Healthcare Administration- Medical Billing & Coding

Academic Division of Professional Programs

The Health Care Administration Program is mainly designed for students who anticipate transferring to a baccalaureate degree-granting institution. The course of study is interdisciplinary and includes the college core curriculum and courses specific to administration and health care as well as general liberal arts. Within this program students may choose the Medical Billing and Coding option.

Download the Healthcare Administration: Medical Billing & Coding Associate in Science Degree overview sheet.

Download the Healthcare Administration: Medical Billing & Coding Certificate overview sheet.

Certificates

Human services involve the art and science of working with people and helping others. Within the broad category of human services is the subspecialty of social work. The essential aim of the social work profession is to enhance social functioning of people within social and cultural frameworks. This program prepares graduates to engage in the helping professions at entry levels in their communities. This concentration focuses upon helping students develop the knowledge, skills, experience, and values that will assist them in working effectively with people in a variety of community settings. Specifically, this Certificate program will provide the required education requirements for state licensure as a Licensed Social Worker (LSW) (258 CMR 9.05) or as a Licensed Social Work Associate (LSWA) (258 CMR 9.06).

Program Outcomes
At the completion of the Certificate in Human Services, the student should be able to:

  • Assess client needs while working as a member of a team of helping professionals
  • Apply appropriate practices and procedures when interviewing applicants for services to obtain data and to provide information on available resources
  • Demonstrate familiarity with services available in the community and how those services relate to client needs
  • Demonstrate proficiency in assisting individuals or groups with difficult day to day problems such as finding employment, locating sources of assistance, and addressing other specific problems
  • Provide assistance in helping people identify and utilize specific relevant resources and agencies

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Degrees

The Health Care Administration Program is mainly designed for students who anticipate transferring to a baccalaureate degree-granting institution. The course of study is interdisciplinary and includes the college core curriculum and courses specific to administration and health care as well as general liberal arts. Within this program students may choose the Medical Billing and Coding option.

Program Outcomes
At the completion of this program, the student should be able to:

  • Demonstrate proficiency in coding using: International Classification of Diseases, Ninth Revision (lCD-g) coding book; Current Procedural Terminology (CPT) coding book; Healthcare Common Procedure System (HCPCS)
  • Recognize the essential duties and responsibilities of medical insurance billing
  • Demonstrate proficiency in English language and grammar in the medical environment
  • Interpret a patient medical report
  • Describe the reimbursement procedures for different types of medical records, settings, and procedures
  • Evaluate the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards
  • Validate the data collected for appropriate reimbursement;
  • Outline the ethical considerations that impinge on the fields of healthcare
  • Define medical terms and abbreviations
  • Demonstrate an understanding of the anatomy and physiology of the human body from the cellular level to the system level
  • Describe the origins, history, structure, and functions of the U.S. healthcare system

