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ed2go Health and Fitness Medical CCA Medical Billing and Coding
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CCA Medical Billing and Coding

Medical Billing and Coding is one of the fastest growing careers. Employment of medical coders is projected to grow 15 percent, which is more than double the average for all occupations. Healthcare workers are in high demand due to the increased medical needs of an aging population and the increased number of Americans qualifying for health insurance. This means there are numerous job opportunities for this type of position across the country.

The CCA Medical Billing and Coding course will prepare you for an entry-level career within the healthcare industry. You will learn current medical coding standards, to help you accurately track patient accounts and find gainful employment within this growing workforce sector.

This course is designed to help you successfully prepare for the Certified Coding Associate (CCA) exam, offered by the American Health Information Management Association (AHIMA). The registration fee for this exam is included with this course.

12 Months / 340 Course Hrs
Open enrollment

Offered in Partnership with your Preferred School

Central Michigan University

Why this school? It's been chosen based on your location or if you've visited this school's website. Change School

Learning Method

Instructor-led

Self-Paced. Study on your own schedule

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CCA Medical Billing and Coding

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Details + Objectives

Course Code: GES184

What You Will Learn
  • Learn to function as an important member of the healthcare team by providing key skills
  • Study the disorders and medical procedures common to each body system
How the course is taught
  • Self-paced, online course
  • 12 months to complete
  • Open enrollment, begin anytime
  • 340 course hours
How you will benefit
  • Prepartion for the Certified Coding Associate (CCA) exam, offered by the American Health Information Management Association (AHIMA)

Outline

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Medical Billing and Coding

        I.    Introduction to Medical Billing and Coding
                    A.    Personal Qualifications
                    B.    Career Opportunities
                    C.    Certifications
        II.    Healthcare Law
                    A.    HIPAA Privacy Rule and Security Rule
                    B.    Protected Health Information
                    C.    Fraud and Abuse
                    D.    Stark Law
                    E.    False Claims Act
        III.    Introduction to Health Insurance Terms
                    A.    Health Insurance Terms
                    B.    Managed Care
                    C.    Healthcare Provider Terms
                    D.    Third-Party Reimbursement Methods
        IV.    Pharmacology for Coders
                    A.    Definition of Pharmacology
                    B.    Generic and Brand Names
                    C.    Drug Classifications
                    D.    Therapeutic Uses of Medications
                    E.    Routes of Administration
                    F.    Formularies
                    G.    Medication Lists
        V.    ICD-10-CM
                    A.    Overview of ICD-10-CM
                    B.    Format of ICD-10-CM
                    C.    ICD-10-CM Coding Guidelines
                    D.    ICD-10-CM Coding Conventions
                    E.    Steps for Assigning ICD-10-CM Codes
        VI.    CPT and HCPCS Level II Coding
                    A.    Healthcare Common Procedure Coding System
                    B.    Organization of the CPT Code Book
                    C.    CPT Coding Conventions
                    D.    Organization of the HCPCS Level II Code Book
                    E.    Steps for Assigning CPT and HCPCS Level II Codes
        VII.    Abstracting Information from Medical Documents
                    A.    Coding from SOAP Notes
                    B.    Coding from a Consultation Report
                    C.    Coding from Operative Reports
                    D.    Coding from Emergency Room Records
                    E.    Coding from Procedure Reports
        VIII.    New Patients, Insurance Claims and EOBs
                    A.    Electronic, Paper and Hybrid Medical Records
                    B.    Practice Management Software
                    C.    Patient Portal
                    D.    Developing an Insurance Claim
                    E.    New Patient Procedures
                    F.    Medical Necessity
                    G.    Explanation of Benefits (EOB)
                    H.    Collection Practices
        IX.    Submitting Electronic Claims and CMS 1500
                    A.    Electronic Data Interchange (EDI)
                    B.    Electronic Claims Submission
                    C.    1500 Claim Form
                    D.    National Uniform Claim Committee
        X.    Blue Cross/Blue Shield
                    A.    Participating and Nonparticipating Providers
                    B.    Allowable Fee
                    C.    Usual, Customary and Reasonable (UCR)
                    D.    Blue Shield Claims Submission
        XI.    Medicare
                    A.    Medicare Parts A, B, C and D
                    B.    Participating and Nonparticipating Providers
                    C.    Advance Beneficiary Notice (ABN)
                    D.    Supplemental Insurance
                    E.    NCCI
                    F.    Medicare Claims Submission
        XII.    Other Healthcare Programs
                    A.    Medicaid
                    B.    TRICARE
                    C.    CHAMPVA
                    D.    Workers’ Compensation
                    E.    Claims Submission
        XIII.    ICD-10-PCS
                    A.    Overview of ICD-10-PCS
                    B.    ICD-10-PCS Code Structure
                    C.    Index and Table Conventions
                    D.    Code Components
                    E.    Definitions Used in ICD-10-PCS
        XIV.    Survey of Hospital Billing
                    A.    Hospital Revenue Cycle
                    B.    Chargemaster
                    C.    Master Patient Index
                    D.    Prospective Payment Systems
                    E.    Principal Diagnosis
                    F.    Present On Admission

