• Medical coding terminology is required for medical coding, including the structures and functions of the human body
• The disorders and medical procedures common to each body system
• Legal, ethical, and regulatory concepts central to the field, including HIPAA compliance and third-party guidelines for filing insurance claims
• The main coding manuals: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
• How to code diagnoses, services, and procedures for all systems of the body
• Fundamentals of medical billing & coding and medical terminology
• Word parts and the structures and functions of the human body

According to the U.S. Bureau of Labor Statistics (BLS), the average annual salary of medical billing and coding specialists is $47,180 (as of May 2022). Jobs for these professionals will likely increase by 8% through 2032, much faster than the average for all other professions (3%).

The BLS also estimates that at least 15,000 new jobs for medical billers and coders are expected annually, on average, over the decade.

Hardware Requirements:

• This course can be taken on either a PC or Mac device.

Software Requirements:

• PC: Windows 8 or later operating systems.
• Mac: OS X Snow Leopard 10.6 or later.
• Browser: The latest version of Google Chrome or Mozilla Firefox is preferred. Microsoft Edge is also compatible.
• Microsoft Word or equivalent (not included with enrollment)
• Download the .
• Software must be installed and fully operational before the course begins.

Other:

• Email capabilities and access to a personal email account.

Instructional Material Requirements:

The instructional materials required for this course are included in enrollment. The following textbook, workbook, and codebooks will be shipped to you approximately 7-10 business days after enrollment:

• Understanding Health Insurance: A Guide to Billing and Reimbursement, by Michelle A. Green
• Accompanying Workbook: Understanding Health Insurance: A Guide to Billing and Reimbursement
• ICD-10-CM Expert for Physicians
• CPT Professional
• HCPCS Level II Professional

Choice of study guide/voucher package upon course completion:

• CBCS Study Guide
• Professional Review Guide for the CCA Examination + ICD-10-PCS Expert
• Official CPC Certification Study Guide

There are no prerequisites to take this course. However, in order to sit for national certification exams, candidates must have a high school diploma or equivalent. Therefore, it is recommended you have this before enrolling in this course.

Nancy Smith has over 30 years of experience in the healthcare industry. Her clinical experience includes working as a medical assistant for a network of rural health clinics, and as a medical coder, insurance claims specialist, and medical records auditor. Nancy holds a bachelor's degree in vocational education and has developed and taught medical assistant programs.

LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as an HIM Analyst for a long-term care establishment that is based out of Alabama. 

What does a medical biller and coder do?

Medical billers and coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.

Is there a difference between medical billing and medical coding?

Yes. Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides. Many professionals in this area have both medical billing and medical coding skills.

What are the requirements for a medical billing and coding career?

Entry-level positions typically require completion of a certificate and passing one of the certification exams or an associate degree program in medical billing and coding. Additionally, medical billing and coding professionals must understand the Health Insurance Portability and Accountability Act (HIPAA).

How long does it take to become a medical biller and coder?

In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year, while earning an associate degree can take up to three years.

What is the difference between certification exams (CPC, CCA, and CBCS)?

Obtaining a CPC, CCA, or CBCS certification implies that an individual has met competencies in medical billing and coding. Students have an opportunity to make confident, informed decisions about the national certification they prefer.

The Certified Professional Coder (CPC) exam is offered by the American Academy of Professional Coders (AAPC). It is the gold standard entry-level coding certification for physician, or professional fee, coders. 

The Certified Coding Associate (CCA) is offered by the American Health Information Management Association (AHIMA). It is an entry-level medical coding certification across all settings--physician practices and inpatient hospital.

The Certified Billing and Coding Specialist (CBCS) is offered by the National Healthcareer Association (NHA) and is currently an entry-level medical billing certification for physician practices. In the summer of 2021, the exam will transition to an entry-level billing and coding certification, with the inclusion of ICD-10-CM, CPT, and HCPCS Level II testing.

Is medical billing and coding a good career?

U.S. News & World Report ranked medical records technician (professionals that perform medical billing, medical coding or both) in the top 5 on its list of 鈥�25 Best Jobs that Don鈥檛 Require a College Degree," #12 in 鈥淏est Health Care Support Jobs鈥� and on the 鈥淭he 100 Best Jobs鈥� list.