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Online Medical Billing & Coding / Course Descriptions

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.

Registration and Enrollment

  • This course is 100% online. Start anytime.

Course Descriptions

MEDICAL TERMINOLOGY

 

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

INTRO 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.

INTRO 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 Bookwork, 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.

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