Medical Billing and Coding is one of the fastest-growing careers in the healthcare industry today with almost 50% more jobs available by 2018! Physician, physical therapy and chiropractic practices; hospitals, pharmacies, long-term care facilities, and other healthcare providers depend on medical billing and coding for insurance carrier reimbursement.
Topics and Key Areas Covered in This Combined 80-Hour Course:
- An overview of healthcare and the insurance industry
- Introduction to the organization and use of the ICD-10-CM, CPT, and HCPCS manuals to identify correct codes
- Detailed review and practice using the alphabetic index and tabular list of the ICD-10-CM as well as coding examples from all sections within the CPT
- Basic claims processes for medical insurance and third-party reimbursements, insurance issues and problem solving, completing common insurance forms, tracing delinquent claims, and appealing denied claims
- Manually file claims (using the CPT and ICD-10 manual), use generic forms to streamline billing procedures
- Introduction to International Classification of Diseases, Clinical Modifications and Coding Guidelines
- 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 as well as from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT
- CPT Modifiers, E and V Codes, and Late Effects
- Coding surgical and/or medical procedures of the integumentary system; cardiovascular system; female genital system and maternity care and delivery; general surgery, radiology, pathology and laboratory services; diagnostic and therapeutic services and the Level II National Codes
Students should have or be pursuing a high school diploma or GED. Students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H Apprentice,; the American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam, and/or other national certification exams (some may recommend 6 months to 2 years of practical work experience).