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Medical Billing & Coding Specialist

Medical Billing and Coding specialists play a vital role in every phase of the healthcare industry. As healthcare providers transition from paper files to electronic patient files and billing systems, trained Medical Billing and Coding professionals are needed to efficiently handle this data.

Medical coders assign alphanumeric codes to specific illnesses, injuries and medical procedures, under a system of coding that is used across the healthcare system from doctor's offices and hospitals to insurance companies and federal agencies.

Course Overview:

  • Introduction to Medical Insurance
  • HIPAA and the Legal Medical Record
  • Diagnostic and Procedural Coding
  • Placement methods: Managed Care
  • Health Care Claim Preparation
  • Claims Transmission
  • RA/EOB
  • Collections and Disability
  • Blue Cross and Blue Shield
  • Medicare and Medicaid
  • TRICARE/CHAMPUS/CHAMPVA
  • Word processing software programs

Student will complete a 180 hour externship


Duties and Responsibilities.  Click to view

  • Making sure the healthcare provider gets paid correctly
  • Enter data regarding the services performed into a medical billing software program
  • Prepare statements for mailing
  • Run electronic tracking reports to document account status
  • Talk with patients and /or health insurance companies on a regular basis to make sure all invoices are paid in a timely manner
  • Conduct research to identify which code should be used to determine if multiple procedures can be combined into a single code

Employment Opportunity.  Click to view

According to the Occupational Outlook Handbook and US Bureau of Labor Statistics, employment in Medical Records & Health Information will continue to grow at a rate of 18% through 2016, which is much faster than the average growth rate for all occupations.
Positions for Medical Billing and Coding Specialist exist in all areas of the healthcare industry, including doctors' offices, clinics, insurance companies, hospitals, outpatient care providers, assisted living centers, and nursing homes.
Median annual earnings of Medical Records & Health Information specialists:
General medical and surgical hospital $29,400
Nursing care facilities $28,410
Outpatients care centers $26,680
Office of physicians $24,170
*The above wage data is from: Occupational Employment Statistics

Examples of Position Titles.  Click to view

  • Medical Records & Health Specialist
  • Medical Claims Adjuster
  • Medical Clerk
  • Insurance Claims Analyst
  • Medical Billing & Coder

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