Medical office specialist | Billing & Coding

course

Medical office specialist | Billing & Coding

Program Objective: The program provides the students with the basics for entry-level positions in the medical field with emphasis on Billing and Coding. Upon completion, the student will have a working knowledge of Medical Coding (I, II, and III), Medical Terminology, Anatomy & Physiology, Medical Insurance, Medical Billing Software & Reimbursement, Medical Office Management, Risk Compliance, Auditing for Billers & Coders and Electronic Health Records. Other support course includes Professional Development. The student will learn how to perform the many tasks in a Medical front office. These procedures include activities like scheduling appointment, verifying insurance data, medical recording, and reporting, filing, and phone and social etiquette.

Program Description: This program is designed to provide students with a foundation in Medical Billing & Coding. It consists of a hands-on approach to the most widely used Medical Office concepts performed in medical facilities throughout America. The student will receive a basic knowledge of basic medical procedures in a variety of methodologies. The major medical courses like: Medical Coding (I, II, and III), Medical Insurance, Medical Billing Software & Reimbursement, Medical Office Management, Risk Compliance, Auditing for Billers & Coders, and Electronic Health Records will be addressed in detail. Supporting medical courses like: Medical Terminology and Anatomy & Physiology will be taught throughout the program. Finally the Career and Professional Development course enhances their ability for gainful employment.

This program is taught in two modalities:

  1. Face-to-Face
  2. Blended (a combination of Interactive Distance Leaning (IDL) and Face-to-Face) Externship is the only course that must be taken in a medical facility where medical office tasks are performed under the supervision of an Office Manager.
PROGRAM INFORMATION
Total Number of Quarter Credit Hours 48.5
Total Number of Clock Hours 780
Total Number of Quarters / Weeks / Months 3 / 30 / 7
Credential awarded Diploma
Course Code Course Description Clock Hours Credit Hours
MED 021 Risk Compliance 60 3.5
MEA 1303 Medical Office Management 40 3
MED 030 Electronic Health Records 50 3
MED 001 Medical Terminology 30 3
MED 002 Medical Coding I 40 3
MED 006 Anatomy and Physiology 30 3
250 18.5
MED 022 Auditing for Billers & Coders 60 4
MED 003 Medical Coding II 90 6
MED 004 Medical Insurance 40 3
MED 009 Medical Billing Software and Reimbursement 50 4
240 17
SLS1401 Career and Professional Development 50 4
MED 023 Medical Coding III 60 3
MOS EXT Medical Office Externship 180 6
290 13

Risk Compliance in healthcare comprises the clinical and administrative systems, processes, and reports employed to detect, monitor, assess, mitigate, and prevent risks. By employing risk compliance, healthcare organizations proactively and systematically safeguard patient safety as well as the organization’s assets, market share, accreditation, reimbursement levels, brand value, and community standing.

This course is an introduction to basic medical office procedures. Topics covered include legal and ethical issues, commonly used office equipment, the handling of patient records, filing, telephone skills, and scheduling appointments. Electronic medical records software will be used for hands-on training.

This course is designed to enable students understand the way the Electronic Health Records are implemented in medical offices and general health services. Students will learn how to use the electronic systems in the basic aspects of the medical practice.

This course is an introduction to medical terminology. Students will learn the current medical nomenclature as well as the Latin prefixes, roots, and suffixes that translate their medical meaning. In addition, students will learn to use the medical references and resources for research and practice.

This course is an introduction to medical coding. Students will learn the complex coding principles applied in today’s medical insurance industry using the CPT and ICD10 coding manuals so as to correctly bill the responsible party.

This course is designed to introduce students to the basic anatomy of the human body as well as the individual functions of the organs. Classes are structured starting from the elemental atom, and progressing in complexity until the organism is fully integrated as a functional unit.

This course introduces the student to the practice of auditing a submitted claim performed by a Biller and/or a Coder to ensure compliance. Upon completion of this course you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.

This course is a continuation of Medical Coding I. The students will learn to apply the more advanced concepts of code diagnostics for billing and insurance verification. To achieve this objective, students will learn how to use the latest coding software in the industry. No previous computer training or experience is required. Classes are conducted in a hands-on-lecture laboratory environment where a computer is assigned to each student. No previous computer training or experience is required. Laboratory is required.
Prerequisite MED 002

This course is designed to help students become familiar with the insurance claim forms for the different providers, such as AETNA, Prudential, HMO’s, Medicaid, Medicare, and Workman’s Compensation.

This course is designed to train students in using the widely accepted medical billing software. This software prepares students for billing procedures, invoice disbursement, and follow-up procedures. Classes are conducted in a hands-on-lecture laboratory environment where a computer is assigned to each student. No previous computer training or experience is required. Laboratory is required.

This course is designed to help the student develop the necessary skills and knowledge needed to enter the current job market. This preparation will be accomplished by helping students improve their communication skills in a business environment, their resume writing skills as well as their job searching and job interviewing techniques.

This course is a continuation of Medical Coding II. Students will learn to apply the more advanced concepts of code diagnostics to real life scenarios. Using the coding manuals and the industry’s Coding Software, students will prepare billing and insurance statements. Classes are conducted in a hands-on-lecture laboratory environment where a computer is assigned to each student. Laboratory is required.
Prerequisite MED 003

Students will participate in an externship program to gain work experience. Each student will be placed in a real work environment under the supervision of a specialist who will evaluate and report his/her performance.
Prerequisite: to participate in the “Medical Office Specialist” externship program, students must have earned passing grades in every course in quarters one and two.