Billing & Coding Specialist (492D)

Nature of Profession

A billing and coding specialist is trained to work in a variety of healthcare facilities such as hospitals, physician offices, nursing homes, durable medical equipment companies and clinics. The billing and coding specialist receives written documentation and transforms the information into diagnostic and procedural codes, verifies that the information is correct and complete, submits insurance claims for processing and provides follow up to ensure timely reimbursement. They collect revenues from insurance companies, third party claims and patients. They may obtain preauthorization from insurance companies for patients requiring certain medical procedures. Other duties include administrative duties such as answering telephones, corresponding with patients, managing office supplies, handling minor accounting for office, entering data into a computer and maintaining HIPAA compliance.

Related Job Titles

Some related job titles are medical assistant, medical biller and medical office manager.

Program Design

The program is designed to be completed in two semesters when taken on a full-time basis. Some students may choose to pursue the certificate on a part-time basis (within four semesters). Students should complete the program within the specified timeframe. Admission to the Allied Health Program requires written acceptance by the Allied Health Program Director according to the admission requirements listed on the Allied Health Program application packet. Students may elect to complete some or all of the general education course requirements prior to being admitted into the Allied Health Program. Continuation in the Allied Health Program requires a minimum grade of "B" in MAST/ALTH courses with a minimum cumulative and most current completed quarter grade point average of 2.4 to participate in the practicum experience.

Application Process

Enrollment in Allied Health courses is limited. Applicants are accepted on a first-come, first-served basis after the above criteria are met.

Application Submission

The following items must be submitted for an application to be considered "complete". Please compile the required documentation in the order below and paper clip the contents.

  • 1. Allied Health Program Application
  • 2. Program Agreement Form
  • 3. Copy of high school transcript verifying graduation or copy of GED certificate
  • 4. Southern State course history listing (must be printed from MyRecords [select Academics > My Grades > Undergraduate (under "Division") > All Terms This Division])
  • 5. Transcripts from any accredited institution (recognized by the Council for Higher Education Accreditation) previously attended
    • Coursework must be evaluated by the Southern State Director of Admissions and posted to Southern State transcript to be counted towards prerequisites

Current knowledge of prerequisites is expected. Refer to the college Catalog for any additional requirements.

Incomplete applications will not be considered. On your request, when hand delivering your application to the Medical Assisting/Allied Health Office, the content of your application packet will be reviewed to identify that required documentation is included.

Note: A felony or misdemeanor may disqualify a candidate from being certified by the State of Ohio (as outlined in Section 4761.04 of the Ohio Revised Code).

Courses

First Semester

Course # Course Title Credits
BIOL 1104 Human Biology I 4
MATH 1117 Elementary Algebra 3
MAST 1111 Medical Administrative Procedures 3
MAST 1115 Medical Terminology I 2
MAST 2218 Medical Billing & Coding I 2
OFIT 1106 Keyboarding Techniques I 3

Second Semester

Course # Course Title Credits
ALTH 1160 or MAST 2209 Electronic Health Records Online or Computer Applications for the Medical Office 2
ALTH 2230 Medical Billing & Coding III & Capstone Review 2
BIOL 1105 Human Biology II 4
ENGL 1101 English Composition I 3
MAST 1118 Human Diseases 2
MAST 2205 Medical Law & Ethics 2
MAST 2219 Medical Billing & Coding II 3
Program Total: 35

Faculty