Certificate in Medical Billing and Coding

Medical Billing and Coding

About Medical Billing and Coding

Examining diagnoses, test findings, treatments, and other data, medical coders give the appropriate medical codes. Medical billers prepare and structure bills with coded information before sending them to insurance providers or individual customers for payment. Medical coding specialists are projected to be in greater demand and earn higher salaries as technology is integrated and data usage in the healthcare industry increases. A job in medical coding may be very financially rewarding in the healthcare industry.

Why is Medical Billing and Coding important?

To choose the right codes, medical coders assess the data in the patient's records. This is necessary to ensure correct invoicing and prompt payment of the healthcare practitioner for the services provided. The goal of medical billing is to guarantee that the provider is fairly compensated for the services provided. Payment must be punctually received and represent the value of the work done.

Who should take the Medical Billing and Coding Exam?

• The individuals who are interested in pursuing a career as a medical biller and coder.
  

Medical Billing and Coding Certification Course Outline

1. The Business of Medicine
2. Review of Anatomy
3. Overview of ICD-10-CM
4. Applying the ICD-10-CM Guidelines
5. Accurate ICD-10-CM Coding
6. Introduction to CPT®
7. HCPCS Level II, and Modifiers
8. Integumentary System
9. Musculoskeletal System
10. Respiratory System
11. Cardiovascular System
12. Hemic & Lymphatic Systems, Mediastinum, Diaphragm
13. Digestive System
14. Urinary System and Male Genital System
15. Female Reproductive System and Maternity Care & Delivery
16. Endocrine System and Nervous System
17. Special Senses (Ocular and Auditory)
18. Anesthesia
19. Radiology
20. Pathology & Laboratory
21. Introduction to Healthcare
22. Health Insurance Models
23. Patient Registration Process/Data Capture
24. Introduction to ICD-10-CM Coding
25. Introduction to CPT® Coding
26. Introduction to HCPCS Level II Coding
27. Medical Necessity
28. Claim Forms (CMS-1500 and UB-04)
29. Billing
30. A/R and Collection Concepts
31. Government Carriers (Medicare, Medicaid, and TRICARE)
32. Blue Cross/Blue Shield
33. Commercial Insurance Carriers