Medical Billing and Coding

What is Medical Billing and Coding?

Medical coders and billers transform healthcare diagnoses, procedures, medical services, and equipment into a medical alphanumeric code (ICD-10-CM, CPT, and HCPCS). They also process and follow up on claims sent to health insurance companies for reimbursement of services provided by healthcare providers.

Key Responsibilities

  • Assigning accurate medical codes for diagnoses, procedures, and services
  • Processing insurance claims
  • Ensuring compliance with industry regulations
  • Working with healthcare providers and insurance companies to resolve billing issues

Skills & Knowledge Required

These individuals work to avoid insurance payment denials. This requires knowledge of:

  • Anatomy, physiology, and medical terminology
  • ICD-10-CM, CPT, and HCPCS coding
  • Healthcare reimbursement policies

It is highly recommended for serious coders to pass the Certified Professional Coder (CPC) exam.

Medical Billing and Coding Program at PittCC

Pitt Community College’s Medical Billing and Coding curriculum prepares individuals for employment as medical coders and billing specialists in the fast-growing healthcare industry.

Upon graduation, students may be eligible to sit for industry-recognized certification exams. Start your journey toward a stable and in-demand career today!

Ready to Start?

Medical Offices
Dental Offices
Insurance Companies
Laboratories
Hospitals
Outpatient Surgical Facilities
Health Care Facilities
Health Care Consulting Firm

Jobs include: Medical Coding Specialist, Medical Coder, Professional Billing Specialist, Physician Coder, Coding Specialist

Medical Terminology I & II
Keyboarding
Word Processing
Office Applications I
Medical Insurance & Billing
Medical Legal Issues
Introduction to Anatomy & Physiology
Diagnostic Coding
Procedure Coding
Electronic Health Records
Medical Office Simulation
Long-Term Care Coding
Advanced Coding Methodologies
Medical Coding Certification
Medical Office Administration Capstone
Healthcare Customer Relations

Students will demonstrate problem solving abilities to assign ICD-10-CM codes to diagnoses and HCPCS and CPT codes to procedures in an outpatient facility. Students will demonstrate proficiency in compiling data for CMS-1500 claim form completion. Students will demonstrate proficiency in using electronic information resources accurately to schedule, bill, update, and make corrections in patient management software. Students will demonstrate proficiency in using electronic health information software to create, update, and maintain patient health records. Students will apply federal privacy laws and HIPAA regulations to healthcare situations.

It is highly recommended for serious coders to pass the CPC (Certified Professional Coder) exam through the AAPC (American Academy of Professional Coders – www.aapc.com).