The Medical Coding & Billing Certification Course is designed to equip learners with comprehensive knowledge and practical skills in the healthcare revenue cycle. This program covers the fundamentals of medical coding, billing procedures, insurance claims processing, and regulatory compliance, including HIPAA standards. Participants will gain hands-on experience using industry-standard coding systems like ICD-10, CPT, and HCPCS, preparing them to accurately translate medical documentation into billable codes. With a focus on real-world applications, the course ensures readiness for professional roles in hospitals, clinics, insurance companies, and medical billing organizations.
Module 1: Introduction to Medical Coding & Billing Overview of healthcare industry and medical billing nRoles and responsibilities of medical coders and billers Introduction to revenue cycle management.
Module 2: Medical Terminology & Anatomy Basic medical terminology for coding Human anatomy and physiology relevant to coding Disease and procedure classification.
Module 3: ICD-10 Coding System Structure and guidelines of ICD-10-CM Coding diseases, conditions, and diagnoses Practical exercises and case studies.
Module 4: CPT & HCPCS Coding Systems Overview of CPT codes for procedures and services HCPCS Level I & II codes Coding outpatient and inpatient procedures accurately.
Module 5: Medical Billing Fundamentals Introduction to billing processes and claim forms (CMS-1500, UB-04) Patient registration, insurance verification, and claim preparation Billing cycle and key terminologies.
Module 6: Insurance & Payer Guidelines Understanding health insurance plans (HMO, PPO, Medicare, Medicaid) Claims adjudication and reimbursement processes Handling denials and re-submissions.
Module 7: Electronic Health Records (EHR) & Billing Software Hands-on training with EHR systems like Epic, Cerner, Medisoft Using billing software for claim submission and tracking Maintaining patient records digitally.
Module 8: Compliance, Ethics & HIPAA HIPAA regulations and patient privacy Coding and billing ethics Preventing fraud and abuse in medical billing.
Module 9: Revenue Cycle Management & Reporting End-to-end revenue cycle processes Financial analysis and reporting Audit techniques for billing and coding accuracy.
Module 10: Practical Training & Live Project Real-world medical coding and billing scenarios Processing claims from patient intake to final reimbursement Live project simulating hospital or clinic operations.
Mobile: 9100348679
Email: coursedivine@gmail.com
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