Medical Coding and Billing, Certificate
The Medical Coding and Billing Certificate of Proficiency provides students with the skills necessary to function as Physician-Based Coders, Hospital Coders, or Medical Claims Reviewers. Today, there are many demands for coding specialists and accurately coded data from the medical record in all types of health care institutions. Coded data is used on claims for reimbursement, patient care management, and healthcare evaluation and research. The curriculum includes medical terminology, human anatomy, pathophysiology, pharmacology, administrative medical office management, electronic health records, and CPT and ICD coding. The graduate of this certificate may sit for the Certified Coding Associate (CCA) certification offered by AHIMA (American Health Information Management Association). After completing CCA exam and / or working in the field, students qualify to take the Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician Based (CCS-P) exam offered by AHIMA.
A Certificate of Proficiency in Medical Coding and Billing will be awarded upon completion of this curriculum with a 2.0 GPA 0 and a "C" OR better in all Allied Health (AHA, AHM) courses. The courses are listed with a start date of Spring semester but students may begin courses in Fall, Spring, or Summer semesters.
Upon successful completion of this program, students should be able to:
- Demonstrate an understanding of the anatomical structure and physiological functioning of the human body and of medical terms descriptive of body systems.
- Describe the ethical and legal concepts of concern to reimbursement in health care.
- Apply appropriate coding systems as they pertain to the identification of diseases and procedures in medical practices and hospital settings.
- Evaluate coding procedures for achievement of optimal quality in seeking appropriate reimbursement.
- Demonstrate ability to interact successfully with all significant private and government medical reimbursement systems.
- Use appropriate terminology to discuss ethical/legal issues in healthcare.
- Analyze common theories and methods used in making ethical decisions.
- Identify the route of administration, indications, adverse effects, and related laboratory studies for commonly used medications.
- Explain the disease process, and concepts or pain assessment and management.
- List and experiment with specific methods to improve study skills.
- Implement an effective management style to improve organization, coordination and use of time.
- Evaluate various specialties of coding and compare and contrast the different specialties.
- Create a portfolio to demonstrate professional skills to enhance marketability for employment.
First Semester (12 credits)
|ENG 100 - Composition I||3|
|AHM 233 - Medical Terminology||3|
|AHM 104 - Body Structure/Function I||3|
|INT 100 - Student Success||3|
Second Semester (6 credits)
|AHM 105 - Body Structure/Function II||3|
|AHM 102 - Introduction to Health Care||3|
Third Semester (3 credits)
|AHM 230 - Introduction to ICD-9-CM Coding Principles||3|
Fourth Semester (13 credits)
|AHM 231 - Introduction to CPT-4 Coding||3|
|AHM 208 - Pathophysiology and Pharmacology||4|
|AHM 202 - Fundamentals of Health Information Technology Science||3|
|DPR 100 - Introduction to Information Technology||3|
Fifth Semester (12 credits)
|AHM 232 - Advanced CPT-4 Coding||3|
|AHM 241 - Medical Billing||3|
|AHM 240 - Hospital Coding and Case Studies||3|
|AHA 207 - Ethical/Legal Aspects of Health Care Management||3|
Sixth Semester (3 credits)
|AHM 242 - Virtual Professional Practice Experience Capstone||3|
Total Credits: 49
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