Medical Billing and Coding Institute

Our program is designed for individuals who are passionate about joining the healthcare sector, regardless of their background. Whether you are a recent high school graduate, a career changer, or someone looking to advance in the healthcare field, our institute offers the perfect platform to kickstart your career. The only prerequisites are a high school diploma or equivalent and a willingness to learn.

Module 1: Introduction to Medical Billing and Coding

• Overview of the healthcare industry and the role of medical billing and coding
• Understanding the healthcare reimbursement cycle
• Introduction to health insurance types, policies, and regulations
• Ethics and compliance in medical billing and coding

Module 2: Medical Terminology and Anatomy

• Basics of medical terminology: roots, prefixes, and suffixes
• Overview of human anatomy and physiology
• Introduction to pharmacology terms
• Using medical dictionaries and reference materials

Module 3: Health Information and Electronic Health Records (EHRs)

• Importance of health information management
• Introduction to Electronic Health Records (EHRs) and their management
• Privacy, confidentiality, and security of patient information (HIPAA regulations)

Module 4: Coding Systems

• ICD-10-CM: Principles and guidelines, coding conventions, and coding for diagnoses
• CPT and HCPCS Level II: Understanding procedural coding, modifiers, and the structure of CPT
• Specialty coding: Introduction to coding in various medical specialties

Module 5: Billing and Reimbursement Process

• The medical billing process: From patient registration to payment posting
• Claim form preparation (CMS-1500 and UB-04) and electronic claim submission
• Insurance claim cycle and follow-up
• Managing denials and appeals
• Understanding payer rules and the adjudication process

Module 6: Advanced Coding and Billing Topics

• Advanced ICD-10-CM coding scenarios and case studies
• Advanced CPT and HCPCS coding, including complex procedures
• Auditing medical records for coding accuracy

Module 7: Compliance and Legal Issues

• Compliance programs and the role of a compliance officer
• Legal issues in medical billing and coding
• Fraud and abuse: Prevention, detection, and management

Module 8: Certification Exam Preparation

• Review of key concepts and coding guidelines
• Test-taking strategies and tips
• Practice exams and question analysis
• Certification options: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), and specialty credentials

Module 9: Professional Development and Career Readiness

• Resume writing and interview preparation
• Job search strategies and networking
• Continuing education and maintaining certification
• Introduction to remote coding and billing opportunities
• Practical Training and Assignments
• Hands-on coding exercises using real medical records
• Simulation of billing processes using billing software
• Group projects and case studies to reinforce learning
• Internship opportunities for real-world experience