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. These individuals work to avoid insurance payment denials. This requires a knowledge of anatomy, physiology, and medical terminology. This also requires knowledge and proficiency in ICD-10-CM, CPT, and HCPCS coding. It is highly recommended for serious coders to pass the CPC (Certified Professional Coder) exam.

The Medical Billing and Coding curriculum prepares individuals for employment as medical coders and billing specialists.

Graduates should qualify for employment opportunities in a variety of medical office positions in medical and dental offices, hospitals, insurance companies, laboratories, medical supply companies, and other healthcare-related organizations. Upon graduation, students may be eligible to sit for industry-recognized certification exams.

Medical Offices
Dental Offices
Insurance Companies
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
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).