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Medical Billing and Coding

Get started on the path to a rewarding and successful career in the growing field of medical billing, coding, and patient claims.

25 Weeks

Program Length

CBCS

Certification

Issuing Authority

Woman sits at computer doing medical billing.

Career Insight

What does a Medical Billing & Coding Specialist do?

Medical coding and billing specialists are necessary roles in all medical facilities because these professionals bridge the gap between insurance and patient invoices. This important position helps health care systems manage insurance claims, invoices, and payments. While other responsibilities might vary, the typical medical coding and billing specialist can expect to perform the following duties:

 Extracting and coding information from medical records related to medical procedures, diagnoses, and symptoms 

Tracking payments

Making preparations and sending out invoices or claims for payment

Processing payments & insurance claims

 Making corrections to rejected claims

JOB OUTLOOK

Potential Career Paths

As a Medical Billing and Coding specialist, you can work in almost every type of healthcare facility: hospitals, health clinics, physician offices, coding outsourcing companies, and other healthcare businesses. It’s also possible to find remote medical coding and billing jobs that allow you to work from home. Medical coding and billing are technically two distinct jobs. However, it’s common for offices to hire someone proficient in both areas because they are so intertwined.

With the Medical Billing and Coding program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical coding specialist. This course prepares the student to take the National Healthcareer Association (NHA) Certified Billing and Coding Specialist (CBCS) certification exam. Individuals who have earned the CBCS credential have the skills to find jobs as:

Medical Biller

Billing Specialist

Coding Professional

Insurance Claims Specialist

24,995

ENTRY-LEVEL JOBS AVAILABLE IN THE US
 
The U.S. Department of Labor Statistics projects this to be a stable career with a good pay scale and steady growth, estimating a 13% job growth over the next 10 years. According to salary.com, the salary range for the most popular Medical Billing & Coding positions typically falls between $35,415 and $120,803.
 

Note: Salaries can vary widely depending on education, experience, employer, and even geographic area. Job and salary information is from Burning Glass Labor Insights, salary.com, and the U.S. Department of Labor Statistics. Data is updated annually to reflect industry changes.

 

24,995

ENTRY-LEVEL JOBS AVAILABLE IN THE US
 
The U.S. Department of Labor Statistics projects this to be a stable career with a good pay scale and steady growth, estimating a 13% job growth over the next 10 years. According to salary.com, the salary range for the most popular Medical Billing & Coding positions typically falls between $35,415 and $120,803.
 

Note: Salaries can vary widely depending on education, experience, employer, and even geographic area. Job and salary information is from Burning Glass Labor Insights, salary.com, and the U.S. Department of Labor Statistics. Data is updated annually to reflect industry changes.

 

JOB OUTLOOK

Potential Career Paths

As a Medical Billing and Coding specialist, you can work in almost every type of healthcare facility: hospitals, health clinics, physician offices, coding outsourcing companies, and other healthcare businesses. It’s also possible to find remote medical coding and billing jobs that allow you to work from home. Medical coding and billing are technically two distinct jobs. However, it’s common for offices to hire someone proficient in both areas because they are so intertwined.

With the Medical Billing and Coding program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical coding specialist. This course prepares the student to take the National Healthcareer Association (NHA) Certified Billing and Coding Specialist (CBCS) certification exam. Individuals who have earned the CBCS credential have the skills to find jobs as:

Medical Biller

Billing Specialist

Coding Professional

Insurance Claims Specialist

Here's How It Works

GET TRAINED

Learn at your own pace with our expert-led online training modules.

TAKE EXAMS

Review past quizzes and tests, and take advantage of skills demonstrations and activities to prepare for the certification exam.

CONNECT WITH EMPLOYERS

NTI's Career Services team will connect you with employers hiring for entry-level roles in your field.

Here's How It Works

GET TRAINED

Learn at your own pace with our expert-let online training modules.

TAKE EXAMS

Review past quizzes and tests, and take advantage of skills demonstrations and activities to prepare for the certification exam.

CONNECT WITH EMPLOYERS

NTI's Career Services team will connect you with employers hiring for entry-level roles in your field.

