Online Medical Billing and Coding Training
Become a Certified Professional Coder (CPC)
Nationwide, every healthcare facility needs medical billers and coders to help manage claims, invoices and payments. This 100% online course will prepare you for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC).
Job Outlook for Medical Billing and Coding Specialists
- In the San Joaquin Valley, medical billing and coding specialists earn an average annual salary of $32,000, according to Burning Glass data.
- Burning Glass also estimates that demand for medical billing and coding specialists in Stanislaus, Merced, Modesto and Turlock Counties will grow by 16% over the next decade.
Medical Billing and Coding FAQs
WHAT IS THE AMERICAN ACADEMY OF PROFESSIONAL CODERS (AAPC)?
The AAPC is considered to be the largest professional association for the training and credentialing of healthcare professionals. Globally, they have more than 190,000 members who work in healthcare support roles including medical coding, medical billing, healthcare compliance and more.
WHAT DOES A CERTIFIED PROFESSIONAL CODER (CPC) DO?
Primarily, medical coders gather patient information, verify documentation and assign codes for diagnoses and procedures.
WHAT IS THE DIFFERENCE BETWEEN A MEDICAL BILLER AND A MEDICAL CODER?
Medical coders translate patient care into current procedural terminology (CPT) codes to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides. However, most professionals in this field handle both medical billing and medical coding.
WHAT ARE THE REQUIREMENTS FOR A MEDICAL BILLING AND CODING CAREER?
Entry-level positions typically require completion of a certificate or an associate degree program in medical billing and coding. Additionally, medical billing and coding professionals must understand the Health Insurance Portability and Accountability Act (HIPAA).
HOW MANY YEARS DOES IT TAKE TO BECOME A MEDICAL BILLER AND CODER?
In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year, while earning an associate degree can take up to three years.
Be fully prepared to sit for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC)
- Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures
Prerequisites and Requirements
There are no prerequisites to take this course.
- MEDICAL TERMINOLOGY
- Learn common medical terminology of the body and how it relates to diagnostic procedures, nuclear medicine and pharmacology
- INTRODUCTION TO MEDICAL BILLING AND CODING
- Overview of medical billing and coding in today’s healthcare system
- HEALTHCARE LAW
- How HIPAA, the False Claims Act and the Stark Law protect health information
- INTRODUCTION TO HEALTH INSURANCE TERMS
- Health insurance terms, healthcare provider terms and third-party reimbursement methods
- PHARMACOLOGY FOR CODERS
- Definition of pharmacology, drug classifications and routes of administration
- Overview of ICD-10-CM, as well as coding guidelines, conventions and steps for assigning ICD-10-CM codes
- CPT AND HCPCS LEVEL II CODING
- How the Healthcare Common Procedure Coding System (HCPCS) and CPT Code Book work, and steps for assigning CPT and HCPCS Level II codes
- ABSTRACTING INFORMATION FROM MEDICAL DOCUMENTS
- Coding from soap notes, consultation reports, operative reports, emergency room records and procedure reports
- NEW PATIENTS, INSURANCE CLAIMS AND EOBS
- Electronic, paper and hybrid medical records, practice management software and developing insurance claims
- SUBMITTING ELECTRONIC CLAIMS AND CMS 1500
- Electronic Data Interchange (EDI), electronic claims submission and the National Uniform Claim Committee
- BLUE CROSS/BLUE SHIELD
- Working with participating and nonparticipating providers
- Understanding Medicare, parts A, B, C and D
- OTHER HEALTHCARE PROGRAMS
- Medicaid, TRICARE, CHAMPVA and workers’ compensation
- ICD-10-PCS (OPTIONAL LESSON)
- Overview, code structure and definitions of ICD-10-PCS
- SURVEY OF HOSPITAL BILLING
- Hospital revenue cycle, chargemaster, master patient index and prospective payment systems
- CAREER ROADMAP FOR MEDICAL BILLING AND CODING – FIND A JOB FAST
- Marketing your skills and talents, creating a résumé and cover letter, interviewing and salary negotiation
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.
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.
Registration and Enrollment
This course is 100% online. Start anytime.