Medical Billing and Coding Specialist

Table of Contents:

This comprehensive program will prepare individuals for a career in Medical Billing and Coding; a field that is projected to be one of the fastest growing occupations. Employment opportunities exist in hospitals, physician’s offices, clinics, nursing homes and home health agencies. This program develops skills in medical office procedures, anatomy and terminology, Microsoft Office skills, communication, and personal effectiveness.

Group Learning 80 Hours
Becoming a Master Student 40 Hours
Introduction to Windows 60 Hours
Managing Windows 60 Hours
Microsoft Word - Basic 60 Hours
Microsoft Word - Intermediate 60 Hours
Microsoft Word - Advanced 60 Hours
Microsoft Excel - Basic 60 Hours
Microsoft Excel - Intermediate 60 Hours
Microsoft Excel - Advanced 60 Hours
Microsoft Outlook - Basic 60 Hours
Microsoft Outlook - Advanced 60 Hours
Microsoft PowerPoint - Basic 60 Hours
Software Version Compatibility 40 Hours
Medical Office Procedures 60 Hours
Medical Terminology Basic 80 Hours
Medical Terminology Advanced 80 Hours
Health Insurance Processing 60 Hours
Medical Coding 80 Hours
Internet Essentials at Work 40 Hours
Keyboarding A to Z 20 Hours
Keyboarding Practice 40 Hours

Hours

We take into consideration that we have a class full of students with sit/stand issues and need to allow them time to get up and move around for 10 minutes every hour, creating a time to clear their brains for a moment and move their joints to relieve pain. Students will be in attendance a total of 1280 hours, minus 3 ten minute breaks daily: Our students will have a total of 1120 class hours.

This program will take 64 weeks to complete, NOT including holidays.
Additionally students will need to study and complete assignments at home.

Cost

R0310 - Tuition: $16,890.00
R0340 - Books: $610.00
Total cost of our General Clerk program is $17,500.00
Tuition costs for our Medical Billing & Coding Program have been reduced $840.00 to comply with Labor & Industries Funding Policies.

Group Learning

Group Learning takes place daily and includes Classroom Discussions, Hands on Training & Group Activities, and Business and Professional Development courses. We cover an extremely wide, ever expanding, variety of topics including:

Classroom Discussions

  • Addressing frequently asked questions
  • Popular sticking points in the coursework
  • Function Keys and Keyboard Shortcuts
  • What are Math keys on the Keyboard (* / - + )
  • How to use a Table of Contents and Index
  • Using Reference Material
  • How to find “Help” in software applications and on the internet

Hands-On Training & Group Activities

  • How to use a Multi-line phone, Fax Machine and Copier
  • Introduction to computer hardware (Raspberry Pi) – Students will take apart and put back together a computer, while learning the function of each component
  • Data Storage
  • Introduction to OSX (Mac Operating System)
  • Introduction to iOS (iPad and iPhone)
  • Exploring the Cloud
  • Photoshop Basics
  • Hands on experience with assorted apps

Business & Professionalism Development

  • Communications: Business Communications, Business Etiquette, Email Management, Listening Skills, Telephone Skills
  • Personal Effectiveness: Business Etiquette, Effective Time Management, Business Ethics, Professionalism in the Office, and Organizational Skills
  • Customer Service: Customer Service Fundamentals, Customer Service in the Information Age, and Excellence in Service
  • English Essentials: Business Writing, Grammar Basics, Formatting Letters and Reports, and Vocabulary Improvement
  • Basic Business Math
  • HIPPA

Becoming a Master Student

Every student has the ability to be a Master Student; this course will help students tap into their natural learning abilities and shows them how to take control of their education. They will learn practical study techniques – such as anti-procrastination skills, test-taking skills, Muscle Reading, concept mapping, goal setting, and critical thinking. As they discover what works, they will develop their own unique style of learning that they can use to excel in all of their classes, and for the rest of their lives.

