The objective of the Medical Insurance Billing and Coding program is to provide an opportunity for students to explore and learn medical office skills, medical coding, and medical insurance billing.  Graduates from the program may qualify for entry-level positions in medical offices, clinics, hospitals, and medical insurance companies.

Students will become proficient in completing and processing a variety of health claim forms using correct coding information. Students will also become familiar with industry-based reference materials such as the Physicians’ Current Procedural Terminology (CPT), Health Care Common Procedure Coding Systems (HCPCS), and the International Classification of Diseases (ICD.9.CM).

The program involves the use of computer software that is associated with the coding and billing industry. Students will process insurance claim forms as well as use case studies to determine if and how a claim would be accepted and coded.

Medical Insurance Billing and Coding: Eight month program (36 weeks) Clock hours: 720

Program Delivery: Residential Course Description:

 

Module Module Name Lecture Hours Lab Hours Externship
Module I Introduction to Health Care 60 20
Module II Medical Office Administration 80
Module III Anatomy and Physiology 60 20
Module IV Clinical Medical Assisting Duties 40 40
Module V Medical Laboratory 40 40
Module VI Pharmacology 40 40
Module VII Electrocardiography and X Ray 40 40
Module VIII Externship* 160
Total 360 200 160

*All Modules must be completed before going on Externship

Module I – Concepts in Healthcare 80 hours

This course will provide the students with the knowledge involving the core concepts of the healthcare delivery system and health occupations.  It will discuss various aspects of communication, interpersonal skills, legal and ethical responsibilities, as well as, safety and security procedures. The course will also describe wellness and diseases, quality assurance and safety, emergency (first aid and CPR) response and aseptic techniques. Skills in computer literacy, basic math and science and employability are also discussed in this course.  Professionalism in dress, behavior, and attitude are presented and monitored throughout the program.

 

Module II – Anatomy/Physiology 80 hours

This module will discuss the concepts of medical terminology, including prefixes, suffixes and word roots, as well as, abbreviations and symbols. In this course, students learn the anatomy and physiology of the body systems, including vocabulary, pathology, diagnostic and therapeutic procedures. Infection control, vital signs and measurements, as well as handling office emergencies are also covered in this course. Professionalism in dress, behavior, and attitude are presented and monitored throughout the program.  

 

Module III – Medical Office Administration 80 hours

This module will discuss the concepts related to the medical office management, including interpersonal relationships, and communication.  The lesson also covers descriptions of the patient reception, office facility, equipment and supplies. The course also illustrates appointment scheduling, medical records management and its components, and medical office management.  Concepts of professionalism in healthcare will also be discussed professionalism in dress, behavior, and attitude are presented and monitored throughout the program.

 

Module IV – Medical Billing and Financial Management 80 hours

The course is designed to provide students concepts and skills in financial management including accounting systems, payroll procedures, fees, credit and collection, as well as check writing and banking procedures.  Students are also introduced to the medical billing procedures and its components such as CMS-1500 and UB-92 forms. Students are presented concepts of clinical records and medical documentation and abstracting, billing, and coding from medical reports.  Professionalism in dress, behavior and attitude are presented throughout the program.

 

Module V – Insurance Processing 80 hours

This course will assist the student to develop proficiency in preparing and processing insurance claims.  Types of health care plans wills be reviewed. Students will also become familiar with essential medical terminologies used in medical insurance processing, as well as, with the different claim forms.  Electronic claims billing and submission will also be mentioned. Professionalism in dress, behavior and attitude are presented throughout the program.

 

Module VI- Medical Coding Systems 80 hours

This course will provide students with the necessary skills and concepts required to perform medical billing using the medical coding system.  It will cover diagnostic coding/ICD-9 codes, HCPCS and its correct applications as they relate to describing diagnoses, procedures, services, supplies, and injections.  The course will describe the external regulating agencies and their impact on the coding systems. Professionalism in dress, behavior and attitude are presented throughout the program.

 

Module VII – Health Information and Record Management 80 hours

This course is designed to provide the student with an understanding of the concepts and skills involved in working with health information and medical records. Students will demonstrate the proper techniques involved in maintaining patient records, indexing and filing, as well as, charting and documentation.  The course will also cover clinical records and medical documentation. Professionalism in dress, behavior and attitude are presented throughout the program.

 

Module VIII – Externship 160 hours

This module is designed to provide the student hands on experience in the field working as an extern in healthcare facility. Professionalism in dress, behavior and attitude are presented throughout the program.