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Medical Coding & Billing Specialist Outline

Medical Coding & Billing Specialist

Course Outline

Learn everything you need to know to start a new career as a Medical Coding & Billing Specialist. Your training will include overviews of diagnostic and procedural coding, common claims forms, medical terminology, and important legal and ethical issues for healthcare professionals. Here's an overview of the custom learning materials and bonus items you'll receive in your course.

Unit 1


  1. The World of Healthcare
  2. Medical Insurance 101
  3. Ethics and Legal Issues
  4. Medical Records
  5. Introduction to Medical Terminology
  6. Dividing and Combining Medical Terms
  7. Abbreviations, Symbols and Special Terms
  8. Body Systems
  9. Resources for the Healthcare Professional
  10. Electronic Health Records

Unit 2


  1. Coding for the Medical Biller
  2. Private Insurance and Managed Care Programs
  3. Medicaid, PACE, CHIP and Medicare
  4. Military Insurance, Workers' Compensation and COBRA
  5. Determining Payment
  6. Introducing the CMS-1500 Claim Form
  7. Explanation of Benefits
  8. Secondary Claims
  9. Preparing the UB-04 Claim Form
  10. Insurance Follow-up and Preparing the CMS-1500
  11. Medical Billing Technology

Unit 3


  1. Introduction to Anatomy
  2. Anatomy: Landmarks and Divisions
  3. Cell and Tissue Anatomy and Pathology
  4. Introduction to ICD-10-CM and Coding for Infections
  5. ICD-10-CM Coding from Blood to Metabolic Diseases
  6. ICD-10-CM Coding from Mental Disorders to the Circulatory System
  7. ICD-10-CM Coding from Digestive to Musculoskeletal
  8. ICD-10-CM Coding from Genitourinary System to Complications of Pregnancy
  9. ICD-10-CM Coding from Symptoms to Abnormal Findings
  10. ICD-10-CM Coding from Morbidity to Health Factors

Unit 4


  1. CPT Coding 101
    • Surgical Coding, Part 1
    • Surgical Coding, Part 2
    • Radiology, Pathology, Anesthesia and Medicine
  2. Integrating Diagnostic and Procedural Codes

Unit 5


  1. Evaluation and Management Services
  2. Comprehensive Evaluation and Management
  3. The Basics of HCPCS Coding and Final Coding Quiz

Additional Course Materials*

  • Medical Terminology Flashcards
  • Medical Terminology Audio
  • Claims Forms for Practice
  • Human Anatomy Flashcards
  • Anatomy and Physiology Textbook
  • Career Starter Guide
  • CPT  Manual
  • ICD-10-CM Manual

*Additional course materials will be delivered to you throughout your course.

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