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Online Medical Coding and Billing Curriculum and Classes

Our curriculum is developed specifically for the distance education learner by instructional designers who specialize in how to develop content for adults and well-qualified subject matter experts that include certified professional coders and a registered health information administrator to ensure quality content. The current subject matter expert has a Master's of Public Health Informatics. In addition, USCI works with a program advisory council of non-USCI employee who is a registered health information administrator and certified professional auditor working in the field to review content annually to ensure students receive content that is up-to-date, relevant and accurate.

The coursework trains students to:
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Describe the roles, average day, personal qualities and desirable character traits of various healthcare professionals.

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Employ legal and ethical standards related to patient confidentiality within the healthcare community environment.

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Define terms showing a fundamental understanding of the human body and medical terminology as they apply to medical billing and coding.

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Describe the characteristics of the types of healthcare insurance and explain the differences between them.

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Apply industry-standard payment methodologies to complete forms for primary and secondary insurance and create medical bills for patients.

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Classify and assign diagnostic and procedure codes to medical records using ICD-10-CM and CPT coding systems as used in a variety of settings.

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Define the formats, coding rules and when to use HCPCS codes, with hands-on practice coding from the HCPCS manual.

Program Curriculum Breakdown

Your Online Medical Coding and Billing School Classes are broken down into 4 units.

In Pack 1, students explore the roles of various healthcare professionals. Additionally, students discover the role medical records play in a coding and billing specialist’s job, and gain a basic understanding of electronic records. They learn medical terminology using a unique word-building system to help them interpret new terms. After examining important ethical and legal issues that they may encounter, students build on their medical terminology knowledge within each body system.

In Pack II, students gain an overview of private insurance and government programs. Students get extensive, hands-on practice completing the CMS-1500 form, interpreting explanations of benefits, and processing secondary claims. Students then explore insurance basics, denials and aging. Finally, students learn to complete a claim using cloud-based medical billing software.

Students finish up the medical billing portion by learning how to post payments and bill patients using medical billing software. Then, students will learn the basics of anatomy before diving into the specifics of the ICD-10-CM coding manual. Students examine the structure of the ICD-10-CM coding manual, as well as the guidelines and rules of ICD-10-CM coding. Additionally, students integrate diagnosis coding processes with physiology knowledge—from infections to mental disorders to pregnancy. Students also begin coding symptoms, ill-defined conditions, injuries and poisonings. Students use an ICD-10-CM coding manual to complete the program.

After finishing the final chapters of the ICD-10-CM, students focus on the CPT. Students gain an introduction to coding rules. Students learn about the sections within the CPT and how to integrate the diagnostic and procedure codes, and have plenty of hands-on practice applying their knowledge. Then, the student will learn about the final coding manual, the HCPCS Level II. After some hands-on practice, the student will discover how to integrate the diagnosis codes with the procedure codes. Finally, students learn how and when to use evaluation and management codes. After examining the associations and credentials available to this field, the final quiz gives students an opportunity to apply their outpatient coding skills. Students use CPT and HCPCS coding manuals to complete the program.
Online Medical Coding and Billing Program Overview
Full Program Details
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