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    Best seller

    Certified Medical Biller and Coder

    Includes CPC Certification Exam
    233 Students Enrolled
    233 Students Enrolled
    $4,295.00

    Additional information

    Hours: 415
    Duration: 6 months


    Language: English
    HF-MBC-CPC-03

    Data sheet

    Certification included
    true

    To request more information, you can contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    Online courses are accessible 24/7/365 and self-paced, allowing you to progress at your own pace on your own schedule. They can be taken from anywhere in the world from the comfort of your own home. Classroom courses have a set schedule of the days and times the courses will be held, and you must attend during those specific times.

    Find out if online learning is right for you by contacting our team of registration advisers. Our team is available to answer any of your questions about taking an online course before you commit to enrolling. We will walk you through what to expect to ensure you are making the right decision. You can contact a registration adviser today via online chat, our website contact form, or toll free at 1-855-201-6910.

    No, you are not required to have a diploma or higher education degree to enroll in an online course. However, some occupations may require minimum educational thresholds for employment or certification. For more information on your desired career requirements, please contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    To take an online course, you will need to have access to an internet connection and an internet ready device such as a laptop, PC, or tablet. For course specific requirements, please visit the course page or contact a registration adviser today.

    Our courses are developed with multiple formats including text, audio, video, and interactivity. Our courses also include multiple resources and tools which can include flashcards, games, activities, and more.

    No, you can take the online courses from anywhere in the world.

    We participate in several financial assistance options including third party funding, both military and non-military. To request more information on the financial assistance options available and check your eligibility, contact us via online chat, our website contact form, or toll free at 1-855-201-6910.

    Duration is the amount of time you will receive access to your course. Durations vary by course and range between 1 month and 12 months. If you complete your course before your duration ends you will continue to have access to your course until the duration period ends.

    Many of our career training programs include certification vouchers. This means that at the successful completion of your course, at no additional charge, you will receive an exam voucher for the corresponding industry certification. This voucher will allow you to register and sit for the appropriate certification exam to obtain your industry credential.

    Our online courses are open enrollment, so you can start immediately. If you are using any third-party funding to cover your course tuition, your start date may be a future date determined by your funding program.

    Once enrolled, you will be assigned a client adviser who will provide you with customer and technical support. Your client adviser will supply you with your course access information, any needed materials, and be available to answer any questions you have during your training experience. They will regularly check-in with you to monitor your progress and assist you with staying on track. You will also be assigned to a course mentor who will provide curriculum support throughout your training. Your mentor is available to answer any questions you have on your course curriculum, will monitor your progress and understanding of the curriculum, and may give assignments or quizzes.

    If you experience any trouble accessing your course including technical issues or lost login credentials, please contact your client adviser at helpdesk@worldeducation.net.

    We strive to provide a fully online experience for students however some of our training courses include physical materials or equipment. Courses that have materials shipped directly to students will be shipped within 7 business days of registration. Some training courses have material for different sections and these courses may require multiple shipments as you completed stages of your course.

    Our goal for students is to successfully complete their training course and achieve their career goals. We understand that extenuating circumstances can interfere with your ability to complete your course in the duration given. Because of this we have free or low-cost extensions available for our courses upon request. To discuss or request an extension please contact your client adviser at helpdesk@worldeducation.net.

    Upon successful completion of your course and fulfillment of any outstanding financial obligations, you will receive your certificate of completion. Certificates are provided to you within 30 days of completion. Your certificate will validate the training course you completed with a stamp of completion.

    Students that successfully complete our career training programs are assigned a career development adviser who will coordinate placement at a local externship or hands on opportunity. These opportunities are optional and may vary based on availability and occupation. Your career development adviser will also provide job search services such as: resume building, mock interviews, job opportunity resources, and more. Our professional enrichment courses do not come with a career adviser or career services.

    Program Description

    This assessment rich program is targeted at individuals pursuing a career in the healthcare industry as a medical biller and coder. During this course, you’ll learn the necessary skills and knowledge required for a certified medical biller and coder. You’ll learn the procedures of processing patient data such as diagnoses, insurance information, medical bills, etc. You’ll be trained in CPT, HCPCS, and ICD-10 for coding, dealing with insurance providers, and learn all the necessary medical terminologies. After completing this course, you’ll be proficient in the following areas: • Medical terminologies and a basic understanding of Physiology and Anatomy • Coding for laboratory services, surgical procedures, pathology, and radiology • Coding of management and evaluation procedures • Using coding modifiers • Insurance problem solving and tracing illegitimate claims • HIPAA and EDI • Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and coding manuals and sets of HCPCS • Federal and local regulations • Managing reimbursement claims by third-party Get certified! After successful completion of this program, you’ll be provided a voucher that will allow you to sit for the AAPC certified professional coder certification examination along with a one-year membership of the American Academy of Professional Coders (AAPC).

