MED-BILL.AE1 ISBN: 978-1-64459-474-2
Medical Billing and Coding
Learn medical coding to succeed in the healthcare industry. Step-by-step claim submission, coding, and reimbursement.
What you will be able to do
- Expertise in accurately representing medical procedures and diagnosis using CPT, ICD-10, and HCPCS codes
- Knowledge of the billing process: claim submission, coding, and reimbursement
- Knowledge of HIPAA, Medicare, and Medicaid regulations and their impact on billing practices
- Skilled in handling medical billing software and EHR (Electronic Health Records) systems
- Perform detailed review and analysis of medical records for coding purposes
- Identifying and resolving billing issues and disputes
- Communicating precisely with patients, healthcare providers, and insurance companies
- Dealing with commercial insurance claims
- Providing Data to the World Health Organization
Beginner Self-paced · 1 year access
49 Hands-On LiveLabs
Practice real IT tasks in guided environments.
- Real environments
- Auto-graded
- No installation
01 / About
About This Course
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No credit card required
The Medical Billing and Coding training course is designed for those wanting to pursue a rewarding career in the healthcare industry. It equips you with the essential skills to perform critical tasks in healthcare revenue cycle management. The comprehensive course guides you through real world scenarios ensuring you are prepared to accurately code diagnoses and procedures, submit clean claims, and maximize reimbursements. Additionally, this online Medical Coding and Billing course is equipped with many interactive features like ‘Prep Engine’ which provides a different set of questions to prepare for the exam in the test environment.
02 / Lessons & labs
See exactly what you will learn and practice
Lessons
22 Interactive Lessons · 108 topics01 Introduction 3 topics +
- About This Course
- Icons Used in This Course
- Where to Go from Here
02 Dipping Your Toes into Medical Billing and Coding 6 topics · 2 LiveLab +
- Coding versus Billing: They Really Are Two Jobs
- Following a Day in the Life of a Claim
- Keeping Abreast of What Every Biller/Coder Needs to Know
- Deciding Which Job Is Right for You
- Prepping for Your Career: Training Programs and Certifications
- Planning for the Future
2 LiveLab in this lesson — see the labs panel →
03 Exploring the Billing and Coding Professions 3 topics · 7 LiveLab +
- Looking at the Medical Coding Job
- Breaking Down the Medical Biller’s Job
- In Tandem: Working Together or Doing Both Jobs Yourself?
7 LiveLab in this lesson — see the labs panel →
04 Weighing Your Employment Options 4 topics +
- Choosing Your Environment: Doctor’s Office, Hospital, and Others
- Remote Access: Setting up Off-Site
- Reviewing Other Work Options: Freelancing, Temping, and More
- Heeding a Word of Advice for New Coders
05 Compliance: Understanding the Rules 4 topics · 6 LiveLab +
- You Rule! Meeting the Rule Makers
- Complying with HIPAA
- Unbundling the Compliance Bundle
- Getting the Most out of the Dreaded Audit
6 LiveLab in this lesson — see the labs panel →
06 Not-So-Strange Bedfellows: Medical Terminology and Medical Necessity 5 topics · 4 LiveLab +
- Brushing Up on Basic Anatomy
- Say What? Deciphering Medical Terminology
- Understanding Medical Necessity
- Scrubbing In: Proving Medical Necessity for Surgical Procedures
- Connecting with the World of Evaluation and Management Codes
4 LiveLab in this lesson — see the labs panel →
07 Getting to Know the Payers 3 topics · 6 LiveLab +
- Wading through Commercial Insurance Payers
- Medicare: Meeting the Chief Government Payer
- Working with Other Government Payers
6 LiveLab in this lesson — see the labs panel →
08 Your Basic Certification Options, Courtesy of the AAPC and AHIMA 4 topics · 2 LiveLab +
- Introducing the Two Main Credentialing Organizations: AAPC and AHIMA
- Looking at the Basic Certifications
- Choosing the Certification That’s Right for You
- Examining the Exams: A Quick Review of the Main Tests
2 LiveLab in this lesson — see the labs panel →
09 The Path to Certification: Finding a Study Program 5 topics · 2 LiveLab +
- The Big Picture: Thinking about Your Degree and Career Objectives
- Considering the Time Commitment
- First Things First: Squaring Away Your Prerequisites
- Picking a Program of Study
