Medical Billing and Coding

Medical billing and coding is a rising star in the healthcare field today. In this 100% online course you’ll learn how to use the Healthcare Common procedure Coding System (HCPCS) and the CPT Category II and ICD-10 codes and be prepared to sit for national certification exams.

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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.

Course Objectives

  • Be fully prepared to sit for the Certified Billing and Coding exams.
  • Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures.


Lesson I: Medical Terminology
  • Learn common medical terminology including the systems of the body, diagnostic procedures, nuclear medicine, and pharmacology.
Lesson II: Introduction to Medical Billing and Coding
  • Will be a general overview of Medical Billing and Coding as a career including where one might work and the technical and interpersonal skills individuals should have to be successful.
Lesson III: Health Insurance
  • This section will cover terminology, types of insurance and documentation common to health insurance.
Lesson IV: Healthcare
  • Students will learn about the types of healthcare providers and plans.
Lesson V: Revenue Cycles
  • You will learn to the entire revenue cycle from new patient registration to filing claims and collection.
Lesson VI: Legal Considerations
  • In this lesson you will learn about legal topics important to healthcare including HIPAA and Fraud.
Lesson VII: ICD-10-CM
  • Overview of ICD-10-CM, as well as coding guidelines, conventions, and steps for assigning ICD-10-CM codes.
Lesson VIII: 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.
Lesson IX: Pharmacology
  • Get a basic overview of pharmacology as it applies to coding including methods of administration and drug classifications.
Lesson X: Submitting Electronic Claims and CMS 1500
  • Electronic Data Interchange (EDI), electronic claims submission, and the National Uniform Claim Committee.
Lesson XI: Types of Insurance
  • This lesson will go more in-depth into the types of insurance including Commercial Insurance, Disability, Worker’s Compensation, Blue Cross/Blue Shield and Medicare
Lesson XII: Your Job Search
  • Decide which is the right certification for you depending on your career goals and how to land a job as a Medical Biller and Coder.

This online class will begin within 24-hours of student enrollment. Students will have 12-months to access their course and will complete approximately 370 hours of course work during this time.

Instructors

  • Nancy Smith 
  • LaTisha Cottingham 
  • Carline Dalgleish 
  • Lydia S. Stewart 
  • Bunny Reeves 
  • Sharon L. Blackford 
  • Stacey OBrien 


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 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.

Carline Dalgleish has worked in medical office administration for over 30 years. She holds a bachelor’s degree in Business Information Systems, a master’s degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and owns her own consulting firm, AnnGrant Educational Services.

Lydia S. Stewart, RN, BSN, currently serves as the Revenue Cycle Manager at a large regional medical center. Lydia has been a Registered Nurse for 23 years, 15 of those years specializing in Critical Care Nursing and supervision. She is responsible for Medical Audits, Charge Capture, and governmental compliance audits and reviews. Lydia is a member of the Louisiana Medical Auditor Association and Healthcare Financial Management Association (HFMA).

Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island’s St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).

Sharon L. Blackford, MA, BA, RMA, has over 30 years of experience in the medical field. She has a Master’s degree in Organizational Management, a Bachelor’s degree in Business Management, and has served as a Registered Medical Assistant since 1994. Sharon was an active duty Clinical Specialist in the U.S. Army for 10 years. Sharon later moved to the Gulf Coast to accept a position as the Director of Education of Blue Cliff College and was promoted to Campus Director.

Stacey O’Brien has more than 10 years of experience in medical coding and reimbursement. Ms. O’Brien has been a risk adjustment coder for a Medicare advantage plan, audited medical records for a consulting firm, and currently supervises the coding and electronic claims submission process for a group medical practice. She has a bachelor’s degree from the University of Pittsburgh and a CPC coding certification from the AAPC.

 

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Medical Billing and Coding FAQs

 

WHERE CAN I GET MORE INFO ON CERTIFICATIONS?Students can choose one of three national certifications to pursue upon completion of this course. They are The American Association of Professional Coder's CPC, The American Health Information Management Association's CCA, and The National HealthCareer Association's CBCS exam. WHAT DOES A MEDICAL BILLING AND CODING SPECIALIST DO?Medical billing and coding specialists are typically tasked with gathering patient information, assigning codes for diagnoses and procedures, verifying documentation for patient release, and submitting reimbursement claims. IS THERE A DIFFERENCE BETWEEN MEDICAL BILLING AND MEDICAL CODING?Yes. Coders translate patient care into current procedural terminology (CPT) codes. Billers are responsible for creating claims based on codes. Many professionals in this area do both billing and coding. 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?Earning a medical billing and coding certification can take up to one year, while earning an associate degree can take up to three years. More experienced billers and coders can advance by pursuing additional certification through ahima.org and aapc.com. 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.