Certified Medical Biller and Coder
Short Description: This assessment rich program is targeted at individuals pursuing a career in the healthcare industry as a medical biller and coder. During this course, you’ll learn the necessary skills and knowledge required for a certified medical biller and coder. You’ll learn the procedures of processing patient data such as diagnoses, insurance information, medical bills, etc.
You’ll be trained in CPT, HCPCS, and ICD-10 for coding, dealing with insurance providers, and learn all the necessary medical terminologies.
After completing this course, you’ll be proficient in the following areas:
• Medical terminologies and a basic understanding of Physiology and Anatomy
• Coding for laboratory services, surgical procedures, pathology, and radiology
• Coding of management and evaluation procedures
• Using coding modifiers
• Insurance problem solving and tracing illegitimate claims
• HIPAA and EDI
• Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and coding manuals and sets of HCPCS
• Federal and local regulations
• Managing reimbursement claims by third-party
After successful completion of this program, you’ll be provided a voucher that will allow you to sit for the AAPC certified professional coder certification examination along with a one-year membership of the American Academy of Professional Coders (AAPC).
Instructor Description: Though this program is a self-paced program it is supported by an educational mentor. Educational mentors are subject matter experts who have years of experience in their field as well as the necessary educational training and credentials to work as an expert. The mentor is available to answer any questions a learner may have including questions on course content, course material, certifications, and even industry questions. Mentors also monitor the progress of learners to ensure training retention and program advancement. In eLearning, motivation is a key tool to success. Because of this, mentors provide encouraging comments, feedback, and coaching to motivate learners throughout the duration of the program to support completion and success!
Certification: After completing this program students will be prepared to sit for the AAPC’s Certified Professional Coder (CPC) exam. Included in the program tuition is a voucher for the certification exam, and one year membership fee to AAPC, as well as the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam).
The CPC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules.
A CPC must have at least two years medical coding experience (member’s with an apprentice designation are not required to have two years medical coding experience.) Membership is required to be renewed annually and 36 Continuing Education Units (CEU’s) must be submitted every two years for verification and authentication of expertise.
Due to the level of expertise required of medical coders, AAPC expects certified coders to be able to perform not only in an exam setting but also in the real world. In addition to passing the certification exam, coders will also be required to demonstrate on-the-job coding experience. Those who pass the CPC exam but have not yet met this requirement will be designated as an Apprentice (CPC-A) on their certificate.
CPC-A Status: Members with an Apprentice designation are still required to submit annual CEUs while completing the coding job requirement.
Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.