Certified Medical Biller and Coder Specialist - Austin Peay State University
Healthcare and Fitness

Certified Medical Biller and Coder Specialist

365 Hours
6 Months
Beginner
English

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

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.

6 Reasons to Complete Your Training With Us

Flexibility
With our programs, you can learn and study at your own pace with access 24/7/365 for the duration of your program. This means you can learn on your own terms and work around your own schedule.
Support
Our online training comes with access to real, live support personnel that will help you through every step from our admissions adviser who will assist you with selecting the right training for you, to our student adviser who will be there with you during your entire training journey.
Relevancy
We have tailored our programs to provide comprehensive training in the technical and soft skills employers are looking for. With direct input and feedback from industry leaders and hiring managers, our program aligns with exactly what you need to successfully enter the workforce.
Certification
Our career training not only gives you the knowledge you need but preparation for the certification exams relevant to your desired career path. If you are pursuing an exciting new career in a field with a national certification, our program will both prepare you to sit for the exam but will often include a voucher for the exam cost.
Simulations and Case Studies
Our training programs have been developed with real learners and professionals in mind, so our programs incorporate real-world case studies and virtual simulations that will provide examples and interactions with real-life situations you may encounter during your career. These allow you to learn by experience with circumstances similar to what will be your daily responsibilities on the job.
Engaging and Interactive
Our training curriculum was developed with you in mind, looking at modern day learners and their needs. Our curriculum contains a mix of formats including reading, listening, watching, and interacting that will immerse you into a fun and engaging learning experience you will not only enjoy but not want to end.

Program Description



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!

FAQ

To request more information, you can contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

Online courses are accessible 24/7/365 and self-paced, allowing you to progress at your own pace on your own schedule. They can be taken from anywhere in the world from the comfort of your own home. Classroom courses have a set schedule of the days and times the courses will be held, and you must attend during those specific times.

Find out if online learning is right for you by contacting our team of registration advisers. Our team is available to answer any of your questions about taking an online course before you commit to enrolling. We will walk you through what to expect to ensure you are making the right decision. You can contact a registration adviser today via online chat, our website contact form, or toll free at 1-855-201-6910.

No, you are not required to have a diploma or higher education degree to enroll in an online course. However, some occupations may require minimum educational thresholds for employment or certification. For more information on your desired career requirements, please contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

To take an online course, you will need to have access to an internet connection and an internet ready device such as a laptop, PC, or tablet. For course specific requirements, please visit the course page or contact a registration adviser today.

Our courses are developed with multiple formats including text, audio, video, and interactivity. Our courses also include multiple resources and tools which can include flashcards, games, activities, and more.

No, you can take the online courses from anywhere in the world.

We participate in several financial assistance options including third party funding, both military and non-military. To request more information on the financial assistance options available and check your eligibility, contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

Duration is the amount of time you will receive access to your course. Durations vary by course and range between 1 month and 12 months. If you complete your course before your duration ends you will continue to have access to your course until the duration period ends.

Many of our career training programs include certification vouchers. This means that at the successful completion of your course, at no additional charge, you will receive an exam voucher for the corresponding industry certification. This voucher will allow you to register and sit for the appropriate certification exam to obtain your industry credential.

Our online courses are open enrollment, so you can start immediately. If you are using any third-party funding to cover your course tuition, your start date may be a future date determined by your funding program.

Once enrolled, you will be assigned a client adviser who will provide you with customer and technical support. Your client adviser will supply you with your course access information, any needed materials, and be available to answer any questions you have during your training experience. They will regularly check-in with you to monitor your progress and assist you with staying on track. You will also be assigned to a course mentor who will provide curriculum support throughout your training. Your mentor is available to answer any questions you have on your course curriculum, will monitor your progress and understanding of the curriculum, and may give assignments or quizzes.

If you experience any trouble accessing your course including technical issues or lost login credentials, please contact your client adviser at Austin Peay State University.

Our goal for students is to successfully complete their training course and achieve their career goals. We understand that extenuating circumstances can interfere with your ability to complete your course in the duration given. Because of this we have free or low-cost extensions available for our courses upon request. To discuss or request an extension please contact your client adviser at Austin Peay State University.

Upon successful completion of your course and fulfillment of any outstanding financial obligations, you will receive your certificate of completion. Certificates are provided to you within 30 days of completion. Your certificate will validate the training course you completed with a stamp of completion.

Students that successfully complete our career training programs are assigned a career development adviser who will coordinate placement at a local externship or hands on opportunity. These opportunities are optional and may vary based on availability and occupation. Your career development adviser will also provide job search services such as: resume building, mock interviews, job opportunity resources, and more. Our professional enrichment courses do not come with a career adviser or career services.