Medical Billing & Coding

Overview

Become a Certified Medical Billing and Coding Specialist

Medical billing and coding is a rising star in the healthcare field today. This 100% online course will prepare you to start a career in this high-demand occupation and earn the medical billing and coding professional certification that best aligns with your interest and career goals. You'll learn how to use the Healthcare Common procedure Coding System (HCPCS) and the CPT Category II and ICD-10 codes. Additionally, you'll gain hands-on practice using medical billing and coding software. Upon course completion, you'll receive a voucher for the certification exam of your choice: CPC, CCA or CBCS.

What you will learn

• Medical coding terminology is required for medical coding, including the structures and functions of the human body
• The disorders and medical procedures common to each body system
• 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 & coding and medical terminology
• Word parts and the structures and functions of the human body

How you will benefit

• Get hands-on, practical experience in medical billing and coding that will help you on the job.
• Receive a certificate of completion and prepare to sit for the professional certification 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)
• Receive a voucher for the professional certification exam of your choice
• Receive access to study materials that align with the exam option you choose

Job Outlook for Medical Billing and Coding Specialists

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.

Course Objectives

• Be fully prepared to pass 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)
• Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures
• Gain hands-on billing experience with medical billing and coding software
• Externship Starter Kit to help you gain valuable experience in the field
• Medical Biller standalone option for those who aren't interested in Medical Coding

Prerequisites and Requirements

There are no prerequisites to take this course.

Curriculum

I. Medical Terminology

• Introduction to Medical Terminology
• The Musculoskeletal System
• The Cardiovascular System
• The Lymphatic and Immune Systems
• The Respiratory System
• The Digestive System
• The Urinary System
• The Nervous System
• The Special Senses the Eyes and Ears
• The Integumentary System
• The Endocrine System
• The Reproductive System
• Diagnostic Procedures, Nuclear Medicine, Pharmacology

II. Medical Billing and Coding

• Introduction to Medical Billing and Coding
• Introduction to Health Insurance
• Managed Healthcare
• Revenue Cycle Management
• Legal Aspects of Health Insurance and Reimbursement
• ICD-10-CM Coding
• CPT Coding
• HCPCS Level II Coding
• ICD-10-PCS Coding
• Pharmacology for Coders
• Midterm
• Clinical Documentation Improvement (CDI)
• Insurance Claims
• Commercial Insurance
• Blue Cross Blue Shield
• Medicare
• Medicaid, CHIP, TRICARE, Workers' Compensation
• Certification
• How to Find a Job in Medical Billing and Coding

Final

Instructors

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..

Shonda Miles

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.

FAQs About Medical Billing and Coding

Can I register for courses if I am an international student?

Yes, ed2go courses are completely online. However, keep in mind that not all certifying bodies or industry-specific certifications are recognized internationally. Please review your country's regulations prior to enrolling in courses that prepare for certification.

Does this course prepare for a certification?

Yes, this course prepares you for three certifications: 1) Certified Billing and Coding Specialist (CBCS) exam, offered by the National Healthcareer Association (NHA), 2) Certified Professional Coder (CPC) exam, offered by American Academy of Professional Coders (AAPC), and Certified Coding Associate (CCA) exam, offered by AHIMA. You will receive a voucher for the certification exam of your choosing after successfully completing the course.

When can I start this course?

This course is open enrollment, so you can register and start the course whenever you are ready. Access to your course can take 24-48 business hours.

How long does it take to complete this course?

After you register, you will receive 12 months to complete the course. The time allotted for completion has been calculated based on the number of course hours.

What if I don't have enough time to complete the course within the time frame provided?

If you are unable to complete the course, contact your Student Advisor to help you work out a suitable completion date. Please note that an extension fee will be charged. If you are funded through a third-party organization, approval may also be required.

What kind of support will I receive?

The course instructor will be available by email to answer any questions you may have and to provide feedback on your performance. Occasionally, your course may be supported by a team of industry experts. You will also be assigned a Student Advisor for academic support.