Plymouth

Quincy

Healthcare Administration- Medical Billing & Coding Courses
    •  
    • Code
    • Course
    • Credits
    • CSI 101
    • Introduction to Computers
    • 3
    This course introduces the student to the theory, structure, and application of computers. Topics include word processing, spread sheeting, presentation, and database management (software).
    • HSC 107
    • Orientation to Health Care
    • 1
    This course is designed to introduce and provide a brief overview of the U.S. health care industry as well as familiarize students with Quincy College and the Division of Nursing and provide students with an overview of the skills necessary to achieve their academic goals. Using the Internet, discussion and individual research this course creates an awareness of and curiosity for the health care delivery system. It explores stress as a natural part of being a student and health care provider and identifies effective coping methods. It also encourages students to value cultural diversity and professionalism. Topics covered include: personality and learning styles, test-taking and study skills, College and Nursing policies and procedures, trends in health care, health care financing and reimbursement, ethical and legal issues and other related health care topics.
    • HSC 140
    • Medical Terminology
    • 3
    This course provides a foundation for the understanding of medical terms, their abbreviations, basic anatomy and physiology as well as pathological conditions. It includes the study of prefixes and suffixes and root/stem words as well as medical technology terms with an emphasis on spelling, pronunciation, definitions and common usage. This course is similar to learning a foreign language and involves the memorization as well as the application of words/terms. The student will study and demonstrate proficiency in spelling, pronouncing, definition and application of medical terms.
    • MBC 101
    • Introduction to Medical Billing and Coding
    • 3
    This course prepares students specifically for the position of medical billing and coding in doctor’s offices, hospitals, insurance companies and clinics. The course covers the necessary introductory skills in order to begin collecting, processing, and disseminating medical information and providing billing as needed by the health services industry and its patients.
    • HSC 149
    • Applied A&P for Health Care Professions
    • 4
    This course is an integrated study of the anatomy and physiology of the human body from the cellular level to the system level; designed for students embarking on a career/profession in the field of health care. Emphasis will be placed upon clinical applications, associated medical terminology and patient assessment. Advances in biomedical technology and patient/client treatment will be highlighted. Completion of HSC 140 prior to enrollment HSC 149 strongly recommended.
    • PHL 103
    • Medical Ethics
    • 3
    This course will examine a number of value problems arising from the broader context of ethical systems and explore them within the context of medicine and health care. Among the ethical problems, particular considerations will be given to euthanasia, abortion, genetic research, and human experimentation. Issues of medicine and the public interest will also be discussed. Open to all students. Placement at ENG 101 level strongly advised.
    • MBC 120
    • Insurance Claims Procedures
    • 3
    This course will develop the skills necessary to complete insurance forms and solve common medical insurance problems through a series of courses that emphasize the knowledge of insurance terminology, diagnostics, procedural coding and records management. This course introduces specific insurance reimbursement policies and procedures and emphasizes procedures for Blue Cross/Blue Shield, Medicare, Medicaid, Tricare, and health maintenance organizations (HMOs). Prerequisites: HSC 140, HSC 149.
    • MBC 102
    • English for Health Claims
    • 3
    This course covers grammar, punctuation, and other writing skills necessary for the medical environment. This course emphasizes language to complement the skills of individuals in the health care field. The course also builds key vocabulary: both common phrases used by medical staff and technical terms for symptoms, medical conditions, medical equipment and procedures, anatomy, treatments and more. Prerequisites: HSC 140, MBC 101.
    • MBC 125
    • Medical Administration and Coding: Certification Prep
    • 6
    This course analyzes health records to assure that documentation supports the patient’s diagnosis and procedures, reflects progress, clinical findings and discharge status for the means of medical coding. There will be repeated practice in the evaluation of the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards. All coding methods will be analyzed with the support of the ICD-10, CPT and HCPCS coding books in preparation for the Certified Coding National Examination. This course will assist in the organization of obtaining accreditation, licensing and/or certification surveys in Medical Administration and Medical Coding. Prerequisites: HSC 140, HSC 149.
    • HCA 104
    • Health Care Delivery Systems
    • 3
    The course introduces students to the historical development, structure, operation, and current and future directions of the major components of the American health care delivery system. It examines the ways in which health care services are organized and delivered, the influences that impact health care public policy decisions, factors that determine the allocation of health care resources and the establishment of priorities, and the relationship pf health care costs to measurable benefits. The course enables students to access the role of organized efforts to influence health policy formulation, and the contributions of medical technology, delivery system. Additionally, this course provides an orientation to key health care statistical information.
    • CSA 213
    • Database Management
    • 3
    This course is designed to introduce the fundamental process of developing, implementing, and maintaining a database system in order to produce management information. MS Access or other relational database programs will be used. Database programming is also included.
    • FIN 202
    • Health Care Finance
    • 3
    The course focuses on health care finance as practiced within health care organizations, such as, hospitals, physician practices, clinics, home health agencies and managed care organizations. It covers the principles and applications of accounting and financial management. The course is organized around three critical elements: 1) the use of accounting information for decision making, 2) as a business the health care industry has some critical differences from other industries; and 3) the principles of economics are the conceptual basis for decision making.
    • MBC 297
    • Medical Billing & Coding Internship
    • 3
    This course provides the student with the opportunity to integrate the academic studies of medical billing and coding into an experiential supervised setting. The student will work for ninety hours in an approved internship position arranged through the college. Relevant work areas include referral confirmation, demographic information and medical treatment and diagnosis, insurance reimbursement policies of major health insurances for billing and coding. A final paper is required. Prerequisites: 30 credits completed (15 at QC, 12 in major), a GPA of 3.1 or higher, and permission of the dean.

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Contact Info:

Quincy Campus

1250 Hancock Street
Quincy, MA 02169

Tel:  (617) 984-1700

Plymouth Campus

36 Cordage Park Circle
Plymouth, MA 02360

Tel:  (508) 747-0400

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