Medical billing and coding professionals keep records, calculate patient charges, and review files. Duties include reviewing records, calculating charges for a patient’s procedure or service, preparing itemized statements, and submitting claims to third-party payers. Medical coders are responsible for the collection of physician charges and patient data to ensure that claims are submitted to insurance carriers accurately and in the most efficient and expeditious manner. Medical coders also determine codes for physician procedures and diagnosis by using coding protocols.
This 80-hour course offers the skills needed to solve insurance billing problems, manually file claims (by using the CPT-4 and ICD-9 manuals), complete common insurance forms, trace delinquent claims (EOBs), and use generic forms (CMS 1500) to streamline billing procedures. The course covers the CPT (introduction, guidelines, evaluation, and management), specialty fields (such as surgery, radiology, and laboratory), the ICD-9 (introduction and guidelines), and the basic claims process for medical insurance and third-party reimbursement. Students will learn how to find the service codes by using coding manuals (the CPT-4 and ICD-9).
After obtaining the suggested practical work experience, students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) Certified Professional Coder exam (CPC or CPC-H – Apprentice); the American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam; or other national certification exams.
Questions? Contact CE Health Programs, (425) 564-4019.
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