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Medical Billing and Coding Specialist

Medical Billing and Coding Specialist

  • Course Code: GES1014
  • Course Hours: 370
  • Allotted Time to Complete Course: 12 Months
  • Prerequisites: None

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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. She worked as a medical office manager for ten years, where she recruited and trained all medical assistants. 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.

Course Objectives

  • Be fully prepared to pass one of the following professional certifications that best aligns with your interest and career goals:
    • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
    • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
    • Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
  • Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures
  • Gain hands-on billing experience with medical billing and coding software
  • Externship Starter Kit to help you gain valuable experience in the field
  • Medical Biller standalone option for those who aren’t interested in Medical Coding

Course Curriculum

Medical Terminology

Introduction to medical terminology
The Musculoskeletal System
The Cardiovascular System
The Lymphatic and Immune Systems
The Respiratory System
The Digestive System
The Urinary System
The Nervous System
The Special Senses: the Eyes and Ears
The Integumentary System
The Endocrine System
The Reproductive System
Diagnostic Procedures, Nuclear Medicine, Pharmacology

Medical billing and coding

Introduction to Medical Billing and Coding
Introduction to Health Insurance
Managed Healthcare
Revenue Cycle Management
Legal Aspects of Health Insurance and Reimbursement
ICD-10-CM Coding
CPT Coding
HCPCS Level II Coding
ICD-10-PCS Coding
Pharmacology for Coders
Midterm
Clinical Documentation Improvement (CDI)
Insurance Claims
Commercial Insurance
Blue Cross/Blue Shield
Medicare
Medicaid, CHIP, TRICARE, Workers' Compensation
Certification
How to Find a Job in Medical Billing and Coding
Final

Medical Billing and Coding Specialist FAQ

What does a Medical Biller and Coder do?

Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.

Is there a difference between medical billing and medical coding?

Yes. 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. Many professionals in this area do both medical billing and medical coding.

What are the requirements for a medical billing and coding career?

Entry-level positions typically require completion of a certificate and passing one of the certification exams 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 long 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.

What is the difference between certification exams (CPC, CCA, and CBCS)?

Obtaining a CPC, CCA, or CBCS certification implies that an individual has met competencies in the field of medical billing and coding. Certification is invaluable to the student's career goals. Students have an opportunity to make confident, informed decisions about the national certification they prefer.

The Certified Professional Coder (CPC) exam is offered by the American Academy of Professional Coders (AAPC). It is the gold standard entry-level coding certification for physician, or professional fee, coders.

The Certified Coding Associate (CCA) is offered by the American Health Information Management Association (AHIMA). It is an entry-level medical coding certification across all settings--physician practices and inpatient hospital.

The Certified Billing and Coding Specialist (CBCS) is offered by the National Healthcareer Association (NHA) and is currently an entry-level medical billing certification for physician practices. In the summer of 2021, the exam will transition to an entry-level billing and coding certification, with the inclusion of ICD-10-CM, CPT, and HCPCS Level II testing.

Is medical billing and coding a good career?

U.S. News & 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.

Continuing Education

Global Initiatives' Continuing Education offers and administers a variety of credit and non-credit programs that broaden the traditional Miami classroom experience for learners of all ages.