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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
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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