Train to be a Certified Medical Billing and Coding Specialist
Medical billing and coding is one of the fastest-growing work-from-home careers in the healthcare field! This 100% online course will prepare you for success as you learn about legal, ethical, and regulatory concepts central to this field, including HIPAA compliance, official coding guidelines, and third-party payer requirements. You will come to understand all phases of the revenue cycle—from patient registration through medical coding, claims submission, reimbursement, and collections.
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- According to the Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average annual salary of $40,350 and work in one of the fastest-growing professions.
- The BLS also estimates that at least 27,000 new jobs will be needed in this profession by 2026.
What’s the difference between a medical biller and a medical coder?
Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides.
What are the requirements for a medical billing and coding career?
Entry-level positions typically require completion of a certificate or an associate degree program in medical billing and coding. Additionally, medical billing and coding professionals must understand the Health Insurance Portability and Accountability Act (HIPAA).
How many years does it take to become a medical biller and coder?
In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year. While earning an associate degree can take up to three years.
Can medical billers and coders work remotely?
Yes. However, this will vary depending on the healthcare organization that one works for and their level of experience within the medical billing and coding profession.
Is medical billing and coding a good career?
U.S. News and World Report ranked medical records technician (professionals that perform medical billing, medical coding, or both) as #9 on its list of “25 Best Jobs that Don’t Require a College Degree,” #12 in “Best Health Care Support Jobs” and on the “The 100 Best Jobs” list.
- Legal, ethical, and regulatory concepts central to the field, including HIPAA compliance and third-party guidelines for filing insurance claims
- The main coding manuals: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
- How to code diagnoses, services, and procedures for all systems of the body
- Fundamentals of medical billing and coding and medical terminology
- Word parts and the structures and functions of the human body
- Hands on exposure to an encoder application: Codify (AAPC)
- Receive access to study materials and be fully prepared to sit for one of the following professional certifications that best aligns with your interest and career goals:
- Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
- Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
- Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
Medical Terminology
Learn common medical terminology of the body and how it relates to diagnostic procedures, nuclear medicine, and pharmacology
Introduction to Medical Billing and Coding
Overview of medical billing and coding in today’s healthcare system
Healthcare Law
How HIPAA, the False Claims Act, and the Stark Law protect health information
Introduction to Health Insurance Terms
Health insurance terms, healthcare provider terms, and third-party reimbursement methods
Pharmacology for Coders
Definition of pharmacology, drug classifications, and routes of administration
ICD-10-CM
Overview of ICD-10-CM, as well as coding guidelines, conventions, and steps for assigning ICD-10-CM codes
CPT and HCPCS Level II Coding
How the Healthcare Common Procedure Coding System (HCPCS) and CPT Code Bookwork, and steps for assigning CPT and HCPCS Level II codes
Abstracting Information from Medical Documents
Coding from soap notes, consultation reports, operative reports, emergency room records, and procedure reports
New Patients, Insurance Claims, and EOBS
Electronic, paper, and hybrid medical records, practice management software, and developing insurance claims
Submitting Electronic Claims and CMS 1500
Electronic Data Interchange (EDI), electronic claims submission, and the National Uniform Claim Committee
Blue Cross/Blue Shield
Working with participating and nonparticipating providers
Medicare
Understanding Medicare, parts A, B, C, and D
Other Healthcare Programs
Medicaid, TRICARE, CHAMPVA, and workers’ compensation
ICD-10-PCS (Optional)
Overview, code structure, and definitions of ICD-10-PCS
Survey of Hospital Billing
Hospital revenue cycle, chargemaster, master patient index, and prospective payment systems
Career Roadmap for Medical Billing and Coding – Find a Job Fast
Marketing your skills and talents, creating a résumé and cover letter, interviewing and salary negotiation
Nancy Smith
Nancy Smith has over 30 years of experience in the healthcare industry. Her clinical experience includes working as a medical assistant for a network of rural health clinics, and as a medical coder, insurance claims specialist, and medical records auditor. Nancy holds a bachelor’s degree in vocational education and has developed and taught medical assistant programs.
LaTisha Cottingham
LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently, she is employed as an HIM Analyst for a long-term care establishment that is based out of Alabama.
This course is 100% online. Start anytime.