- Caveat Emptor: Watching Out for Diploma Mills
2 LiveLab in this lesson — see the labs panel →
10 Signing Up and Preparing for the Certification Exam 4 topics · 4 LiveLab +
- Establishing a Study Routine and Strategy
- Focusing on the Right Topics
- Preparing Yourself for Test Day
- Signing Up for and Taking the Big Test
4 LiveLab in this lesson — see the labs panel →
11 Adding Street Cred: Specialty Certifications and Continuing Ed 2 topics · 1 LiveLab +
- Introducing Specialty Certification Options
- Building on Your Cred with Continuing Education
1 LiveLab in this lesson — see the labs panel →
12 Processing a Run-of-the-Mill Claim: An Overview 5 topics · 3 LiveLab +
- Dreaming of the Perfect Billing Scenario
- Delving into the Details: Contract Specifics
- Covering Your Bases: Referrals and Preauthorization
- Tracking Your Claim from Submission to Payment
- Fighting for Proper Payment: Filing an Appeal with the Payer
3 LiveLab in this lesson — see the labs panel →
13 Homing In on How to Prepare an Error-Free Claim 4 topics · 3 LiveLab +
- Assigning CPT Codes
- Applying Modifiers Correctly
- Looking for Money Left on the Table
- Checking and Double-Checking Your Documentation
3 LiveLab in this lesson — see the labs panel →
14 From Clearinghouse to Accounts Receivable to Money in the Pocket 4 topics · 1 LiveLab +
- Spending Time in the Clearinghouse
- Facing Factors Affecting Reimbursement Amounts
- Payment or Denial: Being in the Hands of the Payer
- Breaking Down the Remittance Advice
1 LiveLab in this lesson — see the labs panel →
15 Handling Disputes and Appeals 6 topics · 1 LiveLab +
- Dealing with Disputes Involving Contract and Non-Contracted Payers
- Knowing When to File an Appeal: General Guidelines
- The Art of the Appeal: Understanding the Basics before You Begin
- Going through an Appeal, Step by Step
- Appealing Medicare Processing
- Appealing a Workers’ Comp Claim
1 LiveLab in this lesson — see the labs panel →
16 Keeping Up with the Rest of the World 3 topics · 1 LiveLab +
- WHO’s on First: Providing Data to the World Health Organization
- Charting Your Course with ICD
- Moving beyond ICD-10
1 LiveLab in this lesson — see the labs panel →
17 Dealing with Commercial Insurance Claims 3 topics · 1 LiveLab +
- Meeting Commercial Insurance
- Cashing In with Commercial Payers
- Knowing What’s What: Verifying the Patient’s Plan and Coverage
1 LiveLab in this lesson — see the labs panel →
18 Caring about Medicare and Medicaid 6 topics · 1 LiveLab +
- Brushing Up on Medicare Basics
- Working with Medicare Claims
- Deciding What Gets Paid
- Working with Medicare Contractors
- Doing Business with Medicare Part C Plans
- Verifying Coverage and Plan Requirements
1 LiveLab in this lesson — see the labs panel →
19 Coding Ethics: Being an Advocate for Your Employer 3 topics · 1 LiveLab +
- Playing the Part of the Professional Medical Biller/Coder
- Protecting Yourself and Your Integrity
- Getting the Most Bang for Your Client’s Buck — Honestly
1 LiveLab in this lesson — see the labs panel →
20 Ten Common Billing and Coding Mistakes and How to Avoid Them 10 topics +
- Being Dishonest
- Shifting the Blame
- Billing More than Is Documented
- Unbundling Incorrectly
- Ignoring an Error
- Mishandling an Overpayment
- Failing to Protect Patients from Out-of-Network Penalties
- Failing to Verify Prior Authorization
- Breaking Patient Confidentiality
- Following the Lead of an Unscrupulous Manager
21 Ten Acronyms to Burn into Your Brain 10 topics · 3 LiveLab +
- ACA: Patient Protection and Affordable Care Act
- ACO: Accountable Care Organization
- CDI: Clinical Documentation Improvement
- CMS: Centers for Medicare & Medicaid Services
- EHR: Electronic Health Record
- EOB: Explanation of Benefits
- HIPAA: Health Insurance Portability and Accountability Act
- INN: In-Network
- NCCI: National Correct Coding Initiative
- OON: Out-of-Network
3 LiveLab in this lesson — see the labs panel →
22 Ten (Plus One) Tips from Billing and Coding Pros 11 topics +
- Insist on Proper Documentation
- Verify Patient Benefits
- Get Vital Patient Info at Check-In
- Review the Documentation ASAP
- Set Up a System to Ensure Accuracy
- Play Nice with Others
- Follow Up on Accounts Receivable Daily
- Be a Bulldog on the Phone
- Know Your Payer Contracts by Heart
- Create a File System That Lets You Find What You Need
- Make Payers Show You the Money!
