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Medical Coding and Billing Professional

Medical Coding and Billing Professional

Regular price $1,300.00 USD
Regular price $1,560.00 USD Sale price $1,300.00 USD
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What does a Medical Coding & Billing Professional do?

 A professional coder review clinical documentation and translates medical procedures, diagnosis, supplies, and services into codes that are submitted on a medical claim to payers for reimbursement. They serve a vital role in the financial wellbeing of their employing organization and indirectly influence patient outcomes through accurate medical coding. A professional biller utilizes the codes assigned by the medical coder to process, submit, and track medical insurance claims. An individual with both medical coding and billing knowledge and training often fulfills both roles, assigning medical codes and processing healthcare insurance claims. Professional Coders and Billers demonstrate their proficiency by earning industry-recognized certifications.

 Medical Coding and Billing Professional

MedCerts’ Medical Coding and Billing Professional program covers foundational, intermediate, and professional-level topics to allow graduates a clear pathway towards a rewarding career in billing and coding, primarily in a physician office-based environment. This 28-week online dual-certification program provides training in areas including Human Anatomy, Medical Terminology, Insurance Billing and Coding Essentials, and Medical Coding. Dual certification with MCBC and CPC-A or CCS-P can increase marketability, flexibility, and opportunity in the field of medical coding and insurance reimbursement in the outpatient setting.

Students begin in the H1-1011: Insurance and Billing, and Coding Essentials course by gaining a high-level understanding of ICD-10-CM, CPT, and HCPCS coding without the use of coding manuals, in preparation for the Medical Coder and Biller Certification (MCBC). This course is a building block and provides a foundation for progression to an advanced understanding of medical coding.

Moving towards intermediate- and professional-level topics, the H1-1051: Medical Coding course provides comprehensive instruction related to reviewing documentation, abstracting details, and assigning medical codes for diagnoses, procedures, and professional services. Extensive focus and familiarity with use of ICD-10-CM, CPT, and HCPCS coding manuals and official coding guidelines will provide the tools needed to challenge the Certified Professional Coder as an apprentice (CPC-A) or Certified Coding Specialist-Physician (CCS-P) certification. Both certifications are considered "professional-level."

The primary objective for this program is to give the student the tools needed to successfully pass the MCBC examination. Once MCBC-certified, students are eligible for the optional, but valuable, CPC or CCS-P certification, both of which are considered the gold standard for medical coding in physician office settings. Those who pass the CPC examination earn the credential CPC-A. When the CPC-A (apprentice) is ultimately combined with one (1) year of practical coding experience, the individual earns the full CPC designation. Medical Coders holding professional-level certifications are critical to compliant and profitable medical practices and typically earn 20% more than non-certified coders.

The payment for the MCBC and either the CPC or CCS-P exam is provided by ATCC.

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