Medical Billing and Coding

Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.

Yes. Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides. Many professionals in this area do both medical billing and medical coding.

Entry-level positions typically require completion of a certificate and passing one of the certification exams 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).

In most cases, it takes between one and three years 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.

Obtaining a CPC, CCA, or CBCS certification implies that an individual has met competencies in the field of medical billing and coding. Certification is invaluable to the student's career goals. Students have an opportunity to make confident, informed decisions about the national certification they prefer.

The Certified Professional Coder (CPC) exam is offered by the American Academy of Professional Coders (AAPC). It is the gold standard entry-level coding certification for physician, or professional fee, coders. 

The Certified Coding Associate (CCA) is offered by the American Health Information Management Association (AHIMA). It is an entry-level medical coding certification across all settings--physician practices and inpatient hospitals.

The Certified Billing and Coding Specialist (CBCS) is offered by the National Healthcareer Association (NHA) and is currently an entry-level medical billing certification for physician practices. In the summer of 2021, the exam will transition to an entry-level billing and coding certification, with the inclusion of ICD-10-CM, CPT, and HCPCS Level II testing.

U.S. News & World Report ranked medical records technicians (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.

• Be fully prepared to pass one of the following professional certifications that best aligns with your interest and career goals:
  • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC) 
  • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA) 
  • Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
• Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures
• Gain hands-on billing experience with medical billing and coding software
• Externship Starter Kit to help you gain valuable experience in the field
• Medical Biller standalone option for those who aren’t interested in Medical Coding

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Medical Terminology

Introduction to Medical Terminology

The Musculoskeletal System

The Cardiovascular System

The Lymphatic and Immune Systems

The Respiratory System

The Digestive System

The Urinary System

The Nervous System

The Special Senses the Eyes and Ears

The Integumentary System

The Endocrine System

The Reproductive System

Diagnostic Procedures, Nuclear Medicine, Pharmacology

Medical Billing and Coding

Introduction to Medical Billing and Coding

Introduction to Health Insurance

Managed Healthcare

Revenue Cycle Management

Legal Aspects of Health Insurance and Reimbursement

ICD-10-CM Coding 

CPT Coding

HCPCS Level II Coding

ICD-10-PCS Coding

Pharmacology for Coders

Midterm

Clinical Documentation Improvement (CDI)

Insurance Claims

Commercial Insurance

Blue Cross Blue Shield

Medicare

Medicaid, CHIP, TRICARE, Workers’ Compensation

Certification

How to Find a Job in Medical Billing and Coding

Final