COURSE OVERVIEW

Medical Billing and Coding Specialist

This 25-week course covers the skill set and knowledge required to fulfill a position as an Insurance Billing Specialist. This will include an introduction to diagnosis coding (ICD-9 and ICD-10), procedure coding (CPT and HCPCS), billing and reimbursement processes, and understanding insurance companies; as well as Medical Insurance Billing as a Career, HIPPA & HITECH, Health Insurance basics, Medical Record Documentation, Electronic Data Exchange, Claim Reimbursement, Fees, BCBS, Managed Care, Private Insurance, Medicare, Medicaid, Tricare, CHAMPVA, Workers Compensation, and Disability Income Insurance.

Upon completion of this program, you will be ready to begin your career in an entry-level position. Students will also be prepared to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA).

 

Scheduling Details

Schedule: Coursework available 24/7

Total Course Hours: 755

Estimated Completion Time: 

Set your own pace…You decide how quickly you want to get certified.

  • Students who commit 30 hours/week can complete in 25 weeks.
  • Students who commit 20 hours/week can complete in 50 weeks.

Maximum time to complete: Students have access to the online course materials for 12 months.

Instruction & Evaluation Strategies
  • Expert-led online video training
  • Skills demonstrations, simulations, and online activities to aid learning
  • Quizzes and Exams
Books and Materials Used:
  • Buck’s 2021 HCPCS Level II (Physical Book)

  • Buck’s 2021 ICD-10-CM for Hospitals (Physical Book)  

  • Buck’s Step-by-Step Medical Coding, 2021 Edition (eBook) 

  • Buck’s Workbook for Step-by-Step Medical Coding, 2021 Edition (eBook) 

  • CPT 2021 Professional Edition (Physical Book) 

  • FA Davis eBook / Lab Integration: Medical Terminology Systems (eBook) 

  • Fordney’s Medical Insurance 15th Edition (eBook) 

  • Software: SimChart for the Medical Office

  • Workbook for Fordney’s Medical Insurance 15th Edition (eBook) 

Textbooks are included in the cost of tuition

Outline/Lessons

Medical Billing Career Prep Curriculum: 

  • Lesson 1: Role of the Insurance Billing Specialist 
  • Lesson 2: Compliance, Privacy, Fraud, and Abuse in Insurance Billing 
  • Lesson 3: Basics of Health Insurance 
  • Lesson 4: The Blue Plans, Private Insurance, & Managed Health Care Plans 
  • Lesson 5: Medicare, Medicaid, & Other State Programs 
  • Lesson 6: TRICARE & Veterans Health Care 
  • Lesson 7: Workers Compensation 
  • Lesson 8: Disability Income Insurance & Disability Benefit Programs 
  • Lesson 9: Medical Documentation & Electronic Health Records 
  • Lesson 10: Diagnostic Coding 
  • Lesson 11: Procedural Coding
  • Lesson 12: The Paper Claim (CMS-1500) 
  • Lesson 13: The Electronic Claim 
  • Lesson 14: Receiving Payments & Insurance Problem Solving 
  • Lesson 15: Collection Strategies 
  • Lesson 16: Ambulatory Surgery Centers 
  • Lesson 17: Hospital Outpatient & Inpatient Billing 
  • Lesson 18: Seeking a Job and Attaining Professional Advancement 

Medical Coding Career Prep Curriculum: 

  • Lesson 1: Reimbursement, HIPAA and Compliance 
  • Lesson 2: An Overview of ICD-10-CM 
  • Lesson 3: ICD-10-CM Outpatient Coding and Reporting Guidelines 
  • Lesson 4: Using ICD-10-CM
  • Lesson 5: Chapter-Specific Guidelines (ICD-10-CM Chapters 1-10) 
  • Lesson 6: Chapter-Specific Guidelines (ICD-10-CM Chapters 11-14) 
  • Lesson 7: Chapter-Specific Guidelines (ICD-10-CM Chapters 15-21) 
  • Lesson 8: Introduction to CPT and the Level II National Codes (HCPCS) 
  • Lesson 9: Modifiers 
  • Lesson 10: Evaluation and Management (E/M) Services 
  • Lesson 11: Anesthesia 
  • Lesson 12: Surgery Guidelines and General Surgery 
  • Lesson 13: Integumentary System 
  • Lesson 14: Musculoskeletal System
  • Lesson 15: Respiratory System 
  • Lesson 16: Cardiovascular System 
  • Lesson 17: Hemic, Lymphatic, Mediastinum, and Diaphragm 
  • Lesson 18: Digestive System 
  • Lesson 19: Urinary and Male Genital Systems 
  • Lesson 20: Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery 
  • Lesson 21: Endocrine and Nervous Systems 
  • Lesson 22: Eye, Ocular Adnexa, Auditory, and Operating Microscope 
  • Lesson 23: Radiology 
  • Lesson 24: Pathology/Laboratory
  • Lesson 25: Medicine 
  • Lesson 26: Inpatient Coding 