Hands-On Labs Our edge
49 LiveLabs- Gaining Knowledge about Federal and State Regulations
- Knowing about Billing and Coding Job
- Learning about Super-Bill
- Looking at the Medical Coding Job
- Verifying Documetation
- Choosing Medical Coding as a Profession
- Understanding the CMS-1500 Form
- Understanding Payers and Organizations
- Knowing about the HCFA/CMS-1500 Form
- Understanding HHS agency
- Working with OIG
- Understanding HIPAA Titles
- Working with Key Provisions of HIPAA
- Understanding Compliance Bundle
- Learning about Laparoscopic Procedure
- Knowing about Medical Terminologies
- Learning about Arthroscopic Surgery
- Learning about Hospital Visit Code
- Examining Patient Status
- Understanding Commercial Plans
- Learning about TPAs
- Identifying the Carriers
- Working with Medicare Type
- Understanding Payouts
- Knowing about Tricare Program
- Getting to Know about the AAPC Certifications
- Understanding AHIMA Certifications
- Learning about Online Programs
- Learning about Community College
- Learning about Respiratory System
- Learning about Endocrine System
- Learning about Muscular System
- Understanding Digestive System
- Understanding AAPC Certifications
- Learning about Contracts
- Knowing about Carve-Outs
- Knowing about Prior Authorization
- Assigning CPT Codes
- Applying Modifiers Correctly
- Understanding Tricare
- Understanding Insurance Claim
- Appealing Medicare Processing
- Working with the 5010 Platform
- Cashing In with Commercial Payers
- Knowing about Advance Beneficiary Notice
- Avoiding Accusations of Fraudulent Billing
- Learning about Medical Offices
- Understanding HIPPA
- Understanding NCCI
Labs run in your browser — nothing to install.
03 / FAQs
Questions before you start
Who should take this Medical Billing and Coding course?+
Those aspiring to work in the financial operations of the healthcare sector should take up this course. It combines medical knowledge with administrative skills creating high-demand job opportunities.
Do I need any prior healthcare experience to take this course?+
No, you don’t need any prior experience. This is a beginner-friendly course suitable for both, beginners as well as those with prior experience in healthcare.
What will I learn in the Medical Coding course?+
In this course, you’ll be exploring a wide range of topics including, Fundamentals of Medical Billing and Coding, Medical Terminology and Anatomy, Coding Systems for Medical Procedure and Diagnosis, Step-By-Step Billing Procedure, Payer Regulations, HIPAA Compliance, Claim Processing, and EHR Systems.
Will I get a certification after completing the course?+
Yes, you’ll be awarded a certificate of completion after completing the course and the final assessment.
What career opportunities can I explore after completing this course?+
Completing this course will provide you with the essential skills and knowledge to apply for various career opportunities including Healthcare Administrator, Medical Biller, Medical Coder, Billing and Coding Specialist, Revenue Cycle Manager, Insurance Claims Examiner, and Fraud Investigator.
What is the salary range of a certified Medical Assistant and Billing Coding Specialist?+
The average annual salary of a certified professional lies between USD 43,000 to USD 62,000 annually.
What are the certification options available for medical billers and coders?+
There are the two basic certification options for this course:
- AAPC (American Academy of Professional Coders)
- AHIMA (American Health Information Management Association)
How do I choose the right certification for this course?+
Choosing the right certification for Medical Coding depends on what you want to pursue for specialization, physician office billing or hospital billing. Depending on your interests, you can choose from:
- AAPC coding is usually for outpatient settings (doctors' offices and clinics)
- AHIMA coding is for inpatient settings (hospitals)
Keep going
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For A Thriving Career In Healthcare
Learn Medical Coding to make a difference in the healthcare industry.
- 1 year of full access
- 49 LiveLab included
- Certificate of completion
No credit card required