Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures.
Be fully prepared to sit for the CPC exam, offered by the American Academy of Professional Coders.
Prerequisites and Requirements
There are no prerequisites to take this course.
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
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
Registration and Enrollment
This course is 100% online. Start anytime.