Course Objective:

  • Starting off on the right foot: Discover what you want to get out of your education and put your goals into action
  • Chart your course to success: The Master Student Map begins each chapter with key questions that guide thinking and learning, and helps develop essential critical thinking skills
  • Master learning in the online environment: Learn how to use technology resources and the Internet, and online communities, to study more effectively and succeed in your courses
  • Prepare for the workplace: The put it to work feature will show you how you can apply what you’ve learned in the real world

Operating Systems and Microsoft Office Suite

Introduction to Windows

This course is designed to teach the students the basic skills necessary to work with computers and the fundamental features of Windows, including: start and shut down Windows, work with the desktop, the taskbar and icons, move, minimize, maximize and restore windows, change a window’s size and shape, cascade, tile, scroll within and switch between open windows, hide and display a window toolbar and the status bar use the Back and Forward buttons, work with My Computer, using the Control Panel to view storage device properties and copy a diskette, create files and folders, rename, move and copy a folder or file, create and rename a shortcut, delete files, folders and shortcuts, retrieve a deleted object, empty and reconfigure the Recycle Bin and using Windows Explorer.

Managing Windows

This course is designed to teach the students how to Manage Windows and manipulate the Windows environment. Students will learn how to work with files and folders and how to customize Windows settings to suit their preferences.

Objectives:

  • Use the new features of Windows desktop
  • Use Control Panel fundamentals
  • Manage files and folders
  • Work with documents and copying files
  • Customize Windows
  • Identify the new features of Internet Explorer
  • Identify new features of Outlook Express
  • Add Network places
  • Search Web pages
  • Use Remote assistance

Microsoft Word - Basic, Intermediate, and Advanced

Basic: This course is designed to teach our students the basic skills necessary to use the Microsoft Word software. Topics covered by this course include exploring Word; using the Office Assistant, basic document skills, spell check and grammar check, working with document views, printing documents, envelopes and labels, applying character, paragraph and document formatting. The use of styles is covered, as well as setting tabs, indenting paragraphs, and using numbers and bullets in lists. Students will work with headers and footers, create section breaks and learn how to use online help.

Intermediate: Students will learn more advanced features of Word, including: how to insert dates and symbols into documents, how to work with AutoFormat, and borders and shading. Students will learn how to insert tables, graphics, charts and diagrams, as well as how to edit them in Word documents. This course covers how to create newspaper columns, track revisions, use comments, AutoCorrect and AutoText. Students will also learn to use the Thesaurus and Spell Check tools, how to use outline view and customize Word preferences. Finally, this course teaches how to manage files and folders, and use Word HTML features.

Advanced: Finally, students will learn advanced features of Word, including: using mail merge, mailing labels, sorting table data, using formulas in tables, and import data from Excel into Word. This course covers working with lists, macros, and forms. Students will learn how to format long documents, create a table of contents and index, how to use bookmarks, use footnotes and endnotes and how to create master documents. This course covers how to use Microsoft Graph, use advanced layout features, and how to use advanced layout features. Finally, students will learn how to review documents and work with Web pages and XML.

Microsoft Excel - Basic, Intermediate, and Advanced

Basic: This course is designed to teach our students the basic skills necessary to use the Microsoft Excel software. Topics covered by this course include exploring Excel, using the Office Assistant, basic workbook skills, working with ranges, creating simple formulas, and copying and moving data. Page setup and Printing workbooks are also covered. Formatting numbers and text, working with columns and rows, formatting cells, and using automatic formatting and styles are also covered in this course. Students will also learn how to use online help.

Intermediate: Students will learn some more advanced skills necessary to use the Microsoft Excel software. Topics covered by this course include using large worksheets, working with multiple worksheets, and managing worksheets. Students will work with Outlines and HTML files. Using Paste Special, range names, labels in formulas, other functions will also be covered in this course. Students will create and edit charts, draw an object, use additional effects and objects, and use AutoShapes. This course also covers managing data and files, and customizing Excel preferences.

Advanced: Finally, students will learn advanced features necessary for using the database capabilities and to effectively use the financial formulas in the Microsoft Excel Software. Topics covered by this course include working with databases, working with the data form, using AutoFilter and advanced filters, importing and exporting data, creating and revising pivot tables, using multiple workbooks, using conditional and custom formats, using templates, working with comments, using worksheet protection, and sharing workbooks.

