The Medical Billing and Coding ProgramThis 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 claimsMedical 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
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.
Detailed Course Topics Covered
Introduction to International Classification of Diseases, Clinical Modifications, 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
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.
What are my payment options?
Click the Financing link at the top of this page for financing information.
What is difference between a certificate and a certification?
By successfully completing a course through one of our college or university partners the student is awarded a Certificate of Completion from the institution. If there is a state or national exam that the course is preparing a student for, the proper certifying body will be indicated and that association will proctor and award any type of certification. This is the studentís responsibility, although ECA is here to help guide our students in the right direction.
Does this course translate in to college credit?
Through our college and university partners, ECA offers non-credit certificate programs.
How long do access to my complete my course?
Access will begin on your start date and end on your end date unless otherwise specified. If you are falling behind in your course please contact an Education Consultant to talk about your options.
When are the course start dates?
The course start dates are determined by the student due to open-enrollment.
Is the Certification exam included in the course?
The certification exam is not included in the cost of the course unless otherwise specified in the course education and training plan.
Students should have or be pursuing a high school diploma or GED.
Numerous national certification exams are available for students who complete this course including American Academy of Professional Coders (AAPC), American Health Information Association (AHIMA) and others.
Certain national certification organizations suggest 6 months to 2 years of practical work experience prior to pursuing certain national certification exams.