MEDICAL BILLING & CODING
CERTIFICATION: NHA-CBCS
PROGRAM COSTS: Varies
COURSE CONTACT HOURS: 375
PROGRAM DURATION: 6 Months
EXTERNSHIP AVAILABLE: Yes
COURSES AVAILABLE THROUGH
Tyler Junior College TJC-MC04
Download TJC Course Outline
Texas A&M TAMIU-MC04
Download TAMIU Course Outline
The Medical Billing & Coding Profession
Medical billing and coding is one of the fastest-growing careers in the healthcare industry today! The need for
professionals who understand how to code healthcare services and procedures for third-party insurance
reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities,
chiropractic practices, physical therapy practices, and other healthcare providers all depend on medical billing
and coding for insurance carrier reimbursement. The medical industry will have almost 50% more jobs
available by 2022; therefore, a surplus of medical facilities will continue to hire candidates who specialize in
medical billing and coding.
The Medical Billing & Coding Program
This billing and coding course offers the skills needed to perform complex coding and billing procedures. The course covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-9 (Introduction and Guidelines) and basic claims processes for insurance reimbursements.
This billing and coding program delivers the skills students need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement. This course covers the following key areas and topics:
- An overview of healthcare and the insurance industry
- The organization and use of the ICD-9-CM, CPT, and HCPCS manuals to identify correct codes
- Detailed review and practice using the alphabetic index and tabular list of the ICD-9-CM
- Detailed review and practice coding examples from all sections within the CPT
- Basic claims processes for medical insurance and third-party reimbursements
- Completing common insurance forms, tracing delinquent claims, and appealing denied claims
Certification Opportunities
Detailed Course Information
- Introduction to International Classification of Diseases, Clinical Modifications and Coding Guidelines
- Introduction to the organization and use of the ICD-9-CM and CPT manuals
- Basics of diagnostic and procedural coding
- The Health Insurance Claim Form (CMS 1500)
- HIPAA and Electronic Data Interchange (EDI)
- Review and practice coding Evaluation and Management (E&M) services
- Review and practice coding from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT
- CPT Modifiers, E and V Codes, and Late Effects
- Coding surgical procedures of the integumentary system
- Coding surgical and medical procedures of the cardiovascular system
- Coding procedures related to the female genital system and maternity care and delivery
- Coding for general surgery, radiology, pathology and laboratory services
- Coding for diagnostic and therapeutic services and the Level II National Codes
- Tracing delinquent claims and insurance problem solving
- Third-party reimbursement issues
Education and Certifications
- Students should have or be pursuing a high school diploma or GED.
- National Certification exam is available to students who successfully complete this program: National Healthcareer Association (NHA) Billing and Coding Specialist Certification (CBCS)
Technical Requirements
- Windows 7, XP or Vista
- 56K modem or higher
- Soundcard & Speakers
- Firefox, Chrome or Microsoft Internet Explorer
MAC OS USERS
- Mac OS X or higher (in classic mode)
- 56K modem or higher
- Soundcard & Speakers
- Apple Safari
System will support the two latest releases of each browser. When using older versions of a browser, users risk running into problems with the course software.
- Windows Users: Firefox, Chrome, Explorer
- Mac OS Users: Safari, Chrome, Firefox
We recommend setting your screen resolution to 1024 x 768 pixels.
SUGGESTED PLUGINS
- Flash Player
- Real Player
- Adobe Reader
- Java
U.S. Department of Labor
Career Information
The information below provides helpful job information, statistics and projections for this program’s related career tracts.
| Career | Median Salary | Job Openings | Growth Rate | |
|---|---|---|---|---|
| Bookkeeping, Accounting, and Auditing Clerks | $38,390 | 186,600 | -1% to 1% | |
Description |
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| Compute, classify, and record numerical data to keep financial records complete. Perform any combination of routine calculating, posting, and verifying duties to obtain primary financial data for use in maintaining accounting records. May also check the accuracy of figures, calculations, and postings pertaining to business transactions recorded by other workers. | ||||
| Job Titles Include | ||||
| Account Clerk, Accounting Assistant, Accounting Associate, Accounting Clerk, Accounting Specialist, Accounting Technician, Accounts Payable Clerk, Accounts Payable Specialist, Accounts Payables Clerk, Accounts Receivable Clerk | ||||
Wages |
Bottom 15% | Median Salary | Top 10% | |
| United States | $23,880 | $38,390 | $59,630 | |
Employment |
current employment 2016 | projected job openings 2016 - 2026 | projected growth 2016 - 2026 | |
| United States | 1,731,000 | 186,600 | -1% to 1% | |
typical tasks |
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| New Accounts Clerks | $34,990 | 4,000 | -2% or lower | |
Description |
||||
| Interview persons desiring to open accounts in financial institutions. Explain account services available to prospective customers and assist them in preparing applications. | ||||
| Job Titles Include | ||||
| Administrative Assistant, Customer Service Representative, Financial Services Representative, Loan Processor, Member Service Representative, New Accounts Representative, Personal Banker, Relationship Manager, Retail Banker, Retail Service Representative | ||||
Wages |
Bottom 15% | Median Salary | Top 10% | |
| United States | $25,990 | $34,990 | $50,010 | |
Employment |
current employment 2016 | projected job openings 2016 - 2026 | projected growth 2016 - 2026 | |
| United States | 42,000 | 4,000 | -2% or lower | |
typical tasks |
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