Medical Billing and Coding

Some professionals choose this field for its organized, detail-oriented work. But for many, it is a challenging and rewarding field that does not necessarily require direct contact with patients, and since most training programs can be completed in less than a year, you can begin building your life through your new rewarding career.
Medical Billing and Coding

Medical Billing and Coding

This is a field in which the billing professional submits a patient's claims to health insurance companies. Once processed, this allows a health care provider to receive payment for services rendered. The same happens for insurance companies, including both private and government-sponsored programs.

Medical Billing and Coding

Some professionals choose this field for its organized, detail-oriented work. But for many, it is a challenging and rewarding field that does not necessarily require direct contact with patients, and since most training programs can be completed in less than a year, you can begin building your life through your new rewarding career.

This is a field in which the billing professional submits a patient's claims to health insurance companies. Once processed, this allows a health care provider to receive payment for services rendered. The same happens for insurance companies, including both private and government-sponsored programs.

Our Program

A Medical Billing and Coding Certificate of completion will be ganted after completing eight required with a grade of “B” or better and at least 80% attendance.  To enter the program you must have a high school diploma, GED or equivalent.  You must also have basic computer skills.  There is a one-time registration/processing fee of $60.

  • Required Courses
  • Anatomy & Physiology
  • Medical Terminology
  • ICD-9
  • CPT-4
  • Medical Records Analysis
  • Health Insurance
  • Medical Manager (Computer Application)
  • Medical Payment Posting and Appeals

Course Descriptions

Anatomy & Physiology

Gain knowledge of the human anatomical structure, body functions and the various diseases that affect different systems and organs of the body.  Textbook required.

Medical Terminology

Learn the different medical terms used in today’s healthcare industry, their prefixes, toots and suffixes,; enabling you to understand their meanings.  Textbook required.

ICD-9

This course will teach you to put the clinician’s descriptive findings into a numeric form.  It takes skill and patience to learn this classification system that deciphers different forms of diseases and injuries. Textbook required.

CPT-4

The CPT-4 coding system is the process used for reimbursement of health care provider services to the patient.  You will learn this necessary common procedural terminology.  Textbook required.

Medical Records & Analysis

We will help you familiarize yourself with the different forms and reports that are used in documenting a patient’s chart, including administration sheets, progress notes, discharge summaries and more.  Textbook required.

Health Insurance

This course provides a comprehensive overview of health insurance topics including medical practice settings and specialties; traditional and managed care; commercial, HMO/PPO, Federal and State insurance plans. You will learn about eligibility and coverage, reimbursement methodologies, legal and ethical responsibilities, including HIPPA mandates, accounts receivable and revenue cycle tasks, including the scheduling and registration of patients.  Textbook required.

Medical Manager

This is one of the most popular medical billing software packages on the market today.  To have a competitive edge in any medical office environment you need to understand how to use this powerful software.  In this class, you will learn the basics of Medical Manager including building patient files, posting and editing entries and more.  Textbook required.

Medical Payment Posting and Appeals

This course will simulate an actual medical office, the students will obtain the knowledge, skills and abilities to effectively process all incoming remittances from major insurance carriers, Medicare/Medicaid, patients, attorney offices, No Fault, Workers Compensation, IME’s, etc. This course is designed to give the student the tools necessary to strongly enter the Medical Billing world in a manner that leads to success in this exciting and vibrant career.  Materials will be provided.

Certification

For employment it is not required that you have certification, but it definitely provided a competitive edge when looking for a job.  In order to become certified, you must pass the exam given by an accepted professional billing and coding association. Organizations like the AAPC, AHIMA, CPC, or NHA can administer the certification exams for you. A biller or coder can take such certification exams as the CMRS, RHIA and others.

The Job Market

Demand for qualified medical billers is closely associated with an aging population and changes in medical technology.

Graduates can work as a billing specialist, clerk or coding specialist. Medical coders and billers can work in doctors' offices, hospitals or other health care offices. Some medical coders can work for agencies that take work from nearby medical clinics that outsource the work to them.

A medical biller can pursue a career working as a consultant. After gaining enough professional experience, they can consider starting a company to service health care facilities.

According to the Bureau of Labor Statistics, nearly 179,500 medical insurance billers and coders (also called medical records and health information technicians) were employed as recently as 2010.* The majority of these job openings were provided by hospitals, but medical billers and coders also work in varied health care facilities such as doctors' offices, outpatient care centers and more.

Medical Billing Work from Home

There are many scams today offering work-at-home medical billing jobs. Some of these ads promise thousands of dollars a month by simply working at home. Unfortunately, most of these companies are advertising fraudulent information about the field.

It's actually very difficult to work from home as a medical biller. It often takes years of professional medical billing experience working in a medical office before being able to establish a client base to go solo. Whatever you do, don't fall for these scams. Make sure you take the time to investigate any medical billing program before joining and find out what types of jobs are available in your area. If you choose to work from home, be smart about how you set up your practice and seek the guidance of others who have worked in the industry while working from home.

*Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2012-13 Edition, Medical Records and Health Information Technicians, on the Internet at http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm (visited July 30, 2012. Publish Date: Thursday, March 29, 2012.)

Skills and Qualities for Success

The medical coding is perfect for someone who wants a job analyzing data and thinking about how to code various items. The medical coder spends most of his or her time assigning codes for various medical procedures. Every medical diagnosis or procedure within the health care industry must be assigned a proper code so that the provider can file for reimbursement from an insurance company.

The medical billing is perfect for those who enjoy dealing with people, because much of the time can be dedicated to talking with insurance companies and patients. The goal is to help make sure the medical billing process runs smoothly. Even though there are two distinct medical billing career paths, some professionals can choose to work in a blended job where they spend some time performing the functions of a medical biller and coder. Graduates of a good medical billing and coding school will have the skills to perform either function. It really depends on what types of jobs are available in the area.

For more information about the career, www.Medicalbillingcareer.org

Register Now.

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