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Medical Insurance Biller & Coder

Recording and coding patient health information

The number of health insurance customers and people using health care services today is greater than ever as the aging population increases and more individuals have access to health insurance programs. As a result, there is a greater need for trained Medical Insurance Billers and Coders to organize and manage health care information data.

Medical Insurance Billers and Coders and other health information technicians are responsible for documenting and recording patients’ health information, including medical histories, symptoms, examination test results, treatments, and other information about health care services that are provided to patients. Their duties vary by employer and by the size of the facility in which they work.

Although Medical Insurance Billers and Coders do not provide direct patient care, they work regularly with physicians, registered nurses and other health care professionals to clarify diagnoses or to get additional information to ensure that patient records are complete and accurate.

Medical Insurance Biller & Coder
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Medical Insurance Biller & Coder Course Material

The Medical Insurance Biller and Coder program objectives are to provide the student with a comprehensive working knowledge of all phases of medical insurance, consisting of billing, pre-authorization follow-up techniques, and posting insurance payments. The student will graduate with hands-on experience on the computer and experience in an internship. The student will be prepared to accept entry-level positions in doctor’s offices, clinics, hospitals, and medically related insurance companies.

The program is divided into eight class course modules, including a 180-hour clinical externship where students will apply the skills they learn in the classroom in an actual health care practice setting.

Courses for this program include:

  • Seminar for Success – Orientation and success building course for Career Students. Review of basic math, language, vocabulary, and writing skills. Introduction to core career classes, availability of community resources, outlining, summarizing, managing credit, and other life skills
  • Medical Financial Procedures – Medical Terminology, Transcribing, Payroll, Banking, Bank Reconciliation, Bookkeeping, Day Sheets, Accounts Payable – Invoices, Accounts Receivable, Reproductive, Endocrine, Excretory, Special Senses, and Respiratory Systems
  • Secretarial – Medical Terminology, Correspondence, Memos, Filing and Maintaining Medical Records, Mail Handling, Accounts Receivable, Collections, Processing Patients, Medical and Legal Issues, Medical Ethics, Nervous and Digestive Systems
  • Insurance I – Medical & Extensive Insurance Terminology, CPT Coding, HCPCS, ICD-9 CM Coding, Processing Insurance Forms: Private Insurance, Medicare, Medi-Cal, Medi/Medi, Electronic Billing, Body Structure, Muscular and Skeletal Systems
  • Insurance II – Insurance Terminology, CPT Coding, ICD-9 CM Coding, Insurance Billing (CMA- 1500) for Private Insurance, Medicare, Medi-Cal, SDI, and Worker’s Compensation, Insurance Verification
  • Communications/Insurance III/Computers – Insurance Contracts, Review of Verification of Patient’s Benefits, Insurance Plan Provisions, Facility Billing, Coordination of Benefits, Types of Adjustments, Overview of Dental Terminology and Dental Claims, Medical & Insurance Terminology, Résumés, Employment Applications, & Mock Interviews Rapport with Fellow Team Members, Courtesy & Respect, Professional Conduct, Guidance in Professional Appearance & Building Self-Esteem. Doctor and Medical Specialties, CPT Coding, ICD-9 CM Coding, and an overview of Health Claims Examining, Lymphatic, Cardiovascular, & Integumentary Systems, Introduction to Computers, Word, Excel, Medi-Soft, Processing Electronic Insurance Claims, Creating Professional Quality Résumés are also included
  • Career Seminar – Internship Workshop, Career Readiness Workshops, New Student Orientation, and CPR Certification
  • Clinical Internship – Internship to apply the knowledge and skills learned in the classroom in an actual practice setting

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