HI 5000
Medical Coding and Billing Professional
Build a rewarding career in billing and coding with this dual-certification program.
Program Overview
Certifications earned
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.
- 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
What You’ll Learn – HI 5000 Medical Coding and Billing Professional
MedCerts’ Medical Coding and Billing Professional program 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 program 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 program 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.
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Find your next careerSome MedCerts programs are restricted in certain states or regions. Please review our State Restriction page to view what restrictions there may be in your state/region or residence of employment and ensure you are eligible for enrollment.
These restrictions may not apply to students taking programs through an employer, academic or government-sponsored model – including MyCAA and Army, Air Force or Coast Guard. Credentialing Assistance. To determine eligibility, please confirm with your sponsor or review our military spouse MyCAA-approved or Military Credentialing Assistance-approved programs
Program Details
- High School Diploma or GED
- Web browser with internet connection
- Course registration & payment
- 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)
*The cost of all materials needed for this program are covered by MedCerts. They are not included in the tuition costs and the student is not liable for any costs or fees related to the above materials.
- Dedicated Student Success Advisors
- Tailored support based on performance & behavior
- Exam preparation process
- 1 yr. post-program access to Career Center & Career Coaches
Career Outlook
Medical Coding and Billing Professional
Job Opportunities
openings in the US
potential
Tuition Cost
Medical Coding & Billing Training Online
- Interest rates from 0-12%
Active Duty Military Grants
MedCerts accepts education benefits from the Department of Defense for Active Duty Army, Coast Guard and Air Force.
Military Spouse Grants
Spouses of Active Duty Service Members in certain ranks may be eligible for assistance up to $2,000 per fiscal year.
Workforce Grants
MedCerts partners with American Job Centers in 30+ states and accepts Workforce Innovation and Opportunity Act (WIOA) and other workforce grant funding.
FAQs
Disclaimers
- While MedCerts training and related target certifications may be accepted and/or approved by your state of residency, employers reserve the right to dictate prerequisite education, experience, or certification/licensure requirements for their positions. We strongly advise students to research target job posts from area employers and relevant state requirements, barriers, or restrictions prior to enrollment to ensure eligibility upon graduation.