Medical Terminology

        I.    A Foundation in Medical Terminology
                    A.    The Fundamentals of Medical Terminology
                    B.    Overview of the Human Body
                    C.    Practicing What You’ve Learned
        II.    The Skeletal and Muscular Systems
                    A.    Overview of the Skeletal System
                    B.    Overview of the Muscular System
                    C.    Practicing What You’ve Learned
        III.    The Cardiovascular and Respiratory Systems
                    A.    Overview of the Cardiovascular System
                    B.    Overview of the Respiratory System
                    C.    Practicing What You’ve Learned
        IV.    The Digestive, Urinary, and Reproductive Systems
                    A.    Overview of the Digestive System
                    B.    Overview of the Urinary System
                    C.    Overview of the Reproductive System
                    D.    Practicing What You’ve Learned
        V.    Nervous and Integumentary Systems and Special Senses
                    A.    Overview of the Nervous System
                    B.    Overview of the Integumentary System
                    C.    Overview of Special Senses
                    D.    Practicing What You’ve Learned
        VI.    The Lymphatic, Immune, and Endocrine Systems
                    A.    Overview of the Lymphatic System
                    B.    Overview of the Immune System
                    C.    Overview of the Endocrine System
                    D.    Practicing What You’ve Learned

Instructors & Support

LaTrisha Howard

LaTrisha Howard has over 10 years experience in the healthcare industry. LaTrisha has expertise in coding Inpatient, Outpatient, and ER medical records. In addition to Ms. Howard’s experience in coding, she has experience in chart auditing and physician education. She is currently working as an ER Coder/Auditor for a physician billing and consulting service, and currently holds the CCS and CPC certification, as well as being a member of AHIMA and AAPC.

Nancy Smith

Nancy Smith has almost 30 years of experience in healthcare education. After graduating from college with a degree in vocational education, she taught administrative medical programs in vocational schools and community colleges. In addition, she has professional experience as a medical coder, insurance claims specialist, medical records auditor, and medical office manager. She is a member of AHIMA and has a CCS-P coding certification. She currently does coding for ambulatory surgery center and resides in Pittsburgh, Pennsylvania.

Shonda Miles

Shonda Miles is a Certified Professional Coder, Certified Professional Medical Auditor, and holds an Executive Masters of Business Administration, Master’s Degree in Business Administration with a concentration in Human Resources and a Bachelor’s degree in Business Administration (Management). Shonda Miles has over 6 years in the healthcare industry. Shonda has expertise in coding and chart auditing Inpatient, Outpatient, and ER medical records. She is a member of AAPC, NAMAS and ACHE. She is currently employed with a university hospital as a Compliance Auditor. She resides in Shreveport, LA.

Carline Dalgleish

Carline Dalgleish has worked in medical office administration for over 30 years. She holds a bachelor’s degree in Business Information Systems, a master’s degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and also owns her own consulting firm, AnnGrant Educational Services.

