10 Required Courses for the Program Certificate
2 Cohorts Per Year: Fall-Winter and Spring-Summer
The first 5 courses of the program are offered in Fall 2019
Class 1: Body Systems & Terminology for Billers & Coders, Class 1, 2, & 3
Designed specifically for coders and billers, this course teaches you to decipher terminology by root words as well as about anatomy and physiology, since that’s how coders code and billers bill. Plus a strong medical vocabulary is the foundation of any healthcare career!
Class 2: Health Insurance & Managed Care, Part 1
This class reviews the basic key concepts of insurance and managed care carriers including Blue Cross, Blue Shield, Medicare, Medicaid, Tricare and recent changes impacting our health system due to health care reform. Also learn about HMOs and PPOs. It prepares the student for understanding the many different types of insurance plans and how they work.
Class 3: CPT (HCPCS) Coding
Get an introduction to CPT (procedural) descriptive terms and identifying codes currently being used in the field of medicine. You’ll get instruction in the use and format of the CPT manual. Prerequisite: Body Systems & Terminology.
Class 4: ICD-10 CM/PCS Coding
Learn about diagnosis coding related to reimbursement. Understand the principles used to transform verbal diagnoses and surgical procedures into numerical codes; learn about the use and format of the ICD manual. Prerequisite: Body Systems & Terminology.
Class 5: Claims Processing
Learn medical billing techniques and how to follow up and collect on billed claims. You will also learn how to complete medical and itemized statements. Various types of insurance plans and insurance cards will also be reviewed. PREREQUISITE: Body Systems & Terminology, ICD-10 Coding, and CPT Coding
The last 5 classes will be offered in Winter 2020
Class 6: Computer Billing, Part 1
Covers billing forms in more detail, including entering charges, modifiers, posting payments, appealing denials and minimizing receivables. Learn about the most popular insurance plans and get tips for working on various medical software programs and avoiding common mistakes. Prerequisites: Body Systems & Terminology, ICD Coding, and CPT Coding.
Class 7: Computer Billing, Part 2
Get familiar with billing forms in greater detail including entering charges, modifiers, posting payments, appealing denials and minimizing receivables. Learn about the most popular insurance plans and get tips for working on various medical software programs and avoiding common mistakes. Prerequisites: Computer Billing, Part 1.
Class 8: Health Insurance & Managed Care, Part 2
Instructors choose current relevant topics to help make students more knowledgeable and employable. Topics may vary from session to session, so students may repeat this class to gain additional knowledge. Topics may include dental, home health or domiciliary (medicare) coding or workers' comp lien processing.
Class 9: Advanced Coding
Get acquainted with medical chart analysis and HIM chart abstracting. Find out about Medicare reimbursement compliance and how Medicare Prospective Payment Systems (PPS) impact hospital and physician reimbursement. Practice coding from a variety of report types, including professional services reports, surgical reports, and interventional inpatient progress reports that include physical therapy, pharmacology, diagnostic injections and infusions with administration coding guidelines. Prerequisites: ICD, CPT Coding, and familiarity with computer keyboard.
Class 10: Hospital Billing
Hospitals hire the majority of billers, pay well, and have great training and advancement opportunities. This class acquaints you with billing for hospitals and outpatient surgery centers. Learn federal requirements for understanding reimbursement including ancillary care, outpatient and inpatient surgery, and emergency billing. Also get an overview of the accounts receivable process including revenue cycle. Evaluate the CMS-1450 (UB-04) billing form and the collection process by understanding payer guidelines. Find out how the Department of Health and Human Services, including CMS, impacts hospital revenue. Prerequisites: Computer Billing, Part 1 & 2.