Certified Specialist Programme in Medical Billing and Coding
-- viewing nowThe Certified Specialist Programme in Medical Billing and Coding is a comprehensive course that equips learners with the necessary skills to excel in the healthcare industry. This program focuses on the crucial areas of medical billing and coding, enabling learners to understand the complexities of medical reimbursement systems, regulatory requirements, and coding best practices.
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Course details
• Medical Billing and Coding Fundamentals: Anatomy, physiology, medical terminology, healthcare reimbursement, coding systems (ICD-10-CM, CPT, HCPCS), and medical record keeping.
• ICD-10-CM Coding: Diseases, injuries, and related health problems; understanding diagnosis codes and their applications.
• CPT and HCPCS Coding: Procedures and services; distinguishing between procedural codes and supply codes.
• Medical Billing Processes: Submission of claims, remittance advice, adjustments, and appeals; electronic data interchange (EDI) and electronic health records (EHRs).
• Compliance and Ethics: Regulations, guidelines, and ethical considerations in medical billing and coding.
• Risk Management: Identifying and minimizing potential errors, fraud, and abuse in medical billing and coding.
• Payer Systems and Reimbursement Methodologies: Understanding fee-for-service, capitation, and bundled payment models; working with insurance companies, Medicare, and Medicaid.
• Auditing and Monitoring: Internal and external audits; monitoring and improving coding and billing accuracy.
• Professional Development: Staying current with industry trends, regulatory updates, and technological advancements in medical billing and coding.
Career path
Entry requirements
- Basic understanding of the subject matter
- Proficiency in English language
- Computer and internet access
- Basic computer skills
- Dedication to complete the course
No prior formal qualifications required. Course designed for accessibility.
Course status
This course provides practical knowledge and skills for professional development. It is:
- Not accredited by a recognized body
- Not regulated by an authorized institution
- Complementary to formal qualifications
You'll receive a certificate of completion upon successfully finishing the course.
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