Medical Terminology Career Prep Curriculum: 

  • Lesson 1: Medical Terminology Basics 
  • Lesson 2: Body Structures 
  • Lesson 3: Integumentary, Digestive and Respiratory Systems 
  • Lesson 4: Cardiovascular, Blood, Lymphatic and Immune Systems 
  • Lesson 5: Musculoskeletal, Urinary, and Reproductive Systems 
  • Lesson 6: Endocrine Systems
  • Lesson 7: Nervous System and Special Senses
Upon successful completion students will be able to:
  • Define the role of an insurance billing specialist, responsibilities and tasks, customer-focused service, career advantages, job search techniques, necessary qualifications, and pathways to certification.
  • Compare and contrast the Health Insurance Portability and Accountability Act (HIPAA), insurance reforms, HITECH Act, health insurance, the Patient Protection and Affordable Care Act, traditional indemnity, and managed care plans.
  • Describe the differences between the eligibility, benefits, and claim submission for Medicare, Medicaid, and other state programs, TRICARE and Veteran’s Health Care, workers’ compensation, employers’ liability insurance, individual and group disability income insurance
  • Explain the importance of medical records and proper diagnoses and procedural coding.
  • List the steps in the administrative life cycle of a physician-based insurance claim.
  • Describe the differences between paper and electronic claim submission.
  • Understand the cash flow cycle in the medical office and payments by insurance and patients.
  • Describe third-party reimbursement issues.
  • Utilize the ICD-10-CM and the GEMs file, the Alphabetic Index, and the Tabular List to map codes.
  • Understand the ICD-10-CM Outpatient Coding and Reporting Guidelines, General Coding Guidelines to assign codes.
  • Apply ICD-10-CM Official Guidelines for Coding and Reporting of infectious diseases, neoplasms, endocrine, nutritional, and metabolic diseases, and immunity disorders, diseases of blood and blood-forming organs, mental disorders, diseases of the nervous system and sense organs, diseases of the circulatory system, and diseases of the respiratory system.
  • Apply ICD-10-CM Official Guidelines for Coding and Reporting of diseases of the digestive system, diseases of the skin and subcutaneous tissue, disease of the musculoskeletal system and connective tissues.
  • Apply ICD-10-CM Official Guidelines for Coding and Reporting of diseases of the pregnancy, childbirth, and the puerperium, certain conditions originating in the perinatal period, congenital malformations, deformations, and chromosomal abnormalities, symptoms signs and abnormal clinical and laboratory findings, not elsewhere classified, and injury and poisoning, and certain other consequences of external causes.
  • Properly use the CPT manual and categories of CPT codes, including proper use of modifiers to indicate delivery of services in nonstandard ways.
  • Properly code procedures and services from the Evaluation and Management (E/M) section of the CPT.
  • List the methods of sedation and the formula used to determine to code for anesthesia services.
  • Locate the notes and guidelines and code procedures and services in the Surgery section, state the use of unlisted procedures, interpret elements of a special report, examine the designation of separate procedures, analyze contents of a surgical package, and determine the contents of the General Subsection.
  • Code procedures and services related to the CPT subsections on the Integumentary System, Musculoskeletal System, Respiratory System Cardiovascular System, Hemic and Lymphatic Systems and the Mediastinum and Diaphragm, Digestive System, Urinary and Male Genital Systems, Reproductive System, Intersex Surgeries, and also those that affect the Female Genital System, Endocrine and Nervous systems, the eye, ocular adnexa, and auditory system.
  • Code services associated with radiology services and in the Medicine section of the CPT manual.
  • Code and report Inpatient services and differentiate between inpatient and outpatient coding.
  • Identify the four-word elements used to build medical words, divide medical words into their component parts, and apply the basic rules to define and build medical words.

Find Your Fit

Talk With an Expert

When choosing a school, it’s important to consider how it will fit in with your life. You’ll need the right program, the right funding, and the right resources and support to help you succeed.

In addition to offering comprehensive student support dedicated to helping you reach your goals, NTI’s online programs work within your schedule. Call today at (469) 930-2404 to connect with an advisor or fill out the form below. We’re here to help!

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