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Medical Insurance Coding and Billing Specialist

Medical Insurance Coding and Billing Specialist Program

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The Medical Insurance Coding and Billing Specialist Program prepares the student for an entry level position in a Hospital, Medical or Dental office, and medical insurance/billing companies. The Program provides all the necessary training to enable the students to acquire the necessary skills and demonstrate competencies in a variety of medical office procedures and billing and coding techniques.

Instruction combines theory and practice to meet the competencies needed to be a medical biller and coder. Students learn to prepare various health claim forms using medical billing software. In doing so, they acquire a working knowledge of human anatomy and medical terminology, as well as comprehension of the legal, ethical and regulatory standards of medical records management. Students learn to accurately interpret medical records, including diagnoses and procedures of health care providers, as well as to document and code the information for submission to insurance companies. Graduates receive CPR and First Aid Certification from American Red Cross and Diploma in Medical Insurance Coding and Billing Specialist.

The primary goal of the Medical Insurance Coding and Billing Specialist Program is to prepare entry level medical billers and coders with the knowledge and skills competencies for the organization and accurate maintenance of patient medical records.


Career Highlights & Opportunity

As a Medical Insurance Coding and Billing Specialist, you will prepare various health claim forms using medical billing software. Your daily tasks might include accurately interpreting medical records, including diagnoses and procedures of health care providers, as well as documenting and coding the information for submission to insurance companies. Graduates of the ICH Medical Insurance Coding and Billing Specialist Program may find employment in private medical and dental clinics, hospitals, insurance companies, private billing companies or public health departments with the following job titles:

  • Billing Specialist
  • Coding Specialist
  • Patient Account Representative/ Coder
  • Billing Coordinator
  • Reimbursement Specialist
  • Medical Insurance Collection Specialist
  • Insurance Registration Representative
  • Remote Coder
  • Medical Receptionist/Biller
  • Patient Financial Services
  • Claims Specialist

The U.S. Bureau of Labor Statistics ranks Medical Billing and Coding as among the fastest growing occupations over the 2018-2028 decade. Employment is projected to grow 11% – much faster than the average job ranking. As of 2018, Medical and Billing Coders held about 215,000 jobs with career opportunities in the following:

  • Physician offices
  • Public & Private hospitals
  • Administrative and support services
  • Nursing care facilities

Program Overview

Length of Program: 35 Weeks – 9 Months (approximately)

Semester Credit Hours: 43.35

Total Clock Hours: 920 (Classroom: 1,480 – Externship: 960)

Graduates will receive a Diploma in Medical Insurance Coding and Billing Specialist


Course Objectives

At the end of the program, the student will be able to:

  • Demonstrate thorough understanding of the human body, its functions and medical terminology as they apply to medical billing and coding.
  • Assign and understand diagnostic and procedure codes using ICD-10-CM/PCS and HCPCS/CPT coding systems as used in a variety of settings.
  • Uphold legal and ethical standards and adhere to principles of patient confidentiality within the health care community environment as defined by federal, state, and local guidelines and regulations.
  • Effectively used specialized computer programs (EMR) and the Microsoft Office Suite.
  • Understand and appropriately apply industry standard payment methodologies.
  • Effectively apply verbal, nonverbal, and written communication principles and skills in the workplace.
  • Compare and contrast the major types of government and commercial insurance health plans, including Medicare, Medicaid, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Point-of-Service (POS) plans.
  • Describe the purpose and impact of the Healthcare Portability and Accountability Act (HIPAA) and explain how professionals can learn about changes to the laws and regulations that affect them.
  • Summarize the life cycle of a typical insurance claim and explain the processing steps that must be completed before claims and other forms can be submitted to the insurance company.
  • Explain the purpose of medical coding and accurately code diagnoses and procedures using industry-standard coding systems published by the World Health Organization (WHO) and the American Medical Association (AMA).

Prerequisites: Must have a high school diploma or GED and pass the entrance exam.

Please refer to the latest School Catalog for more information.

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