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    Certified Medical Biller and Coder

    This assessment rich program is targeted at individuals pursuing a career in the healthcare industry as a medical biller and coder. During this course, you’ll learn the necessary skills and knowledge required for a certified medical biller and coder. You’ll learn the procedures of processing patient data such as diagnoses, insurance information, medical bills, etc. You’ll be trained in CPT, HCPCS, and ICD-10 for coding, dealing with insurance providers, and learn all the necessary medical terminologies.

    Program Name

    Certified Medical Biller and Coder

    Program Code

    HF-MBC-CPC-03

    Website Short Description

    This assessment rich program is targeted at individuals pursuing a career in the healthcare industry as a medical biller and coder. During this course, you’ll learn the necessary skills and knowledge required for a certified medical biller and coder. You’ll learn the procedures of processing patient data such as diagnoses, insurance information, medical bills, etc.
    You’ll be trained in CPT, HCPCS, and ICD-10 for coding, dealing with insurance providers, and learn all the necessary medical terminologies.
    After completing this course, you’ll be proficient in the following areas:
    • Medical terminologies and a basic understanding of Physiology and Anatomy
    • Coding for laboratory services, surgical procedures, pathology, and radiology
    • Coding of management and evaluation procedures
    • Using coding modifiers
    • Insurance problem solving and tracing illegitimate claims
    • HIPAA and EDI
    • Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and coding manuals and sets of HCPCS
    • Federal and local regulations
    • Managing reimbursement claims by third-party
    Get certified!
    After successful completion of this program, you’ll be provided a voucher that will allow you to sit for the AAPC certified professional coder certification examination along with a one-year membership of the American Academy of Professional Coders (AAPC).

    Duration

    12 months

    Hours

    415

    Language

    English

    Prerequisites

    The training in this program is ideal for both entry level professionals looking to start out in the field and those professionals currently working in the field who are looking to either advance their skills or prepare to sit for an industry certification.

    Outline

    Module 1: Healthcare Fundamentals
    • The History of Healthcare
    • Healthcare Etiquette
    • Professional Situations and Applications

    Module 2: Communication in Healthcare
    • Healthcare Teams
    • Team Success
    • Champions

    Module 3: Medical Documentation and Record Keeping: HIPAA
    • Use and Disclosure
    • Real Life Scenarios
    • HIPAA Laws, Policies, and Requirements

    Module 4: Medical Terminology
    • Word Structure
    • Prefix, Root Word, and Suffix
    • Organization of the Body
    • Diagnostic Testing and Radiology

    Module 5: Anatomy & Physiology
    • Anatomy and Physiology Basics
    • Musculoskeletal, Integumentary, and Respiratory Systems
    • Digestive, Reproductive, and Urinary Systems
    • Blood and the Cardiovascular System
    • Lymphatic, Immune, and Endocrine Systems
    • Nervous and Sensory Systems
    • Medical Billing and Coding Anatomy & Terminology

    Module 6: Soft Skills
    • Teamwork & Patient Service in Healthcare
    • Critical Thinking Skills in Healthcare

    Module 7: Being a Medical Coder
    • Benefits and advantages of being a medical coder
    • Different industry certifications offered through AHIMA and AAPC
    • Advantages of AHIMA and AAPC membership
    • Career advantages of obtaining an industry certification

    Module 8: Medical Coding: CPT
    • Integumentary, Musculoskeletal, Respiratory Systems
    • Cardiovascular, Digestive, Endocrine, Nervous Systems
    • Anesthesia, Pathology, Radiology
    • Evaluation Management, Medicine, HCPCS Modifiers

    Module 9: Medical Coding: ICD-10
    • Structure
    • General Guidelines
    • Chapter Guidelines Part I
    • Chapter Guidelines Part II
    • Practice Scenarios

    Module 10: Medical Billing and Reimbursement
    • Billing and Reimbursement
    • Health Insurance Basics
    • Claims
    • Accounts, Collections, and Banking

    Module 11: The Evolution of CPT and ICD
    • The Current Procedural Terminology (CPT)
    • Updates to the coding systems
    • Most important changes that impact primary care coding
    • The International Classification of Diseases

    Module 12: Legal Standards
    • Medical Regulations Governing Legal & Ethical Standards
    • Applying Medico-Legal Principles to PHI

    Audience

    This program is targeted at individuals seeking the knowledge and skills necessary to pursue a career in the fast growing field of medical billing and coding. Though this program prepares learners to sit for any industry certification, it includes the American Academy of Professional Coders' (AAPC) Certified Professional Coder (CPC) exam.

    Certification

    After completing this program students will be prepared to sit for the AAPC's Certified Professional Coder (CPC) exam. Included in the program tuition is a voucher for the certification exam, and one year membership fee to AAPC, as well as the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam).
    The CPC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules.
    A CPC must have at least two years medical coding experience (member's with an apprentice designation are not required to have two years medical coding experience.) Membership is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise.
    Due to the level of expertise required of medical coders, AAPC expects certified coders to be able to perform not only in an exam setting but also in the real world. In addition to passing the certification exam, coders will also be required to demonstrate on-the-job coding experience. Those who pass the CPC exam but have not yet met this requirement will be designated as an Apprentice (CPC-A) on their certificate.
    CPC-A Status: Members with an Apprentice designation are still required to submit annual CEUs while completing the coding job requirement.
    Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.

    Instructor Description

    Though this course is self-paced, it is supported by a client adviser. Client advisers are available to answer student questions and monitor student progress to ensure completion of the course. Motivating and encouraging students, the client adviser gives students inspiration to succeed.

    Required Materials

    All required reference materials are provided with this program. Technical requirements:

    Internet Connection
    • Broadband or High-Speed (DSL, Cable, Wireless)
    Hardware Requirements
    • Processor - 2GHz Processor or Higher
    • Memory - 1 GB RAM Minimum Recommended

    Software Requirements
    • Operating Systems - Windows 7, 8 or 10; Mac OS x 10 or higher
    • Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
    • Internet Browsers - Google Chrome is highly recommended
    • Cookies MUST be enabled
    • Pop-ups MUST be allowed (Pop-up Blocker disabled)
    • Adobe PDF Reader

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