Healthcare Administration: Medical Billing & Coding

Certificate Program

Overview

The Certificate Program in Medical Billing and Coding supplies students with knowledge of the healthcare system, anatomy and physiology and related terminology, as well as of treatment of and procedure codes use by the healthcare industry and how to accurately communicate those codes to insurers and agencies for payment to providers. A focus of the program is preparation to sit for the Certified Professional Coder National Examination, and preparation for employment in a variety of healthcare systems, such as hospitals and medical practices.

Program Outcomes

At the completion of this program, students should be able to:

Demonstrate proficiency in coding using: International Classification of Diseases, Ninth Revision (ICD-g) 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.
Describe the origins, history, structure, and functions of the U.S. healthcare system.

Academic Division of Professional Programs

Healthcare Administration: Medical Billing & Coding Courses

- Code
- Course
- Credits
- BUS 202
- Principles of Customer Service
- 3
This course examines the principles of customer service and their significance in a service-driven economy. Topics covered include: The Service Strategy, The Customer: Internal & External; Customers’ Wants & Needs; Communicating Customer Service; Profiles of Successful Companies; Service People-Motivation, Commitment, and Reward. Placement at ENG 101 level strongly recommended.
- 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).
- MBC 101
- Introduction to Medical Billing and Coding
- 4
This course will focus on the components of medical billing and coding regulations. Students will be taught how to use ICD-10-CM, CPT, and HCPCS codes. The students will learn the rules and regulations required to successfully code an encounter/ medical record. Prerequisites: HSC 140, and HSC 149, or be enrolled in HSC 140, and MBC 101.
- 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 127
- Medical Diagnostic and Procedural Coding
- 3
This course focuses on the specific coding guidelines for the 12 body systems and medicine. Medical record analysis will be emphasized in code assignments. Current health care policy and regulations will be followed to ensure accuracy for reimbursement purposes. All coding methods will be analyzed with the support of the ICD-10-CM, CPT, and HCPCS coding books. This course will prepare students for the national certification exam with the American Academy of Professional Coders, AAPC. Prerequisites: HSC 140, HSC 149, & MBC 101.