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Medical Billing and Coding

Texas State University

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855.520.6806
Career Training Program
Program Code: GES111
Hours: 240
Fees: $1795.00 USD

Overview

Medical Billing and Coding is a nationally-recognized online program that will prepare you to take your place in the rewarding field of healthcare.  Medicine is more than patient care— it is also a business.  Medical practices rely on medical billers and coders to provide the cash flow that keeps their doors open.  Positions are also available with ambulatory care centers, medical equipment suppliers, insurance companies, public health agencies, consulting firms, and medical billing companies. 

You will learn to function as an important member of the healthcare team by providing key skills such as abstracting from medical records, assigning codes to diagnoses and procedures using the ICD-9-CM, ICD-10-CM, CPT and HCPCS Level II code books, developing insurance claims according to third-party guidelines, and understanding the legal, ethical and regulatory concepts that are vital to this field.  

Upon completion of this program, you will be prepared to take the Certified Billing and Coding Specialist (CBCS) exam, offered by National Healthcareer Association NHA), and will receive the study guide materials, access to practice exams, and exam registration fees. You will also be prepared to sit for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC).

Objectives

After successful completion of the Medical Billing and Coding program, you will be able to perform the following tasks:

  • Adhere to legal concepts, such as advance directive, living will, power of attorney, and guardianship
  • Explain the HIPAA Privacy Rule
  • Safeguard and disclose protected health information (PHI)
  • Recognize the implications of health insurance fraud and abuse
  • Discover the five models of managed care organizations
  • Assign accurate codes from the ICD-9-CM, CPT, and HCPCS Level II coding manuals
  • Assign accurate codes from the ICD-10-CM Official Draft Code Set
  • Develop an insurance claim
  • Use the electronic data interchange (EDI)
  • Recognize health insurances delivered by private companies and government-sponsored programs 

 

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