Microsoft Outlook - Basic and Advanced

Basic: This course presents our students with the basics of Microsoft Outlook. Students will learn how to open and reply to e-mail messages, insert attachments in messages, use the Outlook calendar to schedule appointments and meetings, and use Outlook contacts.

Advanced: Students will learn the advanced features of Outlook, including: managing Tasks, work with Outlook Journal and use Notes. Customizing Outlook Today, creating rules, sharing and accessing other users folders, creating forms and working offline are also topics covered in this course.

Microsoft PowerPoint - Basic

This course is designed to teach students the basic skills necessary to use the Microsoft PowerPoint software. Topics covered by this course include exploring PowerPoint, using the Office Assistant, basic presentation skills, and use of the Outline pane, spell check, enhancing presentation text, printing, sending and publishing presentations, and formatting and editing text. Using graphic images and tables is covered, as well as using Slide Sorter view, using the Slide master, and working with drawing objects. Students will use slide show view, and edit multiple presentations simultaneously.

Software Version Compatibility

Students explore the differences between older versions and newer versions with hands on experience using Word, Excel, PowerPoint and Outlook.

Medical

Medical Office Procedures

This course is designed to acquaint students with the specific knowledge and skills needed to pursue a career as a medical office assistant. Students will learn about the tasks involved in being an administrative medical assistant, how to manage patient records, how to maintain the appointment schedule, and draft medical correspondence. Students will also learn procedures for preparing and filing patient charts, and the legal and ethical issues surrounding confidentiality of information.

Objectives:

  • Describe the tasks, skills, and attributes essential for an administrative medical assistant
  • Identify areas for growth as you move into your new medical career by conducting a self-assessment of your transferable skills
  • Describe and develop elements of good interpersonal relationships with patients and others within the medical office
  • Define medical ethics, bioethics, and etiquette
  • Discuss the legal responsibilities of physicians
  • State the purpose of a medical compliance plan and three ways the office administrator can help the practice be compliant
  • List the safeguards against litigation
  • Describe the telephone skills necessary for an administrative medical assistant
  • Discuss the major methods for scheduling appointments and the guidelines for determining in what order patients should be seen by the physician
  • Discuss the importance of maintaining accurate medical records
  • Compare alphabetic, numeric, and subject filing systems
  • Discuss the purpose of a records retention plan
  • State the importance of good written communications skills
  • Compose written communications, applying correct letter formatting and letter styles
  • Prepare a professional report
  • Proofread and edit documents

Medical Terminology Basic

This course introduces the medical terminology, spelling, and definitions that are needed to be successful in a health-related career. Exercises focus on learning prefixes, suffixes, root words, and combining forms. Students will learn medical abbreviations, acronyms, and medical symbols in order to achieve fluency with terminology used in a medical office environment.

Objectives:

  • Explain how medical terms are developed
  • Pluralize terms
  • Interpret pronunciation marks
  • Compile medical documentation
  • Understand and use medical terms
  • Define the elements of human body structure
  • List organs contained within each body cavity
  • Name the parts of the integumentary system and describe the function of each
  • Name the parts of the musculoskeletal system and describe the function of each
  • Name the parts of the cardiovascular system and describe the function of each
  • Name the parts of the respiratory system and describe the function of each
  • Name the parts of the nervous system and describe the function of each

Medical Terminology Basic

This course continues to teach medical terminology, spelling, and definitions that relate to various body systems. Exercises focus on combining forms, finding root words and their meanings, and defining terms. Students will learn medical abbreviations, acronyms, and medical symbols in order to achieve fluency with terminology used in a medical office environment.

