Medical Coding and Billing
This is a hands-on course in which you will learn to use a computer to practice four of the most popular programs within the Microsoft Office Suite (Word, Excel, Access, and PowerPoint). You will learn to be an intermediate level user of the Microsoft Office Suite.
This course introduces medical elements and their applications to body systems and medical specialties. The student will be introduced to medical terms, Course Description
Students are introduced to the structure and function of the human organ systems as an integral part of the medical field. This course is designed to provide a comprehensive understanding of the human body structures and normal functioning of each structural system., as well as what takes place when the body’s homeostasis is unbalanced.
This course is the first of two parts and introduces the student to a wide spectrum of important HIM topics from managing health data to health statistics, biomedical research and quality management of health information. Topics addressed in this course include: content, structure, and functions of the health record; the electronic health record (EHR); healthcare data sets; clinical vocabularies and classification systems; reimbursement methodologies; health information technology functions; secondary data sources (registries and indexes); and fundamentals of statistics.
This course provides the student with a comprehensive view of the coding fundamentals of ICD-9-CM classification system for reporting medical outpatient and inpatient diagnoses and for reporting hospital inpatient procedures and operations. This course focuses on the history, format, conventions, guidelines and appropriate assignment of codes from the ICD- 9-CM classification system. Diagnostic and hospital procedural/operative clinical information is identified and abstracted from health records and assigned the appropriate, accurate and specific ICD-9-CM codes which are used for third party billing.
This course provides the student with a comprehensive view to the nomenclature and classification systems known as Current Procedure Terminology (CPT) and the Healthcare Common Procedure Coding System (HCPCS). This course concentrates on the accurate use of CPT for procedural and operative coding. This course also concentrates on the accurate use of HCPCS for Medicare’s Level II national coding used to bill for ambulance, medical and surgical supplies, durable medical equipment, etc. CPT and HCPCS procedural/ operative clinical information, in addition to diagnostic clinical information, is identified and abstracted from health records and assigned the appropriate, accurate and specific procedural/operative and diagnostic codes for third party billing.
This course provides the student with a comprehensive and in depth view of medical insurance, billing and claims processing. This course focuses on the major private and governmental plans and their reimbursement methodologies. Topics addressed in this course include: the roles of third party payers in the reimbursement of providers in the health industry; the roles played by medical insurance specialists and HIM professionals in the reimbursement process with private and governmental third party payers; the steps of the billing and reimbursement cycle; Electronic Data Interchange (EDI);