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Medical Billing and Coding - Certificate

Medical Billing and Coding - Certificate

In CHCP's Medical Billing and Coding Certificate program, we train you in how to comprehend, navigate, and apply current CPT, HCPCS, and ICD code sets for medical billing and coding in a variety of healthcare settings. You will learn proficiency in basic medical billing and coding skills, gain mastery in medical management software, and understand how to interpret and file medical documentation, billing forms, and insurance claims. The College of Health Care Professions offers Medical Billing and Coding via online and blended delivery.

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Program Details

Program Length

Online: 48 weeks

Available Locations

Online
Courses
Module IModule IIModule IIIModule IVModule VModule VI

Medical Terminology

HPRS101

This course is an introduction to medical terminology and covers terminology associated with the structure of the body, the integumentary, muscular and skeletal systems, the lymphatic, immune, and cardiovascular systems, the urinary, respiratory, digestive, and nervous systems, the eyes and ears, the reproductive and endocrine systems, diagnostic and imaging procedures, and pharmacology. Prerequisite: None

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Health Care Delivery Systems and Organization

HITT216

This course reviews healthcare delivery systems including organization, finance, accreditation agencies and regulatory agencies. Students will learn about settings, types of patients, types of caregivers, regulatory issues, unique documentation requirements, data sets and reimbursement structure by type of care. Prerequisite: None

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Anatomy and Physiology

SCIT103

This Course is an introduction to the human body and includes chemistry and the human body, the structure and function of membranes, cells, tissues, organs and organ systems. Additionally, mechanisms of disease, human development, inheritance, weights and measures, and normal physiological values are studied. Prerequisite: HPRS101

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Healthcare Law and Ethics

HITT209

This course includes a study of healthcare law and ethics including the study of confidentiality, privacy, security, ethics, and key healthcare legislation. Students will learn how to apply local, state and federal standards and regulations for the control and use of health information. Prerequisite: None

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Pathopharmacology

PATH214

This course is an introduction to the human body and its functions, diseases, etiology, and pathophysiologic nature. Medical complications and manifestations of disease states are explored along with pharmacological and non-pharmacological principles and interventions related to the treatment of diseases. Prerequisite: HPRS 101, SCIT103

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Coding I

HITT201A

This covers the principles and guidelines for using ICD-10-CM to code diagnoses. This course covers the concept of clinical vocabularies and classifications systems. Students will gain an understanding of ICD-10-CM in relation to inpatient and outpatient settings, as well as use of cases and health record documentation. Prerequisite: HPRS101, SCIT103

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Coding II

HITT211A

This course is a comprehensive, system-based approach to learning CPT/HCPCS and includes an overview of coding guidelines and identifying information in the health record. Students will also learn about the relationship between the coding process and reimbursement. Prerequisite: HITT201A

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Coding Professional Practice Experience I

MBCC290

This course enables the student to learn the foundations of insurance, billing, coding, submission of claims to the insurance carrier, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This includes case studies, exploration, research, and hands on use of the Electronic Medical Record. Prerequisite: HITT216

Lecture48hr.
Laboratory33hr.
Externship0hr.
Total Hours81hr.
Credits4 

Coding III

HITT221

This covers the principles and guidelines for using ICD-10-PCS to code procedures. This course covers the concept of clinical vocabularies and classifications systems. Students will gain an understanding of ICD-10-PCS in relation to inpatient settings, as well as use of cases and health record documentation. Prerequisite: None

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Electronic Health Record Management

HITT205

This course reviews the history of and current state of the electronic health record, trends, healthcare information applications such as clinical information systems, administrative information systems, and management support systems. Students will explore the transition from a paper based health record to an electronic health record and the associated issues. Prerequisite: None

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Coding IV

HITT231

This course advances the student to the next level of coding, combining the previously learned code sets into an advanced class utilizing coding scenarios and exercises from a wide variety of healthcare settings. This will provide for an understanding of where to properly use the code sets and combination of code sets, and covers the principles and guidelines for using each set in their respective healthcare setting. Students will gain an understanding of the relationships of outpatient to inpatient settings, as well as use cases and health record documentation from each setting. Prerequisite: HITT 221 May be taken in conjunction with MBCC200 and/or MBCC 300

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

Coding Professional Practice Experience II

MBCC300

This course is an on-site or virtual externship course. Students will apply the theory, concepts and skills learned throughout the program at a directed practice site and by any assigned course projects. Prerequisite: ALL Prior Modules; May be taken in conjunction with HITT231 and/or MBCC 200

Lecture0hr.
Laboratory0hr.
Externship90hr.
Total Hours90hr.
Credits2 

Certification Review

MBCC200

This course provides a review of the skills necessary to prepare students for successful employment and certification/registration opportunities as a Medical Biller and Coder. Prerequisite: ALL Prior Modules; May be taken in conjunction with HITT231 and/or MBCC 300

Lecture48hr.
Laboratory0hr.
Externship0hr.
Total Hours48hr.
Credits3 

What Skills will I Learn?

With our Medical Billing and Coding program, you will learn all of the necessary skills to be an excellent medical billing and claims specialist. The skills you will learn include:

  • practical application of CPT-4, ICD-10/ ICD-10 PCS, and HCPCS codes
  • recordkeeping for both hospital and physician offices
  • following procedures in content and filing of patient medical records
  • using a variety of filing systems, both alphabetical and numerical

In addition, students will gain a general knowledge of anatomy, physiology, and medical terminology, reimbursement methodologies; and customer service principles. Essentially, students will receive all training necessary to work successfully in insurance companies/offices, physician offices, hospitals, outpatient medical facilities, and long-term care medical facilities.

Certificate Information

The goal of our program is to prepare you to take the Nationally Registered Certified Coding Specialist (NRCCS) Certification Exam. Once you have this certificate, you will be able to begin your new career as a certified medical billing and coding specialist.

What Career Options Are Available?

As a graduate of CHCP's Medical Coding and Billing program, you will have the option to work as a medical billing and coding specialist in a variety of medical settings, including:

  • Physician offices
  • Hospitals,
  • Out-patient medical facilities
  • Long term medical facilities
  • Post-acute care facilities
  • Insurance companies
  • Free-standing emergency care service/urgent care facilities
  • Ambulance services

As you look for jobs in this career field, take note of the different titles for the job; they include:

  • Medical billing and coding specialist
  • Medical biller
  • Medical coder
  • Health claims specialist
  • Medical claims specialist
  • Medical records specialist
  • Health records specialist
  • Insurance coder
  • Medical records technician
  • Health information technician

The career field of medical coding and billing continues to grow. In fact, it is expected that the field will grow 11% by 2028, which is much higher than the growth seen by other occupations. This is likely due to the aging baby boomer population; as health declines with age, medical coders will be in high demand to facilitate procedures, communicate with insurance companies, and perform other administrative duties. To find out more information on medical billing and coding specialist salary, employment, and job outlook, visit the Bureau of Labor Statistics.

Once you meet the prerequisites, you can enroll!

To learn more about enrollment, simply fill out the form. One of our counselors will contact you soon with more information on our Online Medical Billing and Coding Certificate Program.

How Do I Enroll?

If you are ready to take the first step towards your medical billing and coding career, just ensure you meet the following program requirements:

  • Possess a high school diploma or GED
  • Be able to read and write in English
  • Pass the Scholastic Level Exam (admissions test) with a score of at least 17
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