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.
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 Billing & Coding Specialist Program requires written acceptance by the Allied Health Program Director according to the admission requirements listed on the Billing & Coding Specialist Program application packet. Students may elect to complete some or all of the general education course requirements prior to being admitted into the Billing & Coding Specialist Program. Continuation in the Billing & Coding Specialist Program requires a minimum grade of "B" in MAST/ALTH courses, a minimum grade of “C” in all other required courses, and a minimum cumulative and most current completed term grade point average of 2.4 to participate in the practicum experience. There is a time limit on completion of program requirements. Algebra and biology courses should have been completed within the past five years or repeating the courses is required. Graduates are eligible to earn the Certified Coding Associate (CCA) credential through the American Health Information Management Association (AHIMA) credentialing exam.
- 1. Apply for Admission to Southern State.
- 2. Thoroughly read and complete the Billing & Coding Specialist Application.
Enrollment in Allied Health courses is limited. Applicants are accepted on a first-come, first-served basis after the above criteria are met.
Application Accepted: February 1 until available seats are filled
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. Billing & Coding Specialist Application and the Student Responsibilities Agreement
- 2. Student Responsibilities Agreement
- 3. Copy of high school transcript verifying graduation or copy of GED certificate. Coursework must be evaluated by the Southern State Director of Admissions and posted to Southern State transcript to be counted towards prerequisites
- 4. AND one of the following:
- (A) printed copy of your Southern State Course History listing, including previously received transcript information, verifying minimum GPA of 2.0, and completion of ENGL 0097 or 0099 and MATH 1116 with a final grade of “C” or higher within the last 5 years (review pre-requisite options for ENGL 1101 and MATH 1135). Log into MyRecords, click on "Student", then "My Course Information", select "Unofficial Transcript", scroll to bottom of transcript, click on "Unofficial Transcript PDF" and print (this is the only printout that will be accepted) OR
- (B) SSCC ACCUPLACER Assessment scores indicating readiness for ENGL 1101, MATH 1135 and a minimum Work Keys Assessment Level Silver OR
- (C) TEAS Assessment Level Basic
Incomplete applications will not be considered. You must schedule an appointment with the Allied Health Office to personally deliver your completed program application or review option for e-submission. On your request, when hand delivering your application to the 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).
Core Education and Open Enrollment MAST/ALTH courses may be completed prior to entry into the program or during the appropriate semester of the medical assisting program.
Current knowledge of prerequisites is expected. Refer to the college Catalog for any additional requirements of the below courses.
|Course #||Course Title||Credits|
|BIOL 2205||Anatomy & Physiology I||4|
|ENGL 1101||English Composition I||3|
|MAST 1111||Medical Administrative Procedures||3|
|MAST 1115||Medical Terminology||2|
|MAST 2218||Medical Billing & Coding I||3|
|MATH 1116||Beginning Algebra||3|
|Course #||Course Title||Credits|
|ALTH 1130||Pharmacology for Allied Health||2|
|ALTH 1160||Electronic Health Records||2|
|ALTH 2230||Medical Billing & Coding III & Capstone Review||2|
|BIOL 2206||Anatomy & Physiology II||4|
|MAST 1118||Human Diseases||2|
|MAST 2205||Medical Law & Ethics||2|
|MAST 2219||Medical Billing & Coding II||3|
Program Total: 35 plus any pre-requisites
Allied Health Office & Faculty
The Allied Health Office is located in room 182 on Central Campus and operates Monday through Thursday from 9:00am to 3:00pm.
- 800.628.7722 x2739
- Medical Assisting/Allied Health Office
- Southern State Community College
- 100 Hobart Drive
- Hillsboro, OH 45133