Medical Billing Specialist
180 Hours (3 months)
For people whose friends are numbers, who want to understand insurance, who are analytical and good negotiators, this program is for you. If you are detail oriented and want to work in the health care field but don’t like to deal with blood, this program is for you. You will still work on clinical cases, but they will be on paper. And you get to learn about all the reforms happening in health insurance.
The Medical Billing Specialist program prepares students to obtain entry-level employment specializing in medical related billing and coding in hospitals, medical insurance companies, and physicians’ offices. The program utilizes a current software product for managing medical practices.
Topics covered include accounts receivable, insurance billing, patient statements, encounter forms, appointment scheduling, procedure history, payment posting, diagnosis history, hospital rounds record keeping, and referring doctor information.
Job growth in any health care related field is promising and will continue to increase in the coming years.
The U.S. Bureau of Labor Statistics shows no real decline in the near future for medical careers.
During this program, students gain knowledge of complex medical terms and acquire an understanding of body systems, such as: cardiovascular, muscular, skeletal, integumentary, reproductive, urinary, nervous, respiratory, digestive, endocrine, and lymphatic. Students also develop an understanding of the structure, format, and conventions used in ICD-10 (International Statistical Classification of Diseases and Related Health Problems), CPT-4 (Current Procedure Terminology), and HCPCS (Healthcare Common Procedure Coding System).
In addition to insurance coding, other topics include insurance companies, Medicare insurance claim forms, and accounts receivable and legal guidelines.
Job Titles for Graduates of the Medical Billing Specialist Program
The following list includes, but is not limited to, many of the most common job titles for which this program prepares students and requires the use of the skills learned as a predominant component of the job.
- Admissions Coordinator
- Medical Office Specialist
- Physician Office Specialist
- Billing Coordinator
- Medical Secretary
- Unit Secretary
- Health Unit Coordinator
- Patient Coordinator
- Unit Support Representative
Medical Terminology I
MT2 (30 hours)
During Medical Terminology I, the student is introduced to basic medical terminology concepts. The class analyzes medical words and their relationship to the human body. Terms related to the cardiovascular, musculoskeletal, integumentary, and genitourinary systems are introduced. Pronunciation, spelling, and definitions of the terms for these body systems are reinforced. Prerequisite: None
Medical Terminology II
MT3 (30 hours)
Medical Terminology II reinforces basic medical terminology concepts learned in Medical Terminology I. During this course, additional body system terms selected from the nervous, digestive, respiratory, and reproductive systems, as well as medical specialties and pharmacology, are studied. Pronunciation, spelling, and definitions of common terms, abbreviations, and medications are also introduced. Prerequisite: MT2
Medical Coding and Reimbursement I
MC1 (30 hours)
During this course, students develop an understanding of the structure, format, and conventions used in ICD-10-CM (International Statistical Classification of Diseases and Related Health Problems) and CPT (Current Procedural Terminology) coding, necessary in medical billing. Additional topics covered are insurance companies, Medicare, insurance claim forms, accounts receivables, and legal issues. Prerequisite: None
Medical Coding and Reimbursement II
MC2 (30 hours)
MC2 provides students with instruction in medical coding. The study of ICD-10-CM (International Statistical Classification of Diseases and Related Health Problems), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) begun in Medical Coding and Reimbursement I is continued here. Lessons stress the importance of linking diagnosis and procedure codes correctly when reporting services for reimbursement from health insurers. Covered also are major laws and guidelines that regulate coding compliance. Prerequisite: MC1
Computerized Medical Practice Management
CMP2 (50 hours)
Computerized Medical Practice Management utilizes Harris CareTracker, a cloud-based patient management and electronic medical records system. During this course, the topics covered include accounts receivables, insurance billing, statements, invoices, encounter forms, appointment scheduling, recalls, clinical histories, diagnostic histories, hospital rounds recordkeeping, and referring doctor information. Prerequisite: None
CD10 (10 hours)
Career Development provides an opportunity for students to prepare for a job search by learning and applying critical self-examination techniques for developing a successful career path and an awareness of the need to include lifelong learning into career management. Topics include career planning research; job searching; refining interview and communication skills; and development and preparation of career search documents, such as résumés, job applications, and cover and thank you letters. Students are also familiarized with the use of telephones and faxes, employment testing, office behavior and etiquette, the completion of online applications, and emailing résumés. The course includes mock interviews. Prerequisite: None
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