Medical Billing Specialist

MEDICAL BILLING SPECIALIST

Medical Billing Training Online

Become a Medical Billing Specialist

Medical Billing Specialists connect medicine with the legal and financial systems that support our healthcare system. As our population ages, the demand for these professionals is growing rapidly. In this 100% online course, you will learn all phases of the revenue cycle, including patient registration, charge capture, medical coding, claim submission, data analytics, payer reimbursement, patient billing, and collection practices. Upon successful completion, you will be ready to take and pass the Certified Professional Biller (CPB) exam offered by the American Academy of Professional Coders (AAPC).

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Job Outlook for Medical Billing Specialists

• The US Bureau of Labor Statistics (BLS) expects the demand for Medical Records and Health Information Specialists to grow by 8% between now and 2029. This is much faster than the anticipated growth rate for all jobs.
• Average salaries for Medical Billing Specialists range from $34,362, according to Indeed.com to $37,440 according to ZipRecruiter.com. The AAPC reports that Medical Billing Specialists who hold its CPB status earn $55,078 per year, on average. Your compensation will depend on your experience, location and credentials, among other factors.

MEDICAL BILLING SPECIALIST WITH ELECTRONIC HEALTH RECORDS FAQs

WHAT ARE THE DUTIES OF A MEDICAL BILLING SPECIALIST?

Medical Billing Specialists submit claims to health insurance providers in order to arrange payment for patients’ medical treatments and procedures.

IS CERTIFICATION IMPORTANT FOR MEDICAL BILLING SPECIALISTS?

Certifications such as those offered by the AAPC and NHA signal that you have undergone a structured and rigorous course of study to become prepared for your career. Because healthcare facilities work in a highly regulated environment, many require certification for initial hiring and job advancement.

WHAT IS THE DIFFERENCE BETWEEN MEDICAL BILLING AND MEDICAL CODING?

Medical billing and coding are separate processes, but both are important regarding receiving payment for healthcare services. Medical billers are mainly responsible for submitting patient records to government agencies and insurance companies for services that have been provided in the care of the patient. Medical coders gather information on patient records and assign the proper codes for patient diagnosis, which are then used by medical billers to submit claim forms.

Course Objectives

• Describe the different stages of the revenue cycle
• Recognize federal laws that affect healthcare
• Define health insurance and medical terminology
• Use the ICD-10-CM, CPT, and HCPCS Level II codebooks to assign medical codes accurately
• Explain the data entry requirements of a medical insurance claim form
• Identify the billing guidelines of government and private payers
• Recount the structures, functions, and disorders of the different body systems
• Assign medical codes from different types of clinical documentation
• Recognize fraud and abuse in medical billing

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Prerequisites and Requirements

There are no prerequisites to take this course. However, in order to sit for national certification exams, candidates must have a high school diploma or equivalent; therefore, it is recommended you have this before enrolling for this course.

Curriculum

1. Medical Terminology
2. Medical Billing Specialist
3. Introduction to Medical Billing
4. Introduction to Health Insurance
5. Managed Healthcare
6. Revenue Cycle Management
7. Legal Aspects of Health Insurance and Reimbursement
8. ICD-10-CM Coding
9. CPT Coding
10. HCPCS Level II Coding
11. Maximizing Reimbursement
12. Pharmacology for Medical Billers
13. Midterm
14. Clinical Documentation Improvement (CDI)
15. Insurance Claims
16. Commercial Insurance
17. Blue Cross Blue Shield
18. Medicare
19. Medicaid, CHIP, TRICARE, Workers’ Compensation
20. Certification
21. How to Find a Job in Medical Billing (Optional)
22. FINAL

Instructors

Nancy Smith

Nancy Smith has over 30 years of experience in the healthcare industry. Her clinical experience includes working as a medical assistant for a network of rural health clinics, and as a medical coder, insurance claims specialist, and medical records auditor. She worked as a medical office manager for ten years, where she recruited and trained all medical assistants. Nancy holds a bachelor's degree in vocational education and has developed and taught medical assistant programs.

LaTisha Cottingham

LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently, she is employed as an HIM Analyst for a Long-Term Care establishment that is based out of Alabama. Before that, she was employed as the lead instructor for the Allied Health Department at a local career institute. LaTisha's field of expertise is in the area of physician-based inpatient coding and Emergency Department coding. The certifications that she holds are as follows: a Registered Health Information Technician (RHIT), a Certified Professional Coder (CPC), and a Certified Clinical Medical Assistant (CCMA). In preparation for ICD-10-CM, LaTisha received her ICD-10-CM/PCS Trainer Certification from American Health Information Association (AHIMA), where she is currently a member. LaTisha is also a member of the American Academy of Professional Coders (AAPC) and the National Healthcare Association (NHA) where she is a test proctor.

Registration and Enrollment

This course is open enrollment. You can enroll and begin at any time.

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