Medical Coding Training

To ensure our program is accessible to a broad audience, we have set forth simple eligibility criteria:

• Completion of secondary education or equivalent.
• A keen interest in the healthcare sector.
• Basic proficiency in English to comprehend and interact with the course materials and instruction.
• Prior experience in medical coding is not a prerequisite, making our program an excellent starting point for those new to the field.

1. Introduction to Medical Coding

• Overview of Medical Coding and Its Importance in Healthcare
• Understanding the Role of a Medical Coder
• Introduction to Healthcare Insurance and Reimbursement Processes

2. Foundations of Medical Terminology

• Basics of Medical Terminology: Root Words, Prefixes, and Suffixes
• Anatomy and Physiology for Medical Coders
• Common Medical Terms and Abbreviations

3. Healthcare Documentation

• Types and Importance of Medical Records
• Legal and Ethical Considerations in Medical Documentation
• Electronic Health Records (EHRs) and Their Impact on Medical Coding

4. Introduction to Coding Systems

• ICD-10-CM: Structure, Conventions, and Guidelines
• CPT (Current Procedural Terminology): Overview and Coding Guidelines
• HCPCS (Healthcare Common Procedure Coding System): Level II Codes and Their Application

5. Diagnostic Coding with ICD-10-CM

• Principles of Diagnostic Coding
• Coding for Various Medical Conditions and Services
• Practice Exercises and Case Studies

6. Procedural Coding with CPT and HCPCS

• Understanding the CPT Coding System and Its Categories
• Detailed Study of HCPCS Level II Codes and Modifiers
• Hands-On Coding Exercises and Real-World Scenarios

7. Specialty Coding Focus

• In-depth Coding Practices for Specialties such as Cardiology, Orthopedics, and Obstetrics
• Challenges and Strategies in Specialty Coding
• Case Studies and Practical Coding Exercises

8. Advanced Coding Techniques

• Complex Case Scenarios and Multi-axial Coding
• Auditing Medical Records for Coding Accuracy
• Use of Software and Coding Tools in Professional Practice

9. Medical Billing and Reimbursement Process

• Overview of the Medical Billing Cycle
• Insurance Claims Processing and Denial Management
• Role of Medical Coders in the Reimbursement Process

10. Compliance, Ethics, and Fraud Prevention

• Healthcare Compliance and Regulatory Requirements
• Ethical Considerations in Medical Coding and Billing
• Identifying and Preventing Fraudulent Coding Practices

11. Career Development and Certification Preparation

• Preparing for National Certification Exams (e.g., CPC, CCS)
• Resume Writing, Interview Skills, and Job Search Strategies
• Continuing Education and Professional Development in Medical Coding

12. Practical Application and Internship

• Hands-On Coding Practice with Real Medical Records
• Internship Opportunities for Real-World Experience
• Feedback and Guidance from Experienced Medical Coders