Healthcare in America has undergone tremendous change in the recent past, and more changes are promised for the future. These changes have resulted in an increased demand for qualified medical coders. Ever-changing regulations and reimbursement procedures have created a complicated rules and regulations system that requires specialized training and knowledge. Students are given the knowledge and tools necessary to navigate the complex world of medical coding.
Medical billing professionals keep records, calculate patient charges, and maintain files of payments made to accounts. Duties include reviewing medical records, calculating charges for a patient’s medical care, preparing itemized statements, reviewing purchase orders, and tracking accumulated hours.
Medical coders are responsible for the collection of physician charges and patient data to ensure that claims are submitted to insurance carriers accurately and in the most efficient and expeditious manner. Medical coders locate and identify codes for physician procedures and diagnosis using ICD-10 and CPT coding protocols for third party billing purposes.
This non-credit 80-hour billing and coding course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-10 manual), complete common insurance forms, trace delinquent claims, appeal denied claims and use generic forms to streamline billing procedures. The course covers the following areas: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-10 (Introduction and Guidelines) and basic claims processes for medical insurance and third party reimbursements. Students will learn how to find the service and codes using manuals, (CPT, ICD-10 and HCPCS).
National Certification: After obtaining the practical work experience (6 months to 2 years), students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC) or Certified Outpatient Coder Exam (COC); the American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams.
Format: lecture, class discussion, group discussions, role-playing, critical thinking exercises, and application activities. Student performance will be evaluated as follows: Attendance and class participation (50%), quizzes (25%), and final exam (25%). This is a pass/fail class with no exceptions. Passing students will receive a Certificate of Completion.