Medical Billing & Coding Specialists, also known as Medical Billing & Coding Technicians, play a key role in the delivery of patient care. Often working from home, Medical Billing & Coding Specialists monitor administered medical care and record and process patient data. This includes treatment records, insurance plan information, payment data and more. Most importantly, Medical Coding & Billing Specialists code medical diagnoses to request payment from patients' insurance providers.
Medical Billing & Coding Specialists support staff in physicians' offices, clinics, hospitals, outpatient care facilities, insurance companies and more.
Working in the medical field is one of the most rewarding job paths anyone can pursue and selecting the administrative path to medical billing and coding is ideal for those that want to work in this exciting field. It can be a stepping stone to working in the clinical setting or a great alternative if the clinical side of healthcare is not the right fit. This career offers so much advancement opportunity as well as job security, which makes it a fantastic option for anyone wanting to get into the healthcare industry.
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This assessment rich program is targeted at individuals pursuing a career in the healthcare industry as a medical biller and coder. During this course, you’ll learn the necessary skills and knowledge required for a certified medical biller and coder. You’ll learn the procedures of processing patient data such as diagnoses, insurance information, medical bills, etc.
You’ll be trained in CPT, HCPCS, and ICD-10 for coding, dealing with insurance providers, and learn all the necessary medical terminologies.
After completing this course, you’ll be proficient in the following areas:
• Medical terminologies and a basic understanding of Physiology and Anatomy
• Coding for laboratory services, surgical procedures, pathology, and radiology
• Coding of management and evaluation procedures
• Using coding modifiers
• Insurance problem solving and tracing illegitimate claims
• HIPAA and EDI
• Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and coding manuals and sets of HCPCS
• Federal and local regulations
• Managing reimbursement claims by third-party
After successful completion of this program, you’ll be provided a voucher that will allow you to sit for the AAPC certified professional coder certification examination along with a one-year membership of the American Academy of Professional Coders (AAPC).
This program is targeted at individuals seeking the knowledge and skills necessary to pursue a career in the fast growing field of medical billing and coding. Though this program prepares learners to sit for any industry certification, it includes the American Academy of Professional Coders' (AAPC) Certified Professional Coder (CPC) exam.
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Students that successfully complete our career training programs are assigned a career development adviser who will coordinate placement at a local externship or hands on opportunity. These opportunities are optional and may vary based on availability and occupation. Your career development adviser will also provide job search services such as: resume building, mock interviews, job opportunity resources, and more. Our professional enrichment courses do not come with a career adviser or career services.
After completing this program students will be prepared to sit for the AAPC's Certified Professional Coder (CPC) exam. Included in the program tuition is a voucher for the certification exam, and one year membership fee to AAPC, as well as the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam).
The CPC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules.
A CPC must have at least two years medical coding experience (member's with an apprentice designation are not required to have two years medical coding experience.) Membership is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise.
Due to the level of expertise required of medical coders, AAPC expects certified coders to be able to perform not only in an exam setting but also in the real world. In addition to passing the certification exam, coders will also be required to demonstrate on-the-job coding experience. Those who pass the CPC exam but have not yet met this requirement will be designated as an Apprentice (CPC-A) on their certificate.
CPC-A Status: Members with an Apprentice designation are still required to submit annual CEUs while completing the coding job requirement.
Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.
World Ed Included
Certified Professional Coder (CPC)
Employers value employees who carry credentials related to their job function. Certification shows a standard of proficiency has been met within the skillset, giving employers confidence in their expertise. Certification is an investment in yourself and your career in healthcare.
Certification Can Help You
• Improve your earning potential
• Open the door to career advancement
• Provide a foundation of broad and deep understanding
• Help you reach both short-term and long-term career goals
• Increase your job mobility and opportunities, even in a difficult job market
• Associate with AAPC's strong and long-standing reputation of integrity and excellence
• Connect with an elite network of certified peers. Earning an AAPC credential introduces you into a prominent community of ongoing support