Medical Billing & Coding
This professional diploma prepares students to manage medical records, handle billing and insurance claims, and apply standard coding systems used in healthcare, particularly in the US healthcare system. The course is ideal for individuals seeking local or remote jobs in hospitals, clinics, or medical billing companies.
kEY mODULES
- Introduction to Healthcare Systems
- Medical Terminology
- ICD-10, CPT, and HCPCS Coding Systems
- HIPAA Compliance & Insurance Claim Procedures
- Practice Management Software (e.g., Kareo or Medisoft)
- Real-time Billing & Coding Simulations
Course Structure & Weekly Breakdown
Learning Outcomes:
- Understand the structure of healthcare systems
- Learn medical language and abbreviations used in billing and records
- Become familiar with anatomy terms related to coding
Topics Covered:
- Week 1:
- Introduction to Healthcare Systems
- Roles in Medical Billing & Coding
- Overview of US Healthcare & Insurance System
- Overview of other insurance based health systems.
- Week 2:
- Medical Terminology (Roots, Prefixes, Suffixes)
- Common Diseases & Conditions
- Week 3:
- Body Systems & Anatomy Overview
- Medical Abbreviations and Symbols
- Week 4:
- Diagnostic vs Procedural Terms
- Case Practice with Terminology Worksheets
- Mini Quiz: Medical Terms & Healthcare System
Learning Outcomes:
- Apply correct codes using ICD-10// ICD-11 (API), CPT, and HCPCS
- Understand insurance workflows and HIPAA guidelines
Topics Covered:
- Week 5:
- Introduction to Coding
- ICD-10/11: Diagnostic Coding
- Week 6:
- CPT Codes: Procedural Coding
- Evaluation and Management (E/M) Codes
- Week 7:
- HCPCS Codes: Durable Medical Equipment, Supplies
- Practice Scenarios & Coding Guidelines
- Week 8:
- HIPAA Compliance: Privacy & Security Rules
- Insurance Claim Process (CMS-1500 Form, Payers, Denials)
- Midterm Test: Coding Practice + HIPAA Guidelines
Learning Outcomes:
- Use billing software for real-time claim submission
- Perform complete medical billing cycles from patient entry to claim submission
Topics Covered:
- Week 9:
- Introduction to Practice Management Software (e.g., Kareo, Medisoft)
- Patient Demographics & Insurance Setup
- Week 10:
- Creating Superbills & Claim Forms
- Electronic vs Manual Claims
- Week 11:
- Billing Cycle Simulation (Charge Entry, Posting, Claims)
- Real-time Problem Solving & Re-submissions
- Week 12:
- Final Assessment & Interview Preparation
- Review of Coding Guidelines & Compliance
- Final Project: Complete Patient to Payment Cycle using Software
Learning Outcomes at Completion
- Know how to use ICD-10, CPT, and HCPCS coding systems accurately
- Understand healthcare insurance procedures and claim submission processes
- Operate medical billing software confidently
- Be eligible for medical billing jobs in local or remote markets
Certification & Assessment
- Weekly Exercises and Coding Worksheets
- Midterm Assessment (Week 8)
- Final Project with Real-time Software Usage (Week 12)
- Certificate of Completion upon successful performance
- Dr. Anam
- October 2025
- 10:00AM - 12:00PM
- Available Seats: 30
- Credits: 6
Career Opportunities
- Medical Billing Specialist
- Medical Coder
- Claims Processor
- Insurance Verification Officer
- Remote Billing Assistant (for US-based companies)
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