Medical Billing and Coding Program
The job of a medical coder/biller is to interface between the medical administration (the office where you are employed) and insurance companies from whom reimbursement is sought for treating patients. As a coder, your job is to generate inpatient or outpatient records, while as a biller, your job is to process billing records based on the cost of treatment. Effectively, the job of a billing and coding specialist is about medical treatment records and claims processing. This requires knowledge of ICD-9-CM/ICD-10 guidelines or classification, CPT codes, medical terminology and anatomy & physiology. Your job is to generate these case files based on treatment procedures, diagnostic codes, coding & billing guidelines and standardized procedures for medical claims reimbursement. Most billing and coding specialists work in a doctor's office, hospital or similar medical facility. Such workplaces are usually located near the city center or across large cities within proximity of health care business districts. The two main national certifications today are AAPC's Certified Professional Coder (CPC) credential, and AHIMA's Certified Coding Specialist (CCS) credential. Hands medical Career School prepares student for Certification required for the job. Upon completion of the training student need to pass CPC or CCS-P certification exams anywhere in the US for employment. Students will be tested on topics that include ICD-9-CM or ICD-10-CM, HCPCS, medical terminology, anatomy, anesthesia, radiology, pathology, medicine, evaluation & management. Either of these credentials will help you get a job in a doctor's or physician's office with a starting salary of $34,000-43,000 per year. The U.S. Bureau of Labor Statistics (BLS) predicts stable employment outlook for medical billing and coding specialists at least up to 2018. However, it is mandatory that you have at least one national certification in your resume.
Goal:Our Goal at Hands Career School is to help prepare students for certification as a medical billing and coding professional. Our syllabus and school curriculum is geared toward making sure that our students will pass very easily the Medical Billing and Coding Certification program.
Students must have High School Diploma or GED and must be at least 18 years of age to enroll.
Duration of training:
Six Months (28 weeks)
Monday-Thursday, 8am-3:30pm Day Classes
Monday-Thursday, 4pm-10:30pm Evening Classes
At the end of the training, students should be able to:
- Identify laws, theories relating to ethics.
- Identify the role of medical code.
- Use electronic medical software and computer to process claims.
- Understand the use and application of CPT, LCD9, LCD 10, Coding guidelines to identify diagnosis, procedures and medical records.
- Be able to retrieve and reimburse patient records based on procedures.
- Learn terms, facts, methods procedures, concepts within medical coding and billing scenarios.
- Understands laws and theories including issues relating to ethics and confidentiality.
- Calculate solutions to mathematical problems related to reimbursement and medical math.
- Interpret and evaluate information to proper coding decision.
- Review basic written or workplace communication skills.
Our experienced teachers are well versed in the area of medical billing with so many years of practical experience. You will get personalized training and support all the way. To make sure you succeed, we have detailed curriculum for the program as be seen below:
Medical insurance and managed care.
Students should ensure that the school they train for medical billing and coding offers a course in medical insurance systems. There are various forms, and it's significant that professional medical billers are familiar with all kinds. This course would provide you with thorough information on health maintenance organizations (HMOs). It should also help you learn how to understand and interpret patient charts and physician notations, as well as the skills to obtain correct ICD-o and CPT codes.
Government Programs and Policies.
Medical billing programs should also provide a detailed evaluation of government programs and exactly how they relay to the medical billing activities. This course should give you a chance to practice processing medical claims for Medicare, Medicaid and TRICARE. Students in this course should gain an understanding of the main tasks of a medical billing specialist and gain more understanding of key medical terms essential for this career field.
Electronic Data Interchange and Modifies Medical Documentation.
This course provides you with the skills required to process electronic data exchange and interchange and provide an opportunity to work with diverse types of computer claims systems. Students would also get the chance to perform electronic data interchange working with an outside claims clearinghouse.
Evaluation and Management.
Any medical billing program should provide students with the skills to examine and evaluate medical documentation. This class should provide students with the ability to understand all the language on a normal invoice. This medical billing class must also provide the students with strategies to trace delinquent accounts and learn to collect on them. Students will also gain knowledge about workers' compensations laws. As always, a medical documentation class will incorporate some medical terminology discussions as well.
Health Insurance Claim Forms:
Students in a medical billing program should gain a thorough knowledge of the various health insurance claim forms. A class in health insurance forms should provide students with the training to complete and process popular insurance forms, like the CMS-1500 and UB-92.* Any professional medical biller should feel very confident in how to complete and examine health insurance claim forms, especially the popular forms since these are the ones you'll see on a regular basis. Prior to enrolling any medical billing program, make sure to find out what forms you'll get experience working with.
One of the most important parts to any medical billing program is the opportunity for students to get real experience by working in an externship. Externships permit students to leave the classroom setting and to work in an actual medical billing office. This not only offers great experience, but it also might provide a job recommendation which beefs your resume when you start looking for a billing and coding job after graduation. Vocational schools can never promise you a job, but they can help you get knowledge in an externship - which is a step toward getting a real job. Hands Career School offers an externship or internship program for our students.
- Medical terminology for bills
- CMS ISOO Forms
- Medical Billing office management /software
- Understanding codes
- Insurance claims
- Workers compensation
- Paper claims