Medical Billing Specialist

Healthcare Continuing Education

Become a Medical Billing Specialist

Medical Billing Specialists connect medicine with the legal and financial systems that support our healthcare system. As our population ages, the demand for these professionals is growing rapidly. In this 100% online course, you will learn all phases of the revenue cycle, including patient registration, charge capture, medical coding, claim submission, data analytics, payer reimbursement, patient billing, and collection practices. Upon successful completion, you will be ready to take and pass the Certified Professional Biller (CPB) exam offered by the American Academy of Professional Coders (AAPC). 

Enroll Now

Job Outlook for Medical Billing Specialists

  • The US Bureau of Labor Statistics (BLS) expects the demand for Medical Records and Health Information Specialists to grow by 8% between now and 2029. This is much faster than the anticipated growth rate for all jobs.
  • Average salaries for Medical Billing Specialists range from $34,362, according to Indeed.com to $37,440 according to ZipRecruiter.com. The AAPC reports that Medical Billing Specialists who hold its CPB status earn $55,078 per year, on average. Your compensation will depend on your experience, location and credentials, among other factors.

Medical Billing Specialist FAQs

Is certification important for Medical Billing Specialists?

Medical Billing Specialists submit claims to health insurance providers in order to arrange payment for patients’ medical treatments and procedures.

What is the difference between Medical Billing and Medical Coding?

Certifications such as those offered by the AAPC and NHA signal that you have undergone a structured and rigorous course of study to become prepared for your career. Because healthcare facilities work in a highly regulated environment, many require certification for initial hiring and job advancement.

How long does it take to become a Medical Biller and Coder?

Medical billing and coding are separate processes, but both are important regarding receiving payment for healthcare services. Medical billers are mainly responsible for submitting patient records to government agencies and insurance companies for services that have been provided in the care of the patient. Medical coders gather information on patient records and assign the proper codes for patient diagnosis, which are then used by medical billers to submit claim forms.

Course Objectives

  • Describe the different stages of the revenue cycle
  • Recognize federal laws that affect healthcare
  • Define health insurance and medical terminology
  • Use the ICD-10-CM, CPT, and HCPCS Level II codebooks to assign medical codes accurately
  • Explain the data entry requirements of a medical insurance claim form
  • Identify the billing guidelines of government and private payers
  • Recount the structures, functions, and disorders of the different body systems
  • Assign medical codes from different types of clinical documentation
  • Recognize fraud and abuse in medical billing

Curriculum

Medical Terminology

Medical Billing Specialist

Introduction to Medical Billing

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

Maximizing Reimbursement

Pharmacology for Medical Billers

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 (Optional)

FINAL