This course thoroughly prepares students to code patients’ medical records correctly and optimize reimbursement for a full range of medical services. Students are introduced to several techniques for finding and applying the correct codes in today’s standard coding systems. Topics covered include: current procedural terminology, international classification of diseases, clinical modification, healthcare procedure coding system, resource-based relative value scale, insurance form preparation, Medicare, Medicaid, Tricare, Blue Cross/Blue Shield, Workers Compensation, No Fault, HMOs, diagnosis-related groups, peer review organizations and ambulatory patient groups.
Objectives include, but are not limited to:
- Basic Office Protocols
- Anatomy and Physiology and Terminology
- ICD-10 Coding
- CPT Coding
- Current Procedural Terminology
- International classification of diseases
- Clinical modification
- Healthcare Procedure Coding System
- Resource-based relative value scale
- Insurance form preparation
- Blue Cross/Blue Shield
- Workers Compensation
- No Fault
- Diagnosis related groups
- Peer Review Organizations
- Ambulatory Patient Groups
Length of Program
The Medical Billing and Coding Specialist Program is a 306 contact hour course. Total class time is 10 weeks. Day classes are available Monday-Friday 9:00 am-3:00 pm. Clinical(s) are not required for this course as we have the MediSoft Software available on every student’s computer.
Although the Medical Billing & Coding Specialist Program is “short term” it is an intense and rapid program! Students should expect to study 1-2 hours for each session and must complete all homework, class assignments, and tests satisfactorily
*AAHC will set up payment plans for these fees.
Additional fees/supplies: Students will need general school supplies such as: pens, pencils, paper and highlighters. Students will receive information on how to apply & pay for national testing at completion of academics. Their website is www.nhanow.com or 1-800-499-9092.
Students are STRONGLY encouraged to attend every session of class. Students must attend 80% of course; those missing 20% or more of classes will be automatically dismissed from class. A passing grade of 70% (overall total average for class) is required. Students must also make 80% or greater on Procedure & Diagnostic Coding, and a 75% or greater on Final Exam before certificates of completion are issued. Students will be allowed 3 makeup Exams. Make up Exams MUST be taken the first day of the student’s return to school or it will be a zero. After 3, they will be counted as zeros.
Registration must be completed in person. Students must be at least 18 years of age, possess high school transcripts or GED and must provide proof at Admission. Students must attend one of AAHCs Career Overview Orientations before the application process can be completed. Students must fill out application for chosen course, pass admissions test, and have a successful interview with an AAHC staff member. Before start of class, all students must provide (2) written letters of reference (1 personal and 1 professional).
Medical Billing and Coding Specialist is authorized by the Tennessee Higher Education Commission (THEC). This authorization must be renewed each year and is based on an evaluation by minimum standards concerning the quality of education, ethical business practices, health and safety, and fiscal responsibility.