What happens when I complete the course?

Upon successfully passing the final exam, you will be awarded a certificate of completion from the school or organization that you registered through. In addition, you will receive an exam voucher and applicable study materials for your choice of the following national certification exams: 1) NHA's Certified Billing and Coding Specialist (CBCS), 2) AAPC's Certified Professional Coder (CPC), or 3) AHIMA's Certified Coding Associate (CCA).

Am I guaranteed a job?

ed2go courses will help you gain the skills you need to obtain an entry-level position in most cases. However, you should always research the job market in your area before enrolling.

Can I get financial assistance?

ed2go courses are non-credit, so they do not qualify for federal aid, FAFSA, and Pell Grant. In some states, vocational rehab or workforce development boards may provide funding to take our courses. Additionally, you may qualify for financial assistance if you meet certain requirements. To learn more about financial assistance.

How can I get more information about this course?

If you have questions that are not answered on our website, representatives are available via LIVE chat. You can also call us at 1-877-221-5151 during regular business hours to have your questions promptly answered. If you are visiting us during non-business hours, please send us a question using the "Contact Us."

What is medical billing and coding?

Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.

Where do you work as a Medical Biller and Coder?

Medical Billers and Coders work in a variety of settings. The most common settings include hospitals, doctors' offices and insurance agencies. Some medical billing and coding professionals work for companies that develop medical software, and some work for education institutions that work to train other medical billers and coders. Government agencies have also been known to employ medial billers and coders including the National Center for Health Statistics and Medicaid offices. You may also have the ability to work for a reputable company from your own home!

What is a day in the life of a Medical Biller and Coder like?

A day in the life of a Medical Biller and Coder is a rewarding one. You are responsible for ensuring that healthcare providers receive appropriate compensation for the care they provide as well as helping patients get the maximum benefit of their insurance. It is a job that requires a high level of attention to detail at all times because codes must be correct to produce appropriate bills for services. Much of your time will be spent in front of a computer organizing statements, reviewing bills, and performing quality control. You also may be required to negotiate with insurance companies via phone on behalf of providers or patients. It's also important to coordinate with other coders to ensure accuracy and adherence to standards. Finally, you'll want to keep up on the latest developments and regulations in the industry through continuing education.

What is the difference between a Medical Biller and a Medical Coder?

Medical billers are mainly responsible for submitting patient records to government agencies and insurance companies for services that have been provided in the care of the patient. Medical coders gather information on patient records and assign the proper codes for patient diagnosis which are then used by medical billers to submit claim forms.

Is medical billing and coding in high demand?

Yes. There is a high demand for qualified medical billing and coding professionals in the healthcare industry today. Demand will increase as the population in the Unites States ages. Jobs for these professionals are on the rise and expected to grow faster than average through 2026 according to the Bureau of Labor Statistics.

What is the salary for a Medical Biller and Coder?

According to the AAPC based on its membership, the average Medical Biller and Coder without certification earns around $45,000 per year while those with certification earn an average of $51,500. This means that certification can help you earn up to 15 percent more in this field! Other salary websites place the median salary for those starting out in Medical Billing and Coding around $38,500.

How long do you have to go to school to become a Medical Coder?

Our medical coding courses are self-paced and completed in 12 months or less. You will then have the option to prepare and sit for one of the following national certifications: 1) NHA's Certified Billing and Coding Specialist (CBCS), 2) AAPC's Certified Professional Coder (CPC), or 3) AHIMA's Certified Coding Associate (CCA). Once you are certified, you'll have the qualifications you need to find an entry-level job.

How do I become a Medical Coder without experience?

The path to a career in medical billing and coding typically starts with certification. There are different medical billing and coding certifications offered through certifying bodies, so it's important to choose which one is right for you. This course allows you to choose one of three national certifications to sit for upon completion.

How do I get a medical coding certification online?

