The Medical Billing & Coding and Medical Administration Profession

Medical billing and coding and medical administration is one of the fastest-growing careers in the healthcare industry today! The need for professionals who understand how to code healthcare services and procedures for third-party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices, and other healthcare providers all depend on medical billing and coding and medical administrative professionals for insurance carrier reimbursement. The medical industry will have almost 50% more jobs available by 2018; therefore, a surplus of medical facilities will continue to hire candidates who specialize in medical billing and coding. Medical administrative assistants, medical secretaries, and medical records clerks are all positions in great demand.


The Medical Billing & Coding and Medical Administration Program

This program offers the skills needed to perform complex coding and billing procedures. The course covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), the ICD-10 for both diagnosis and procedure coding, ICD-9 (Introduction and Guidelines) and basic claims processes for insurance reimbursements. This program delivers the skills students need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement. Additionally this program provides students a well-rounded introduction to medical administration that delivers the skills students require to obtain an administrative medical assistant position or advance within their current healthcare career. This course covers the following key areas and topics:

  • An overview of healthcare and the insurance industry
  • The organization and use of the ICD-10-PCS, ICD-10-CM, ICD-9-CM, CPT, and HCPCS manuals to identify correct codes
  • Practice using the alphabetic index and tabular list of the ICD-10 and ICD-9-CM
  • Reviews of both ICD-10 (diagnostic coding) and ICD-10-PCS (inpatient procedural coding)
  • Various issues surrounding the implementation of ICD-10
  • Detailed review and practice coding examples from all sections within the CPT
  • Basic claims processes for medical insurance and third-party reimbursements
  • Completing insurance forms, tracing delinquent claims, and appealing denied claims
  • Interpersonal skills, medical ethics, and basic medical law
  • Telephone techniques and skills for scheduling appointments
  • Medical terminology
  • Basics of insurance billing and coding
  • Medical records management and management of practice finances




Education and Certifications

  • Students should have or be pursuing a high school diploma or GED.
  • There are no state approval and/or state requirements associated with this program.
  • There are several National Certification exams that are available to students who successfully complete this program:
    • American Academy of Professional Coders (AAPC) Certified Professional Coder Exam (CPC or CPC-H Apprentice)
    • American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam
    • National Healthcareer Association (NHA) Billing and Coding Specialist Certification (CBCS)
    • National Healthcareer Association (NHA) Certified Medical Administrative Assistant (CMAA) exam


National Certification

Students who complete this Medical Billing & Coding and Medical Administration program will be prepared to sit for various AAPC, AHIMA and NHA certification. Although there are no state approval, state registration or other state requirements for this program, students who complete this Medical Billing & Coding with Medical Administration program  will be prepared and are eligible to sit for these national certification exams. Students who complete this program can and do sit for these national certification exams and are qualified, eligible and prepared to do so.

Clinical Externship / Hands on Training / Practicum

Although not a requirement of this program, once students complete this Medical Billing & Coding and Medical Administrative Assistant program they have the ability to participate in a clinical externship and/or hands on practicum so as to practice the skills necessary to perform the job requirements of a medical professional. Students will be assisted with completing a resume and/or other requirements necessary to work in a hospital, physicians practice, clinic and/or with other healthcare organizations. All students who complete this program are eligible to participate in an externship and will be placed in a healthcare organization near their location.

Note: No refunds can be issued after the start date published in your Financial Award document.