LaTisha Cottingham

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 Analyst for a Long-Term Care establishment that is based out of Alabama. Previously she was employed as the lead instructor for the Allied Health Department for a local career institute. LaTisha's field of expertise is in the area of physician-based inpatient coding and Emergency Department coding. The certifications that she holds are as follows: a Registered Health Information Technician (RHIT), a Certified Professional Coder (CPC), and a Certified Clinical Medical Assistant (CCMA). In preparation for ICD-10-CM, LaTisha received her ICD-10-CM/PCS Trainer Certification from American Health Information Association (AHIMA), where she is currently a member. LaTisha is also a member of the American Academy of Professional Coders (AAPC) and the National Healthcare Association (NHA) where she is a test proctor.

Lydia S. Stewart

Lydia S. Stewart, RN, BSN, currently serves as the Revenue Cycle Manager at a large regional medical center. Lydia has been a Registered Nurse for 23 years, 15 of those years specializing in Critical Care Nursing and supervision. She is responsible for Medical Audits, Charge Capture, and governmental compliance audits and reviews. Lydia is a member of the Louisiana Medical Auditor Association and Healthcare Financial Management Association (HFMA).

Bunny Reeves

Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island’s St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).

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Requirements

Prerequisites / Requirements

Prerequisites:

There are no prerequisites to take this course. However, in order to sit for national certification exams, candidates must have a high school diploma or equivalent; therefore, it is recommended you have this before enrolling for this course.

Requirements:

Hardware Requirements: 

  • This course can be taken on either a PC or Mac.

Software Requirements: 

  • PC: Windows XP or later.
  • Mac: OS X Snow Leopard 10.6 or later.
  • Browser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.
  • Adobe Flash Player. Click here to download the Flash Player.
  • Adobe Acrobat Reader. Click here to download the Acrobat Reader.
  • Email capabilities and access to a personal email account.
  • Software must be installed and fully operational before the course begins.
Instructional Materials

The instructional materials required for this course are included in enrollment. The following textbooks will be shipped to you approximately 7-10 business days after enrollment:

  • A Guide to Health Insurance Billing 
  • Coding Workbook for the Physician’s Office 
  • CPT Standard Edition 
  • HCPCS Level II 
  • ICD-10-CM Expert for Physicians 
  • Merriam-Webster's Medical Desk Dictionary 
  • Medical Terminology for Health Professions 

FAQs

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Can I register for a course if I am an international student?

Yes, ed2go courses are online, so you never have to actually travel to the school. Most schools offer telephone or online registration.

Does this course prepare for a certification?

Yes, you will be prepared to sit for the Certified Coding Associate (CCA) exam, offered by the American Health Information Management Association (AHIMA) and receive an exam voucher after successful completion of the course and financial obligation.

When can I start the course?

This course is open enrollment, so you can register and start the course as soon as you are ready. Access to your course can take 24-48 business hours.

How long does it take to complete this course?

This course is self-paced and open enrollment, so you can start when you want and finish at your own pace. When you register, you'll receive twelve (12) months to complete the course.

What if I don't have enough time to complete my course within the time frame provided?

The time allotted for course completion has been calculated based on the number of course hours. However, if you are unable to complete the course, contact your Student Advisor to help you work out a suitable completion date. Please note that an extension fee may be charged.

What kind of support will I receive?

You may be assigned with an instructor or team of industry experts for one-on-one course interaction. Your support will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance. All of our instructors are successful working professionals in the fields in which they teach. You will be assigned to an Advisor for academic support.

What happens when I complete the course?

Upon successful completion of the course, you will be awarded a certificate of completion. In addition, you will receive an exam voucher for the Certified Coding Associate (CCA) exam, offered by the American Health Information Management Association (AHIMA) after successful completion of the course and financial obligation.

Am I guaranteed a job?

This course will provide you with the skills you need to obtain an entry-level position in most cases. Potential students should always do research on the job market in their area before registering.

Can I get financial assistance?

ed2go courses are non-credit, so they do not qualify for federal aid, FAFSA and Pell Grant. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses. Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements. Financing is available from select schools. Learn more: https://www.ed2go.com/career/financial-assistance

How can I get more information about this course?

If you have questions that are not answered on our website, please feel free to contact us via LIVE CHAT or by calling us at (855) 520-6806. If you are visiting us during non-business hours, please feel free to send us a question using the Contact Us form.

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