Medical Billing and Coding

MyCAA Course Information

Course Code: MYCAA-MC 04
Program Duration: 6 Months
Course Level: Advanced
Mentor Supported: Yes

Course Overview

The Medical Billing and Coding Program

This billing and coding course offers the skills needed to perform complex coding and billing procedures. The course covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-9 (Introduction and Guidelines) and basic claims processes for insurance reimbursements.

This billing and coding program delivers the skills students need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement. This course covers the following key areas and topics:

An overview of healthcare and the insurance industry

The organization and use of the ICD-9-CM, CPT, and HCPCS manuals to identify correct codes

Detailed review and practice using the alphabetic index and tabular list of the ICD-9-CM

Detailed review and practice coding examples from all sections within the CPT

Basic claims processes for medical insurance and third-party reimbursements

Completing common insurance forms, tracing delinquent claims, and appealing denied claims

Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data by ensuring its quality, accuracy, accessibility, and security in both paper and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients medical and treatment histories.

Medical coders typically do the following:

Review patient information for preexisting conditions such as diabetes

Retrieve patient records for medical personnel

Work as a liaison between the health clinician and billing offices

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Course Description

The Medical Billing and Coding Profession

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. The medical industry will have almost 50% more jobs available by 2018; therefore, a surplus of medical facilities will continue to hire candidates who specialize in medical billing and coding.

Program Objectives

Medical Billing and Coding Detailed Course Information:

Introduction to International Classification of Diseases, Clinical Modifications and Coding Guidelines

Introduction to the organization and use of the ICD-9-CM and CPT manuals

Basics of diagnostic and procedural coding

The Health Insurance Claim Form (CMS 1500)

HIPAA and Electronic Data Interchange (EDI)

Review and practice coding Evaluation and Management (EandM) services

Review and practice coding from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT

CPT Modifiers, E and V Codes, and Late Effects

Coding surgical procedures of the integumentary system

Coding surgical and medical procedures of the cardiovascular system

Coding procedures related to the female genital system and maternity care and delivery

Coding for general surgery, radiology, pathology and laboratory services

Coding for diagnostic and therapeutic services and the Level II National Codes

Tracing delinquent claims and insurance problem solving

Third-party reimbursement issues

MyCAA Approved
MyCAA Approved
Why ECA?

Partnered with Regionally Accredited Colleges and Universities

Online Learning

Open Enrollment

Multiple funding options

Professional Training

Optional Externships

Available 24/7

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The Medical Billing and Coding ProfessionMedical 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 t... More
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