The Medical Insurance Billing & Coding Specialist
This program trained students to review medical records, their accuracy, and
process various medical documents. The completers of this program are able to
work with health-related information where they can use the knowledge and
skills to collect, analyze, store, retrieve, and communicate information for the
support of operations, management, and decision-making process in a medical
facility or health care related industry. Furthermore, they can advance the skills
learned to computerize information. In this program, students receive
instructional as well as hands-on training in anatomy & physiology, medical
terminology, law and ethics, insurance billing and coding, various types of
insurance and their claims, and reimbursements, medical office procedures,
records management system software, accounts receivable, and accounts
posting. In addition, completers will be able to compile, analyze, and maintain
medical records of patients in a consistently professional manner that is aligned
per medical, and regulatory requirements of the healthcare system. Moreover,
they can classify medical and healthcare cases, including diagnosis,
procedures, medical and clinic services, into the healthcare industry's
numerical coding system. Furthermore, the completers are entitled for the jobs
titled as Medical Biller, Medical Coder, Health Information Clerk, Health
Information Specialist, Health Information Technician (Health Information
Tech), Medical Records Clerk, Medical Records Coordinator, Medical Records
Technician (Medical Records Tech), Registered Health Information Technician
(RHIT), Account Receivable (AR) callers, Medical Billers & Coders, Revenue
Cycle Manager, Health Information Technologists and Medical Registrars,
Insurance Claims and Policy Processing Clerks, Medical Transcriptionists,
Optician, Dispensing, Cardiovascular Technologists & Technicians, Health
Information Technologists & Medical Registrars, Insurance Appraisers,
Medical Secretaries & Medical Administrative Assistants.
Competencies: Upon completion of this course
Able to code data and other related other information and classify
materials according to standard systems.
Collect medical information from patients and their family members & their
histories.
Able to communicate with management or other staff to resolve problems.
Able to create databases to store electronic data and develop procedures
for data management.
Able to evaluate applicable laws and regulations to determine impact on
organizational activities.
Able to maintain security and medical facility records.
Able to manage healthcare operations, market products, services, or events.
Able to perform clerical work in medical settings and prepare healthcare
training materials.
Able to present medical research reports and promote educational
institutions or programs.
Able to supervise medical support personnel, test computer hardware &
Software performance.
Able to train caregivers or other non-medical personnel.
Marketable skills Delivery System
Each course of this program is a unique study which allows the student to have
hands-on training in the concept involved in the course during lecture, lab and
project activities. The lecture is set up for the combination of learning activities
including simulating a Billing Coding business. Furthermore, each course will
allow the student to learn about the working practice as a Biller and to
implement the job of a Medical Billing Coding Specialist using Billing software.
During the lecture time, instructor engage the students in the virtual classroom
through lecture, lab & project work which are designed to help the students
understand and utilize the importance of various aspects of specific Medical
Insurance, Insurance Management, Billing procedure, Principles of Health
Insurance (PHI), ICD-10, CPT-4 Coding. Additionally, Instructor fully engage
the students through various analogies and pictorial views about Healthcare
Common Procedure Coding System (HCPCS), Professional Development and
Professional Coding Certification, Anatomy, Physiology, Medical Terminology,
Health Information System and etc. In summary, during the delivery of the
concepts and skills, students will be fully engaged to learn, understand, thinking
with creativity and implement to the following marketable occupation-specific
and technological skills.
Assign the patient to diagnosis-related groups (DRGs), using appropriate
computer software.
Compile and maintain patients' medical records to document condition
and treatment and to provide data for research or cost control and care
improvement efforts.
Consult classification manuals to locate information about disease processes.
Enter data, such as demographic characteristics, history and extent of
disease, diagnostic procedures, or treatment into computer.
Identify, compile, abstract, and code patient data, using standard classification
systems.
Maintain or operate a variety of health record indexes or storage and
retrieval systems to collect, classify, store, or analyze information.
Post medical insurance billings.
Process and prepare business or government forms.
Process patient admission or discharge documents.
Protect the security of medical records to ensure that confidentiality is
maintained.
Release information to persons or agencies according to regulations.
Resolve or clarify codes or diagnoses with conflicting, missing, or
unclear information by consulting with doctors or others or by
participating in the coding team's regular meetings.
Retrieve patient medical records for physicians, technicians, or other medical
personnel.
Review records for completeness, accuracy, and compliance with regulations.
Scan patients' health records into electronic formats.
Schedule medical appointments for patients.
Transcribe medical reports.