    Learning Objectives

    Upon successful completion of this program, learners will display proficiency in the following areas: • The International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Coding Sets and Manuals • Basic Medical Terminology and Anatomy & Physiology • Third-party reimbursement claims and issues • Tracing delinquent claims and insurance problem solving • Coding modifiers • HIPAA and Electronic Data Interchange (EDI) • Federal regulations and compliance • Coding for surgical procedures, radiology, pathology, and laboratory services • Coding of evaluation and management services

    Courses Included

    • Being a Medical Coder
    • The Evolution of CPT and ICD
    • Teamwork & Patient Service in Healthcare
    • Critical Thinking Skills in Healthcare
    • Patient Accounting Statements
    • Medical Billing and Coding Software
    • Accurate Medical Coding and Insurance Forms
    • Medical Regulations Governing Legal & Ethical Standards
    • Applying Medico-Legal Principles to PHI
    • Medical Billing and Coding Anatomy & Terminology
    • Managing Practice Finances
    • Communication in Healthcare
    • Medical Documentation and Record-Keeping: HIPAA
    • Healthcare Fundamentals
    • Introduction to Anatomy & Physiology
    • ICD-10 Coding
    • Medical Coding: Current Procedural Terminology (CPT)
    • Medical Billing

    Syllabus

    Module 1: Healthcare Fundamentals • The History of Healthcare • Healthcare Etiquette • Professional Situations and Applications Module 2: Communication in Healthcare • Healthcare Teams • Team Success • Champions Module 3: Medical Documentation and Record Keeping: HIPAA • Use and Disclosure • Real Life Scenarios • HIPAA Laws, Policies, and Requirements Module 4: Medical Terminology • Word Structure • Prefix, Root Word, and Suffix • Organization of the Body • Diagnostic Testing and Radiology Module 5: Anatomy & Physiology • Anatomy and Physiology Basics • Musculoskeletal, Integumentary, and Respiratory Systems • Digestive, Reproductive, and Urinary Systems • Blood and the Cardiovascular System • Lymphatic, Immune, and Endocrine Systems • Nervous and Sensory Systems • Medical Billing and Coding Anatomy & Terminology Module 6: Soft Skills • Teamwork & Patient Service in Healthcare • Critical Thinking Skills in Healthcare Module 7: Being a Medical Coder • Benefits and advantages of being a medical coder • Different industry certifications offered through AHIMA and AAPC • Advantages of AHIMA and AAPC membership • Career advantages of obtaining an industry certification Module 8: Medical Coding: CPT • Integumentary, Musculoskeletal, Respiratory Systems • Cardiovascular, Digestive, Endocrine, Nervous Systems • Anesthesia, Pathology, Radiology • Evaluation Management, Medicine, HCPCS Modifiers Module 9: Medical Coding: ICD-10 • Structure • General Guidelines • Chapter Guidelines Part I • Chapter Guidelines Part II • Practice Scenarios Module 10: Medical Billing and Reimbursement • Billing and Reimbursement • Health Insurance Basics • Claims • Accounts, Collections, and Banking Module 11: The Evolution of CPT and ICD • The Current Procedural Terminology (CPT) • Updates to the coding systems • Most important changes that impact primary care coding • The International Classification of Diseases Module 12: Legal Standards • Medical Regulations Governing Legal & Ethical Standards • Applying Medico-Legal Principles to PHI

    Requirements

    Prerequisites

    The training in this program is ideal for both entry level professionals looking to start out in the field and those professionals currently working in the field who are looking to either advance their skills or prepare to sit for an industry certification.

    Materials

    • ICD-10-CM The Complete Official Code Book
    • Current Procedural Terminology (CPT) Professional Edition
    • HCPCS Expert Level II
    • Medical Terminology: A Short Course

    Technical Requirements

    All required reference materials are provided with this program. Technical requirements: Internet Connection • Broadband or High-Speed (DSL, Cable, Wireless) Hardware Requirements • Processor - 2GHz Processor or Higher • Memory - 1 GB RAM Minimum Recommended Software Requirements • Operating Systems - Windows 7, 8 or 10; Mac OS x 10 or higher • Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx) • Internet Browsers - Google Chrome is highly recommended • Cookies MUST be enabled • Pop-ups MUST be allowed (Pop-up Blocker disabled) • Adobe PDF Reader

    Certification

    After completing this program students will be prepared to sit for the AAPC's Certified Professional Coder (CPC) exam. Included in the program tuition is a voucher for the certification exam, and one year membership fee to AAPC, as well as the recommended CPT, ICD, and HSPCS manuals (included manuals are AAPC approved for use during the certification exam). The CPC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules. A CPC must have at least two years medical coding experience (member's with an apprentice designation are not required to have two years medical coding experience.) Membership is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise. Due to the level of expertise required of medical coders, AAPC expects certified coders to be able to perform not only in an exam setting but also in the real world. In addition to passing the certification exam, coders will also be required to demonstrate on-the-job coding experience. Those who pass the CPC exam but have not yet met this requirement will be designated as an Apprentice (CPC-A) on their certificate. CPC-A Status: Members with an Apprentice designation are still required to submit annual CEUs while completing the coding job requirement. Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.

    Features

    • 100% Online, Self-Paced • Open Enrollment • Admissions and Student Support • Multimedia Rich and Interactive Content • Industry Certification Exam, when applicable • Hands-on Opportunity Upon Completion

    Career Services

    Students that successfully complete our career training are given a full years access to our modern day career services. With our career services, students are provided a multitude of career development tools to help launch their career quickly and successfully. These tools include:

    • Certification Exam Voucher and Registration Assistance (If Applicable)
    • Resume Building Assistance
    • Externship or Shadowing Placement
    • Career Coaching
    • Employer Skills Matching
    • And More!

    We are dedicated to serving our students on their unique career development journey. Whether you are transitioning to a new career, entering the workforce for the first time, or an experienced professional looking to climb the corporate ladder, our career services team can provide you with professional development tools applicable for any stage of your career.

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