MEDICAL BILLING AND CODING FACT SHEET...MEDICAL BILLING AND CODING FACT SHEET This program is...

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MEDICAL BILLING AND CODING FACT SHEET This program is designed for healthcare clinical professionals, billing and coding professionals, office staff/managers, and those interested in the business aspect of healthcare. Students will be introduced to a basic understanding of the classification systems for diagnostic and procedural coding for later submission of insurance claims and clinical data reporting. Special emphasis will be placed on coding guidelines (ICD-10 CM/PCS and CPT-4). At the end of this program, students without previous healthcare professional experience will have the skills needed to obtain entry-level positions in small medical offices and Health Information Management (HIM)/billing departments in larger medical facilities. Contrastingly, for professionals already serving in the health field, this course will provide essential skills to advance their careers into the different niches of Health Information Management (HIM) through learning the language of medical billing and coding. General understanding of revenue cycle, HIPAA, and third-party payer and governmental compliance Understanding of Reporting Guidelines for Outpatient and Inpatient Services Avid Medical Coding Accuracy Understanding of multiple applications of Medical Coding knowledge Correct usage of modifiers for procedural coding Basic knowledge of Internal Classification of Diseases (ICD-10-CM) Basic knowledge of CPT-4 and HCPCS Coding Procedure Coding System (ICD-10-PCS) AREAS OF STUDY INCLUDE WWW.NEIU.EDU/CAPE S c a n m e

Transcript of MEDICAL BILLING AND CODING FACT SHEET...MEDICAL BILLING AND CODING FACT SHEET This program is...

Page 1: MEDICAL BILLING AND CODING FACT SHEET...MEDICAL BILLING AND CODING FACT SHEET This program is designed for healthcare clinical professionals, billing and coding professionals, office

MEDICAL BILLINGAND CODINGFACT SHEET

This program is designed for healthcare clinical professionals, billing and coding professionals, office staff/managers, and those interested in the business aspect of healthcare. Students will be introduced to a basic understanding of the classification systems for diagnostic and procedural coding for later submission of insurance claims and clinical data reporting. Special emphasis will be placed on coding guidelines (ICD-10 CM/PCS and CPT-4).

At the end of this program, students without previous healthcare professional experience will have the skills needed to obtain entry-level positions in small medical offices and Health Information Management (HIM)/billing departments in larger medical facilities. Contrastingly, for professionals already serving in the health field, this course will provide essential skills to advance their careers into the different niches of Health Information Management (HIM) through learning the language of medical billing and coding.

• General understanding of revenue cycle, HIPAA, and third-party payer and governmental compliance

• Understanding of Reporting Guidelines for Outpatient and Inpatient Services

• Avid Medical Coding Accuracy

• Understanding of multiple applications of Medical Coding knowledge

• Correct usage of modifiers for procedural coding

• Basic knowledge of Internal Classification of Diseases (ICD-10-CM)

• Basic knowledge of CPT-4 and HCPCS Coding

• Procedure Coding System (ICD-10-PCS)

AREAS OF STUDY INCLUDE

WWW.NEIU.EDU/CAPE

Scan me

Page 2: MEDICAL BILLING AND CODING FACT SHEET...MEDICAL BILLING AND CODING FACT SHEET This program is designed for healthcare clinical professionals, billing and coding professionals, office

• Certified Coding Associate (CCA) by AHIMA (www.ahima.org)• Certified Professional Coder (CPC) by AAPC (www.aapc.com• Billing and Coding Specialist Certification (CBCS) by NHA (www.nhanow.com

PREREQUISITES:• At least 18 years of age

• High school diploma or G.E.D

• Proficiency in English (reading, writing &speaking skills)

• Have hand-to-eye coordination and finger agility

• Have a suitable vision (normal or corrected)

• Basic computer skills

• Daily access to reliable internet and laptop (preferred) or tablet

• Recommended Prerequisites

• Basic medical terminology

• Basic anatomy and physiology

EMPLOYERS:

The national median salary for medical records technicians and health information techniciansas of 2017 was $39,180. However, salary data suggests that medical billers and coders who haveearned additional credentials could have greater earning power.

Depends on location and experience. Detailed information may be found at www.bls.gov.

SALARY: Salary ranges from $21,240 - $59,365

CertifiedProfessional Coder

(CPC)

$47,796

Certified Professional Coder-

Payer(CPC-P)

$55,255

CertifiedProfessional Coder-Hospital Outpatient

(CPC-H)

$56,466 Certified

ProfessionalMedical Auditor

(CPMA)

$59,365

Overall AverageEarnings of All Specialty

Credentials

$54,145

• Hospital

• Physician Office/ Clinic

• Government Agency

• Long Term Care Facility

• Self-Employed

• Medical Billing Company

• Insurance Company

• Home Healthcare Provider

After successful completion of the program, students are eligible to take any ONE of the THREE following exams administered by the AHIMA, AAPC and NHA boards.

MK EducationNortheastern Illinois University I [email protected] I 773.442.5080