Train to be a Certified Medical Billing and Coding Specialist

Medical billing and coding is one of the fastest growing work-from-home careers in the healthcare field! This 100% online course will prepare you for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC). You’ll learn how to use the Healthcare Common procedure Coding System (HCPCS) and the CPT Category II and ICD-10 codes.

Job Outlook for Medical Billing and Coding Specialists

According to the Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average annual salary of $40,350 and work in one of the fastest growing professions.

The BLS also estimates that at least 27,000 new jobs will be needed in this profession by 2026.

 

FAQs About Medical Billing and Coding

WHAT’S THE DIFFERENCE BETWEEN A MEDICAL BILLER AND A MEDICAL CODER?

Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides.

WHAT ARE THE REQUIREMENTS FOR A MEDICAL BILLING AND CODING CAREER?

Entry-level positions typically require completion of a certificate or an associate degree program in medical billing and coding. Additionally, medical billing and coding professionals must understand the Health Insurance Portability and Accountability Act (HIPAA).

HOW MANY YEARS DOES IT TAKE TO BECOME A MEDICAL BILLER AND CODER?

In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year. While earning an associate degree can take up to three years.

CAN MEDICAL BILLERS AND CODERS WORK REMOTE?

Yes. However, this will vary depending on the healthcare organization that one works for and their level of experience within the medical billing and coding profession.

IS MEDICAL BILLING AND CODING A GOOD CAREER?

U.S. News and World Report ranked medical records technician (professionals that perform medical billing, medical coding or both) as #9 on its list of “25 Best Jobs that Don’t Require a College Degree,” #12 in “Best Health Care Support Jobs” and on the “The 100 Best Jobs” list.

Course Objectives

Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures.

Be fully prepared to sit for the CPC exam, offered by the American Academy of Professional Coders.

 

Prerequisites and Requirements

There are no prerequisites to take this course.

Curriculum

MEDICAL TERMINOLOGY

Learn common medical terminology of the body and how it relates to diagnostic procedures, nuclear medicine and pharmacology

INTRODUCTION TO MEDICAL BILLING AND CODING

Overview of medical billing and coding in today’s healthcare system

HEALTHCARE LAW

How HIPAA, the False Claims Act and the Stark Law protect health information

INTRODUCTION TO HEALTH INSURANCE TERMS

Health insurance terms, healthcare provider terms and third-party reimbursement methods

PHARMACOLOGY FOR CODERS

Definition of pharmacology, drug classifications and routes of administration

ICD-10-CM

Overview of ICD-10-CM, as well as coding guidelines, conventions and steps for assigning ICD-10-CM codes

CPT AND HCPCS LEVEL II CODING

How the Healthcare Common Procedure Coding System (HCPCS) and CPT Code Book work, and steps for assigning CPT and HCPCS Level II codes

ABSTRACTING INFORMATION FROM MEDICAL DOCUMENTS

Coding from soap notes, consultation reports, operative reports, emergency room records and procedure reports

NEW PATIENTS, INSURANCE CLAIMS AND EOBS

Electronic, paper and hybrid medical records, practice management software and developing insurance claims

SUBMITTING ELECTRONIC CLAIMS AND CMS 1500

Electronic Data Interchange (EDI), electronic claims submission and the National Uniform Claim Committee

BLUE CROSS/BLUE SHIELD

Working with participating and nonparticipating providers

MEDICARE

Understanding Medicare, parts A, B, C and D

OTHER HEALTHCARE PROGRAMS

Medicaid, TRICARE, CHAMPVA and workers’ compensation

ICD-10-PCS (OPTIONAL LESSON)

Overview, code structure and definitions of ICD-10-PCS

SURVEY OF HOSPITAL BILLING

Hospital revenue cycle, chargemaster, master patient index and prospective payment systems

CAREER ROADMAP FOR MEDICAL BILLING AND CODING – FIND A JOB FAST

Marketing your skills and talents, creating a résumé and cover letter, interviewing and salary negotiation

Instructors

Nancy Smith

Nancy Smith has over 30 years of experience in the healthcare industry. Her clinical experience includes working as a medical assistant for a network of rural health clinics, and as a medical coder, insurance claims specialist, and medical records auditor. Nancy holds a bachelor’s degree in vocational education and has developed and taught medical assistant programs.

LaTisha Cottingham

LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as an HIM Analyst for a long-term care establishment that is based out of Alabama.

 

Registration and Enrollment

This course is 100% online. Start anytime.