Objectives:

  • Name the parts of the urinary system and discuss the function of each part
  • Name the parts of the female reproductive system and discuss the function of each
  • Name the parts of the male reproductive system and discuss the function of each
  • Name the parts of the blood system and discuss the function of each part
  • Name the parts of the lymphatic and immune systems and discuss the function of each part
  • Name the parts of the digestive system and discuss the function of each part
  • Name the parts of the endocrine system and discuss the function of each part
  • Name the parts of the sensory system and discuss the function of each part

Health Insurance Processing

This course will provide students with the knowledge and skills needed to form the basis to become a medical insurance specialist. Students will learn the procedures used to file electronic insurance claims, as well as CMS -1500 paper form claims and its use to file claims. Students will learn about claim adjudication, reimbursement, follow-up, and record retention. Students will gain a fundamental understanding of claim requirements of health care payers such as Medicare, Medicaid, TRICARE and CHAMPVA, Blue Cross and Blue Shield, Workers compensation and disability. Students will also be given an overview of the electronic HIPAA 837I and UB-92 paper claim forms, used by hospitals to submit claims. This course will prepare students to effectively and efficiently submit claims in accordance with payer requirements.

Objectives:

  • Describe types of medical insurance
  • Complete insurance claims for government programs, workers' compensation, Blue Cross and Blue Shield, private third-party plans, and managed care plans
  • Discuss legal and ethical considerations with emphasis on confidentiality and fraud related to insurance
  • Discuss fundamentals of Hospital Billing

Medical Coding

This course provides theory and practice with ICD 9, ICD 10 and CPT coding manuals in relationship to medical billing and claims processing. Students will be introduced to HCPCS codes. Students will also learn about code linkage to ensure that CPT codes match the ICD codes; providing students with the knowledge and skills needed to form the basis to become a medical insurance specialist. Students will learn about medical coding guidelines and principles in order to verify the diagnosis and procedure codes used to report patients' conditions on insurance claims and encounter forms. Students will gain a fundamental understanding of current diagnostic and procedural coding. This will prepare students to effectively and efficiently submit claims in accordance with payer requirements.

Objectives:

  • Identify and properly use the special terms, marks, abbreviations, and symbols from the various coding systems
  • Explain how diagnostic coding affects the payment process
  • Label the primary diagnosis and coexisting conditions
  • Explain the ICD format, and identify sections used by medical insurance specialists in physician practices
  • Identify the purpose and correct use of V codes and E codes
  • Use a five-step process to analyze diagnoses and locate the correct ICD code
  • Identify the purpose and format of the Current Procedural Terminology (CPT)
  • Name three key factors that influence the selection of Evaluation and Management codes
  • Compare and contrast referral and consultation services
  • Recognize surgical packages and laboratory panels that are coded as single procedures
  • Describe the two levels of codes in the Health Care Common Procedure Coding System (HCPCS) and discuss when they should be used
  • Find correct procedure codes using CPT
  • Match the CPT procedure codes to the ICD diagnosis codes and ensure correct linkage of codes

Professional Development

Internet Essentials at Work

This course is designed to teach the students the basic skills necessary to use a variety of web browser including Internet Explorer, Google Chrome, and Firefox software. Topics covered by this course include browsing the web, working with the favorite’s center, zoom in and out in a web page, save and print web pages, run searches, set internet options, work with privacy and security settings, install add-ons, play multimedia content.

Keyboarding A to Z

This Course is designed for students who want to learn how to touch-type to increase their speed and efficiency on the keyboard. The open, modular-style manual is designed for quick scanning in the classroom, and is filled with interactive exercises that will allow students to explore the intricacies of KAZ (Keyboarding A to Z).

Objectives:

  • Use the keyboard with correct posture, and identify the home keys and their importance in touch-typing
  • Touch type the letter keys with increasing speed and accuracy
  • Touch type capital letters, special characters, and standard punctuation
  • Develop increasing speed and accuracy, and calculate words per minute typing speed

Speedbuilder is designed to encourage short practice sessions, with twenty phrases presented at a time. The program provides feedback by displaying the learner’s progress in both speed and accuracy.

Keyboarding Practice

This time is used for skills reinforcement and speed building.

This plan is customizable to suit individual needs.

Curriculums are subject to change with technology and documentation updates. If curriculum or software is upgraded during your training, you will be charged for the replacement of your old training manual.

NOTE: This information is for your planning purposes only. Due to all the legal disclosures mandated by the State of Washington Workforce Training and Education Board, it is necessary for Allied Training Systems to write all proposals to ensure student receives all the information necessary.

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