To become a Certified Medical Coder, you need to take an online training course that teaches you the CPT®, ICD-10-CM, and HCPCS Level II code sets. Most employers are looking for applicants to have a medical coding certification. After successfully completing this course, you will have the knowledge and skillset to become a medical coder and can sit for one of three national certification exams included in your tuition: 1) NHA's Certified Billing and Coding Specialist (CBCS), 2) AAPC's Certified Professional Coder (CPC), or 3) AHIMA's Certified Coding Associate (CCA).

Do Medical Billers or Medical Coders make more money?

Due to the more technical nature of the job and increased training required, medical coders do tend to make more than medical billers on an annual basis. Both medical billers and medical coders are in high demand. Medical billers earn a median salary of nearly $37,000. The salary of medical coder depends on a variety of different factors including certifications, specialties and experience, but the American Academy of Professional Coders (AAPC) reports that their average salary is around $47,800.

Can you get a job as both a Medical Biller and a Medical Coder?

Other than a handful of exceptions, medical billing and medical coding are two separate professions. You do not need a degree for either profession, but successful coders usually obtain certification. This course will fully prepare you for a career as either a medical biller or a medical coder, including recommended certification. Once you've completed your training, you will decide which area fits your personality and career goals best and move in that direction.

What is a CPC?

CPC, or Certified Professional Coder, is the primary medical coding credential offered by AAPC. AAPC's CPC certification is the gold standard in medical coding and represents world-class expertise that is highly sought and well-compensated by medical organizations across the country.

What does CPC mean for my career in medical coding?

The CPC certification is the gold standard in medical coding and represents world-class expertise that is highly sought and well-compensated by medical organizations across the country.

How do I get my CPC certification?

After successfully completing this online course, you will receive a prepaid voucher to register for the CPC Exam and schedule your test date. Registration should be done three weeks prior to the exam date. After passing the CPC exam, you will have your CPC-A designation without 2 years of prior experience. Completion of the included CPC Practicode will qualify as 1 year of experience towards the full CPC designation. Completing this program also qualifies for 1 year of experience, thus completing both steps and passing the CPC exam will provide you with the full CPC designation and remove the Apprenticeship status.

What is the CPC exam?

The Certified Professional Coder (CPC) exam is administered by the American Academy of Professional Coders (AAPC). It is a common advanced credential for medical coders in physician office settings.

How long is a CPC certificate valid for?

Once the CPC designation is achieved, your AAPC Membership (included) is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise.

How to become a Certified Professional Coder?

Medical billing and coding is hardly a career you can jump into and learn on the job. A medical biller and coder must understand the Healthcare Common procedure Coding System (HCPCS), as well as CPT Category II codes and ICD-10 codes. Training courses will teach you what these codes are, how to use them, and how to assign them in common medical billing and coding procedures

How much does a Certified Professional Coder make?

CPCs make between $18 and $25 per hour, varying by location, experience, and additional credentialing.

What does AAPC stand for?

AAPC, or the American Academy of Professional Coders, is an independent organization founded in 1988 to provide education and professional certification to medical coders. They have over 190,000 members and offers 28 certifications related to medical billing, medical coding, healthcare documentation and more.

What is the CCA exam?

The Certified Coding Associate (CCA) exam is an entry-level certification provided through the American Health Information Management Association (AHIMA). It indicates proficiency in medical coding in hospital and office settings.

What does CBCS stand for?

CBCS stands for Certified Billing and Coding Specialist, and it is a designation earned from the nationally recognized National Healthcareer Association (NHA). With this credential, you'll gain billing and coding skills that are essential to various medical facilities including hospitals, surgery centers, physician offices, nursing homes, mental health facilities, home healthcare agencies, and dental offices. Earning your CBCS credential will prove to prospective employers that you have what it takes to work with patient information, prevent fraud and abuse, support coding and billing practices, submit claims, and help healthcare providers gain maximum reimbursement for services.