Certified Medical Biller and Coder Specialist

Medical billing and coding deal with the financial and patient communication among medical practices. They are responsible for patient files and notes. People working in this career may also process payments, including send out bills and dealing with insurance claims. This Medical Coding and Billing course, offered by our accredited school partners, will provide you with the skills you need to perform the required tasks in this career field. Students will learn:
• An overview of healthcare and the insurance industry
• 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
• Detailed review and practice coding examples from the CPT
• Basic claims processes for insurance and 3rd-party reimbursements
• Completing common insurance forms, tracing delinquent claims, and appealing denied claims

Enroll through one of our accredited university or college partners today!

Medical Billing and Coding (with ICD-10) modules:
• Reimbursement, HIPAA, and Compliance
• ICD-10-CM Guidelines: An Overview
• ICD-10-CM: Organization and Rules
• ICD-10-CM: Coding Guidelines Part 1
• ICD-10-CM: Coding Guidelines Part 2
• ICD-10-CM: Coding Guidelines Part 3
• Introduction to the CPT and Level II National Code (HCPCS)
• CPT Modifiers
• CPT Coding: Evaluation and Management Services
• CPT Coding: Anesthesia Services
• CPT Coding: Surgery
• CPT Coding: Integumentary and Musculoskeletal System Procedures
• CPT Coding: Respiratory System Procedures
• CPT Coding: Cardiovascular System Procedures
• CPT Coding: Hemic, Lymphatic, Mediastinum, and Diaphragm Procedures
• CPT Coding: Digestive System Procedures
• CPT Coding: Urinary and Male Reproductive Systems Procedures
• CPT Coding: Female Reproductive System, Maternity Care, and Delivery Procedures
• CPT Coding: Endocrine and Nervous System Procedures
• CPT Coding: Eye and Ocular Adnexa, Auditory System, and Microscope Procedures
• CPT Coding: Radiology Procedures
• CPT Coding: Pathology and Laboratory Procedures
• CPT Coding: Medicine Procedures
• Inpatient Coding

Anatomy & Physiology modules:
• Introduction to Body Structure and Organization
• The Integumentary System
• The Skeletal System
• The Muscular System
• The Nervous System and Special Senses
• The Cardiovascular System
• The Immune System
• The Respiratory System
• The Digestive System
• The Urinary System
• The Endocrine System
• The Reproductive Systems

Medical Terminology modules:
• The structure of medical terms
• The differences between prefix and suffix
• Testing and radiology using medical terminology
• The different body systems in relation to medical terminology

All required reference materials are provided with this program. Technical requirements:

Internet Connection
• Broadband or High-Speed (DSL, Cable, Wireless)
Hardware Requirements
• Processor - 2GHz Processor or Higher
• Memory - 1 GB RAM Minimum Recommended

Software Requirements
• Operating Systems - Windows 7, 8 or 10; Mac OS x 10 or higher
• Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers - Google Chrome is highly recommended
• Cookies MUST be enabled
• Pop-ups MUST be allowed (Pop-up Blocker disabled)
• Adobe PDF Reader

After completing this program students will be prepared to sit for any of the billing and coding certification exam. **Some certification exams have additional requirements**
Included in this program is the CBCS certification from NHA! Individuals with a CBCS certification from NHA gain access to the knowledge and training they need to prepare for a rewarding and meaningful career as a sought-after Billing & Coding Specialist.
As a CBCS, you may perform some or all of the following tasks:
Gather/review essential patient information
Verify required documentation before patient information is released
Prevent fraud/abuse by auditing billing
Support coding and billing process
Assign codes for diagnoses and procedures
Submit claims for reimbursement
Coach healthcare providers to achieve optimal reimbursement
Billing & Coding Specialists have an expansive range of opportunities for employment. The skills learned through the NHA CBCS certification are essential to hospitals, physician offices, surgery centers, nursing homes, dental offices, home healthcare agencies, mental health facilities and even insurance companies and consulting firms. Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.

This class is an independent-study course. Students will have all the resources needed to successfully complete the course within the online material. A student helpdesk is available for technical support during the course enrollment.