curriculum contains a mix of formats including reading, listening, watching, and interacting that will immerse you into a fun and engaging learning experience you will not only enjoy but not want to end.

Program Description

A Medical Billing and Coding Specialist is the MVP of any healthcare organization. They are responsible for processing patient data such as treatment records and related insurance information, coding patient’s diagnosis, and requesting payment from insurance companies. Without these specialist healthcare providers would not receive compensation for their valuable services. According to the U.S. Bureau of Labor Statistics, jobs for certified medical coders will increase 22 percent through the year 2022 making this the fastest growing healthcare career. The 2016 median income for a certified medical coder was between $29,360-$51,850, this varies depending on location and experience level.
What’s in this program? This program consists of four individual courses, Medical Billing and Coding, Medical Terminology, Anatomy & Physiology, and ICD-10. Each of these courses will provide the knowledge and skills required to be successful in the billing and coding field. In this complete program learners will learn a basic knowledge of medical terminology and anatomy & physiology, how to process insurance claims, how to complete insurance forms, trace claims, appeal denied claims, proper coding using CPT, ICD-10, and HCPCS, and the organization and use of the provided coding manuals.
Included Certification! Included with this program is the exam exam voucher for the American Academy of Professional Coders’ (AAPC) Certified Professional Coder (CPC) Certification Exam. Learners also receive one year membership to the AAPC and the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam).
**To obtain for the CPC exam candidates must have at least two years medical coding experience. Those who pass the CPC exam but do not have the required experience will be designated as an Apprentice (CPC-A) on their certificate.** To remove your apprentice designation via on-the-job experience, you must obtain and submit two letters of recommendation verifying at least two years of on-the-job experience. OR Submit proof showing completion of at least 80 contact hours of a coding preparation course AND one letter, on letterhead, signed from your employer verifying one year of on-the-job experience.

This program, offered by our accredited school partners, consists of four individual courses, Medical Billing and Coding, Medical Terminology, Anatomy & Physiology, and ICD-10. Each of these courses will provide the knowledge and skills required to be successful in the billing and coding field. In this complete program learners will learn a basic knowledge of medical terminology and anatomy & physiology, how to process insurance claims, how to complete insurance forms, trace claims, appeal denied claims, proper coding using CPT, ICD-10, and HCPCS, and the organization and use of the provided coding manuals.

Included Certification! Included with this program is the exam voucher for the American Academy of Professional Coders’ (AAPC) Certified Professional Coder (CPC) Certification Exam. Learners also receive one year membership to the AAPC and the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam).
**To sit for the CPC exam candidates must have at least two years medical coding experience. Those who pass the CPC exam but do not have the required experience will be designated as an Apprentice (CPC-A) on their certificate.** To remove your apprentice designation via on-the-job experience, you must obtain and submit two letters of recommendation verifying at least two years of on-the-job experience. OR Submit proof showing completion of at least 80 contact hours of a coding preparation course AND one letter, on letterhead, signed from your employer verifying one year of on-the-job experience.

Summary: Fastest growing career, amazing salary, and fantastic included features! Enroll through one of our accredited university or college partners today!

This program is targeted at individuals seeking the knowledge and skills necessary to pursue a career in the fast growing field of medical billing and coding. Though this program prepares learners to sit for any industry certification, it includes the American Academy of Professional Coders' (AAPC) Certified Professional Coder (CPC) exam.

Upon successful completion of this program, learners will display proficiency in the following areas: • The International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Coding Sets and Manuals • Basic Medical Terminology and Anatomy & Physiology • Third-party reimbursement claims and issues • Tracing delinquent claims and insurance problem solving • Coding modifiers • HIPAA and Electronic Data Interchange (EDI) • Federal regulations and compliance • Coding for surgical procedures, radiology, pathology, and laboratory services • Coding of evaluation and management services

This course provides students with qualified support professionals to guide them through their learning experience. The student support team is available to answer any questions a learner may have including questions on course content, course material, certifications, and registration or enrollment questions. Support advisers also monitor the progress of learners to ensure training retention and program advancement.

Though you are provided a full 12 months access to your program, the average completion time is only 6 months!

FAQ

To request more information, you can contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

Online courses are accessible 24/7/365 and self-paced, allowing you to progress at your own pace on your own schedule. They can be taken from anywhere in the world from the comfort of your own home. Classroom courses have a set schedule of the days and times the courses will be held, and you must attend during those specific times.

Find out if online learning is right for you by contacting our team of registration advisers. Our team is available to answer any of your questions about taking an online course before you commit to enrolling. We will walk you through what to expect to ensure you are making the right decision. You can contact a registration adviser today via online chat, our website contact form, or toll free at 1-855-201-6910.

No, you are not required to have a diploma or higher education degree to enroll in an online course. However, some occupations may require minimum educational thresholds for employment or certification. For more information on your desired career requirements, please contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

To take an online course, you will need to have access to an internet connection and an internet ready device such as a laptop, PC, or tablet. For course specific requirements, please visit the course page or contact a registration adviser today.

Our courses are developed with multiple formats including text, audio, video, and interactivity. Our courses also include multiple resources and tools which can include flashcards, games, activities, and more.

No, you can take the online courses from anywhere in the world.

We participate in several financial assistance options including third party funding, both military and non-military. To request more information on the financial assistance options available and check your eligibility, contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

Duration is the amount of time you will receive access to your course. Durations vary by course and range between 1 month and 12 months. If you complete your course before your duration ends you will continue to have access to your course until the duration period ends.

Many of our career training programs include certification vouchers. This means that at the successful completion of your course, at no additional charge, you will receive an exam voucher for the corresponding industry certification. This voucher will allow you to register and sit for the appropriate certification exam to obtain your industry credential.

Our online courses are open enrollment, so you can start immediately. If you are using any third-party funding to cover your course tuition, your start date may be a future date determined by your funding program.

Once enrolled, you will be assigned a client adviser who will provide you with customer and technical support. Your client adviser will supply you with your course access information, any needed materials, and be available to answer any questions you have during your training experience. They will regularly check-in with you to monitor your progress and assist you with staying on track. You will also be assigned to a course mentor who will provide curriculum support throughout your training. Your mentor is available to answer any questions you have on your course curriculum, will monitor your progress and understanding of the curriculum, and may give assignments or quizzes.

If you experience any trouble accessing your course including technical issues or lost login credentials, please contact your client adviser at South Seattle College.

Our goal for students is to successfully complete their training course and achieve their career goals. We understand that extenuating circumstances can interfere with your ability to complete your course in the duration given. Because of this we have free or low-cost extensions available for our courses upon request. To discuss or request an extension please contact your client adviser at South Seattle College.

Upon successful completion of your course and fulfillment of any outstanding financial obligations, you will receive your certificate of completion. Certificates are provided to you within 30 days of completion. Your certificate will validate the training course you completed with a stamp of completion.

Students that successfully complete our career training programs are assigned a career development adviser who will coordinate placement at a local externship or hands on opportunity. These opportunities are optional and may vary based on availability and occupation. Your career development adviser will also provide job search services such as: resume building, mock interviews, job opportunity resources, and more. Our professional enrichment courses do not come with a career adviser or career services.

6 Reasons to Complete Your Training With Us

Program Description

FAQ

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