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Medical Billing & Coding BASICS
Credentials in Medical Billing & Coding demonstrate competencies including reading medical charts, coding diagnoses using ICD-10-CM, coding medical procedures using CPT, and having familiarity with HCPCS Level II and ICD-10-PCS coding requirements. A general understanding of medical insurance and the medical billing process is also required. Basic knowledge of anatomy and physiology and medical terminology are important to this field. Specifically, this badge demonstrates the earner's ability to understand the basics of medical billing and coding and apply this knowledge on the job as necessary.
Medical Billing & Coding Spanish

Medical billing and coding is one of the fastest-growing careers in the healthcare industry today! The need for professionals who understand how to code healthcare services and procedures for third-party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices, and other healthcare providers all depend on medical billing and coding for insurance carrier reimbursement.

This billing and coding program offers the skills needed to perform complex coding and billing procedures. The program covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), the ICD-10 for both diagnosis and procedure coding, and basic claims processes for insurance reimbursements. This billing and coding program delivers the skills learners need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement.

 

Program Objectives

After completing this program, learners will be able to:

  • Identify the important role of a medical coder in upholding ethical billing practices and in obtaining reimbursement for healthcare services
  • Correctly use the ICD-10-CM for diagnostic coding
  • Correctly use CPT codes for coding medical procedures
  • Apply national and local HCPCS codes and modifiers
  • Explain the purpose and use of ICD-10-PCS codes

Certification Opportunities

After completing this program, learners will have the opportunity to take the leading national/industry-recognized certification exam(s) essential to entry-level employment in this fast-growing field.

 National Workforce Career Association (NWCA) Medical Billing & Coding Specialist Certification (MBCS)


 

 

Optional Volunteer Externship Opportunity

Learners who complete this program are eligible to participate in an optional volunteer externship opportunity with a local company/agency/organization whose work aligns with this area of study in order to gain valuable hands-on experience.  As learners progress through their eLearning program, an Externship Coordinator will reach out to coordinate placement.

Note: Additional documentation including health records, immunizations, drug-screening, criminal background checks, etc. may be required by the externship facility.

Medical Billing & Coding Externship
PURPOSE
The Medical Billing & Coding Externship badge documents the acquisition of practical experience working as a medical coder in various health settings.

AUDIENCE
This credential is appropriate for anyone wanting to demonstrate proficiency in the billing and coding process. 

JOB/CAREER REQUIREMENTS
The successful medical coder will demonstrate proficiency with coding manuals and have the ability to extract coding information from medical documentation. The medical coder also needs thorough knowledge of anatomy and physiology and medical terminology. Credentials in Medical Billing & Coding demonstrate competencies including reading medical charts, coding diagnoses using ICD-10-CM, coding medical procedures using CPT, and having familiarity with HCPCS Level II and ICD-10-PCS coding requirements. A general understanding of medical insurance and the medical billing process is also required. Basic knowledge of anatomy and physiology and medical terminology are important to this field.  

MEDICAL BILLING & CODING WORKPLACE TASKS:
The Externship badge confirms the earner's continued and successful practice of the following tasks demonstrating their ability to:
  • Professional written and verbal communication with patients, medical personnel, 3rd party payers, and vendors and suppliers 
  • Handling of medical records with attention to HIPAA privacy requirements  
  • Identify, compile, abstract, and code patient data, using standard classification systems  
  • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings  
  • Complete standard billing forms and resolve issues with 3rd party payers