Medical Billing Career Prep

330 Hours / 12 Months / Self-Paced

Course Overview:

With the Medical Billing Career Prep program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical billing specialist. In this program, you will gain hands-on, practical experience working with the main coding manuals in the field, the ICD-10-CM and the CPT. In addition; you will be introduced to ICD-10-CM. You will also master the legal, ethical, and regulatory concepts that are central to this field. Upon completion of this program, you will be ready to begin your career in an entry-level position.   Students will also be prepared to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA) or the Billing Coding Specialist certification exam offered by American Medical Certification Association.

The content in the certification course will prepare students to take the associated industry recognized exam.  Please note that the individual state requirements may vary.  Students will be responsible to check with their state’s governing body for state specific requirements.

Students will:
  • Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors.
  • Describe the health care delivery system.
  • Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA.
  • Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
  • Utilize the ICD‐10-CM manual, including V codes, Z codes, and the Neoplasm and Hypertension tables.
  • Utilize the CPT manual and the various guidelines.
  • Utilize the ICD-10-CM coding system.
  • Demonstrate diagnostic and procedural coding.
  • Describe basic guidelines for submitting insurance claims.
  • Explain the difference between clean, pending, rejected, incomplete, and invalid claims.
  • Identify solutions for denied and rejected paper and electronic claims.
  • State when a paper claim can and cannot be used.
  • Explain the relationship of transactions and security with electronic data.
  • Communicate (verbally and non‐verbally) effectively and appropriately in the workplace.

This course prepares students to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA) or the Billing Coding Specialist certification exam offered by American Medical Certification Association.

Course Outline:

  • Lesson 1: Role of the Insurance Billing Specialist
  • Lesson 2: Compliance, Privacy, Fraud and Abuse in Insurance Billing
  • Lesson 3: Basics of Health Insurance
  • Lesson 4: Medical Documentation and the Electronic Health Record
  • Lesson 5: Diagnostic Coding
  • Lesson 6: Procedural Coding
  • Lesson 7: The Paper Claim CMS-1500 (02-12)
  • Lesson 8: The Electronic Claim
  • Lesson 9: Receiving Payments and Insurance Problem Solving
  • Lesson 10: Office and Insurance Collection Strategies
  • Lesson 11: The Blue Plans, Private Insurance, and Managed Care Plans
  • Lesson 12: Medicare
  • Lesson 13: Medicaid and Other State Programs
  • Lesson 14: TRICARE and Veteran's Health Care
  • Lesson 15: Worker's Compensation
  • Lesson 16: Disability Income Insurance and Disability Benefit Programs
  • Lesson 17: Hospital Billing
  • Lesson 18: Seeking a Job and Attaining Professional Advancement

All necessary course materials are included.

Certification(s):

This course prepares students to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA) or the Billing Coding Specialist certification exam offered by American Medical Certification Association.


System Requirements:

Internet Connectivity Requirements:
  • Cable and DSL internet connections are recommended.

Hardware Requirements:
  • Minimum Pentium 400 Mhz CPU or G3 Macintosh. 1 GHz or greater CPU recommended.
  • 256MB RAM minimum. 1 GB RAM recommended.
  • 800x600 video resolution minimum. 1025x768 recommended.
  • Speakers/Headphones to listen to Dialogue steaming audio sessions.
  • A microphone to speak in Dialogue streaming audio sessions.
Operating System Requirements:
  • Windows Vista, 7, 8, 8.1, 9, 10
  • Mac OSX 10 or higher.
  • OpenSUSE Linux 9.2 or higher.
Web Browser Requirements:
  • Google Chrome is recommended.
  • Firefox 13.x or greater.
  • Internet Explorer 6.x or greater.
  • Safari 3.2.2 or greater.
Software Requirements:
  • Adobe Flash Player 6 or greater.
  • Oracle Java 7 or greater.
  • Adobe Reader 7 or greater.
Web Browser Settings:
  • Accept Cookies
  • Disable Pop-up Blocker.


**Outlines are subject to change, as courses and materials are updated.**