Certified Medical Biller and Coder Specialist

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

Upon completion of this course, students will be proficient in:
• The organization of the human body, the contribution that each system makes to homeostasis of the body, and the major anatomical structures and purposes of each body system
• Using the ICD-10-CM, CPT, and HCPCS manuals to identify correct codes
• Basics of diagnostic and procedural coding
• Basic claims processes for insurance and 3rd-party reimbursements
• Completing common insurance forms, tracing delinquent claims, and appealing denied claims
• The Health Insurance Claim Form (CMS 1500)
HIPAA and Electronic Data Interchange (EDI)
• Coding Evaluation and Management (E&M) services
• CPT Modifiers, E and V Codes, and Late Effects
• Coding for diagnostic and therapeutic services and the Level II National Codes
• Tracing delinquent claims and insurance problem solving
Third-party reimbursement issues

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.

Relevancy – With annual reviews and enhancements, this program guarantees accurate and relevant curriculum that meets employer requirements for the knowledge and skills demanded to successfully enter the workforce.
Career Readiness – Our Career Kit is designed to provide students with the practical tools they’ll need to help find a job once they have completed training and earned their certification. With our Career Kit, students are sure to impress! Using our practical templates and prompts, students can present their BEST self to future employers.
Curriculum Format – We believe career training should be engaging and fun, not exhausting, and boring. To achieve this, we have developed our program with a mix of formats including reading material, video lectures, procedure videos, interactive activities and games, knowledge check ins, and section assessments. By incorporating a balanced mixture of interactivity, engagement, and comprehension testing, this program ensures a well-rounded experience for students that will not only fully prepare them to enter the workforce but also provide a fun, entertaining way to learn. With real-life procedure videos, students are provided a combination of comprehensive instructions, visual and auditory demonstrations, and hands-on practice exercises.