In the Medical Billing and Coding program, students will learn to translate patient data such as diagnoses, medical tests, treatments, and procedures into medical codes. These codes are then used to create and submit claims for payment. Medical practice management software and medical coding reference books are used to teach students the International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), and Current Procedural Terminology (CPT). Additionally, students will learn medical terminology, anatomy and physiology, medical law and ethics, and basic pathophysiology and pharmacology. 

What Will I do as a Medical Biller and Coder?

Medical billers and coders act as a liaison between healthcare providers and insurance companies, manage claims, resolve payment issues, and ensure compliance with HIPAA regulations.  Some of your responsibilites as a medical biller and coder may include:

• Reviewing medical records - analyze patient charts and physician notes to extract relevant medical information, including diagnoses, treatments, and procedures. 
• Assigning codes - translate patients' medical information into standardized medical codes.
• Ensuring accuracy - accurate coding is crucial for proper reimbursement from insurance companies and for standardized data in medical records. 
• Creating and submitting claims - use the information provided by coders to generate and submit claims to insurance providers and patients for payment. 
• Managing claims - follow up on unpaid claims, work to resolve claim denials or rejections, and initiate appeals when necessary. 
• Handling patient inquiries - answer patient questions about their bills, explain account balances, and help set up payment plans. 
• Ensure compliance - adhere to HIPAA regulations to protect patient confidentiality and stay updated on healthcare laws and billing practices.

Degree and Industry Certifications

Technical Diploma: Medical Billing and Coding, CIP: 51.0713

• Certified Coding Associate (CCA): American Health Information Management Association (AHIMA)

• Basic Life Support (BLS): American Heart Association