Advance Your Medical Coding and Billing Professional Career

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28 Weeks

Certificate Length

$4,000.00

Tuition

What Does A Medical Coding and Billing Professional Do?

A professional coder reviews clinical documentation and translates medical procedures, diagnosis, supplies, and services into codes that are submitted on a medical claim to payers for reimbursement. They serve a vital role in the financial wellbeing of their employing organization and indirectly influence patient outcomes through accurate medical coding. A professional biller utilizes the codes assigned by the medical coder to process, submit, and track medical insurance claims. An individual with both medical coding and billing knowledge and training often fulfills both roles, assigning medical codes and processing healthcare insurance claims. Professional Coders and Billers demonstrate their proficiency by earning industry-recognized certifications.

Where In the AdventHealth Network Can You Work?

Medical coders and billing specialists work in various healthcare settings, such as hospitals, clinics, physicians’ offices, dental practices, nursing homes, and rehabilitation centers. They are responsible for accurately translating patient diagnoses, treatments, and procedures into standardized codes and submitting insurance claims on behalf of the healthcare providers. Additionally, they may work for insurance companies, consulting firms, or medical billing service companies, where their expertise in medical coding and billing is essential. With the increased adoption of electronic health records and telemedicine, some medical coders and billing specialists may also work remotely, offering greater flexibility in their work environment.

Requirements

High School Diploma or GED

Web browser with internet connection

Course registration & payment

Training Materials Provided

Expert-led video based training

eBook: Medical Insurance, A Revenue Process Approach

Textbook: CPC Bundle (Text and Coding Resources)

Textbook: Buck’s Step-by-Step Medical Coding

Competency assessments

National Certification exam fees (MCBC, and option of CPC-A exam or CCS-P exam)

MEDICAL CODING AND BILLING PROFESSIONAL

Outcomes

MedCerts’ Medical Coding and Billing Professional certificate covers foundational, intermediate, and professional-level topics to allow graduates a clear pathway towards a rewarding career in billing and coding, primarily in a physician office-based environment. This 28-week online dual-certification certificate provides training in areas including Human Anatomy, Medical Terminology, Insurance Billing and Coding Essentials, and Medical Coding. Dual certification with MCBC and CPC-A or CCS-P can increase marketability, flexibility, and opportunity in the field of medical coding and insurance reimbursement in the outpatient setting.

Students begin in the H1-1011: Insurance and Billing, and Coding Essentials course by gaining a high-level understanding of ICD-10-CM, CPT, and HCPCS coding without the use of coding manuals, in preparation for the Medical Coder and Biller Certification (MCBC). This course is a building block and provides a foundation for progression to an advanced understanding of medical coding.

Moving towards intermediate- and professional-level topics, the H1-1051: Medical Coding course provides comprehensive instruction related to reviewing documentation, abstracting details, and assigning medical codes for diagnoses, procedures, and professional services. Extensive focus and familiarity with use of ICD-10-CM, CPT, and HCPCS coding manuals and official coding guidelines will provide the tools needed to challenge the Certified Professional Coder as an apprentice (CPC-A) or Certified Coding Specialist-Physician (CCS-P) certification. Both certifications are considered “professional-level.”

The primary objective for this certificate is to give the student the tools needed to successfully pass the MCBC examination. Once MCBC-certified, students are eligible for the optional, but valuable, CPC or CCS-P certification, both of which are considered the gold standard for medical coding in physician office settings. Those who pass the CPC examination earn the credential CPC-A. When the CPC-A (apprentice) is ultimately combined with one (1) year of practical coding experience, the individual earns the full CPC designation. Medical Coders holding professional-level certifications are critical to compliant and profitable medical practices and typically earn 20% more than non-certified coders.

The payment for the MCBC and either the CPC or CCS-P exam is provided by MedCerts.

Skills Learned

  • Upon completion of this training, you’ll be able to:

    • Accurately locate documentation in the patient record to support coding and billing processes
    • Submit claims for reimbursement based on payer policies and procedures
    • Review patient records and assign numerical codes for each diagnosis and procedure
    • Specialize in physician-based settings such as physician offices, group practices, multi-specialty clinics, or specialty centers
    • Provide practical application of coding operative reports and evaluation and management services

COURSES - 28 WEEKS

Professionalism in Allied Health
Introduction to Human Anatomy and Medical Terminology
Insurance and Billing, and Coding Essentials
Medical Coding

MEDICAL CODING AND BILLING PROFESSIONAL JOB POSSIBILITIES

Professional Medical Coder

Medical Insurance Specialist

Medical Biller

CERTIFICATION INFORMATION

Upon completion of your training, you’ll be prepared for the Medical Coder & Biller Certification (MCBC).

ISSUING AUTHORITY

MCBC

Medical Coder and Biller Certification

The Medical Coder & Biller Certification by the American Medical Certification Association (AMCA) showcases your knowledge and understanding of medical coding and billing.

CPC-A

Professional Medical Coder Certification

The Certified Professional Coder (CPC-A) certification is valued among physician’s offices across the country when hiring medical coders. Getting certified through the American Academy of Professional Coders (AAPC), and after at least two years of practical coding experience, you will gain full CPC designation allowing you to earn nearly 20 percent more than non-certified coders.

CCS-P

Coding Specialist-Physician-based Course

The CCS-P certification is a mastery-level coding credential that prepares you to become a physician-based Certified Coding Specialist. Accredited through the American Health Information Management Association (AHIMA), the CCS-P exam is nationally recognized and can lead to a career in coding.

MEDICAL CODING AND BILLING PROFESSIONAL REGISTRATION

If you need additional funding sources, we offer many convenient options

Pay in full using any major credit card, PayPal, or Venmo. Select “credit card” as your payment option.

Apply for PayPal Credit and pay zero interest if your balance is paid in full within 6-months. Complete a quick application and you’ll receive a credit decision within seconds.

 

Pay for your training with an education loan through Meritize.

Reserve your seat by completing the course registration process using the provided option.

 

PROFESSIONAL WORKFORCE DEVELOPMENT Community College
Program & Tuition Cost
$4,000 average
Up to $20,000
Exam Fees, Books & Materials
Included
Up to $750
Job Ready In
3–6 months
24–48 months
Schedule Flexibility
On-demand 24/7
Set class schedule
Travel Requirements
None: 100% online
On-campus classrooms
Student Support
Personal Advisors: text, call and email access
Professors: scheduled office hours
Career Coaching
Professors: scheduled office hours
Exam-based + prerequisites and electives to meet credit
Content Delivery
3D animations, immersive environments, interactive activities, game-based learning
Professor lectures

MEET YOUR WORKFORCE TRAINING SPECIALIST!

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Amanda Lynn is your Workforce Training Specialist. She is here to help you understand your certificate of study, payment options and succeed! Get in touch with Amanda to learn more about your certificate, AdventHealth University and how to achieve your workforce development goals!

FAQ

You will complete the courses in this certificate over 14 weeks, making students job-ready in 3.5 months. The certificate is flexible, allowing for assignments to be completed anytime, from anywhere, 24/7.

No, these courses do not count for college credit

Yes, our certificate is fully online and asynchronous.

Interested In Another Workforce Development Certificate?

AdventHealth University is devoted to supporting you throughout your professional journey and believes learning is a lifelong endeavor. Our career development certificates provide leading-edge instruction and clinical training in high-demand fields, ensuring you will feel confident and competent as a certified professional.