Medical Billing and Coding (CS)

This program is designed to prepare students for careers as Medical Billing and Coding specialists. It includes various foundation courses for healthcare professionals, as well as specialized courses for insurance billing and coding. Students will develop skills and knowledge to translate diseases, conditions, and procedures into numerical designations as needed for appropriate reimbursement. a supervised externship in clinics, insurance companies, or other medical facilities provides experience to prepare students for entry-level positions in a healthcare setting. This program requires a minimum of four quarters for completion. It may also be completed on a part-time basis.

Program Prerequisites

Students entering the Medical Billing and Coding program are required to take the Accuplacer placement test for English and Math. Scores must place the student above MATH 094  and into ENGL& 101 , or alternatively complete ENGL 099 /101 with a 2.0 or higher, to successfully enroll in all MA classes. Students must show proof of typing proficiency of 30 wpm with 90% accuracy to enter the program.

Prior to placement in externship, students will need to submit a completed application packet to the instructor.

Requirements include:

• Completed application.
• Proof of up-to-date immunization status with at least the initial injection of the Hepatitis B series and TB testing within one year.
• Purchase of malpractice insurance, which is available from the cashier in the HSS Building.
• Signed Confidentiality Statement.
• All students will be required to request a Criminal History Information Background Check. A student who cannot participate in an externship based on a positive background inquiry check will not be able to successfully complete the program.
• Additional requirements including titers for chicken pox and/or measles may be compelled by certain extern sites.

Program Outcomes.

1. Demonstrate the ability to code and bill accurately, ethically and assertively.
2. Accurately apply billing and coding principles to optimize reimbursement.
3. Demonstrate the ability to research and explain insurance coverage to patients and their families.
4. Handle all components of claims processing efficiently.
5. Effectively manage patient accounts for billing.
6. Accurately prepare claims for submission to insurance companies in hard copy or electronically.
7. Demonstrate understanding of the requirements of various health plans and submittal forms.
8. Enter demographic data accurately in various software programs.
9. Effectively demonstrate professional behavior as needed in the workplace.