Certified Medical Billing & Coding Specialist

Course Description:

The Certified Medical Billing and Coding Specialist (CBCS) Program is a 160-clock-hour course. The Certified Medical Billing and Coding Specialist (CBCS) Program is offered either as an Online Hybrid Flex Course or a 100% Self-paced Online course. The CBCS program is designed to prepare students to become Nationally Certified Medical Billing and Coding Specialist (CMBCS). The CMBCS is instructed by an instructor who is a Certified Medical Billing & Coding Specialist. The Certified Medical Billing & Coding Specialist course is designed to provide students with the essential knowledge and practical skills required to excel in the medical billing and coding field. This comprehensive program combines theoretical instruction with hands-on training, preparing students for certification and a successful career in healthcare as a Certified Medical Billing and Coding Specialist (CMBCS).

During training the course covers the following topics:

• Medical Terminology and Anatomy: Develop a strong foundation in medical terminology, human anatomy, and physiology to accurately interpret medical records.
• Coding Systems: Master the use of coding systems such as ICD-10-CM, CPT, and HCPCS for accurately coding diagnoses, procedures, and services.
• Billing Procedures: Learn the intricacies of medical billing, including insurance claim processing, payment posting, and handling denied claims.
• Electronic Health Records (EHR): Gain proficiency in using electronic health records systems to manage patient information, ensuring accuracy and compliance.
• Regulatory Compliance: Understand the importance of compliance with healthcare regulations, including HIPAA, to ensure patient privacy and data security.
• Exam Preparation: Receive thorough preparation for certification exams, including practice tests and review sessions, to ensure confidence and success.

Upon successful completion of the program at MedNoc Training College, graduates will be issued a Completion Certificate and a Training Completion Affirmation Form, making them eligible to take the National Certification Exam through the National Healthcareer Association (NHA). Once graduates pass the Certified Billing and Coding Specialist (CBCS) exam, they can find employment opportunities in hospitals, clinics, physician offices, insurance companies, public health organizations, and more. The Certified Medical Billing and Coding Specialist program offers a pathway to a rewarding career in the healthcare industry, providing essential support to healthcare providers and ensuring the efficient management of medical billing and coding tasks.

Certified Medical Billing & Coding Specialist Career Opportunities:

• Medical Billing Specialist: Manage billing processes, submit claims, and ensure timely reimbursement.
• Medical Coding Specialist: Accurately code medical procedures and diagnoses for insurance claims and patient records.
• Billing and Coding Auditor: Review and audit billing and coding practices to ensure compliance and accuracy.
• Revenue Cycle Analyst: Analyze and optimize the financial aspects of healthcare operations.
• Insurance Claims Specialist: Handle insurance claims, denials, and appeals for healthcare providers.

Certified Medical Billing and Coding Specialist (CBCS) Clock Hour Distribution:

Certified Medical Billing and Coding Specialist (CBCS) Program Schedule Options:

Admission Requirements:

1. Fill out an Application either online or in person.
2. Complete the Enrollment Agreement in person or electronically.
3. Minimum age: 18 Years.
4. High School Diploma, GED, or another Equivalency, or higher.
5. Current Government-issued Photo ID: e.g., driver’s license, passport, military card, green card, work authorization card, or tribal card.
6. Social Security Card or replacement letter from the Social Security Administration’s office.

Medical Billing and Coding Specialist Course Objectives:

• Medical Terminology and Anatomy: Develop a strong foundation in medical terminology, human anatomy, and physiology to ensure accurate coding and billing practices.
• Coding Systems: Master the use of ICD-10, CPT, and HCPCS coding systems for various medical procedures, diagnoses, and services.
• Medical Billing Processes: Learn the intricacies of the medical billing process, including claim submission, reimbursement procedures, and appeals.
• Healthcare Laws and Ethics: Understand the legal and ethical considerations in medical billing and coding, including HIPAA compliance and patient confidentiality.
• Electronic Health Records (EHR): Gain proficiency in managing electronic health records, ensuring accurate and up-to-date patient information.
• Insurance Procedures: Explore different types of insurance plans, policies, and procedures for handling private, government, and third-party payer claims.
• Problem-Solving and Analysis: Develop critical thinking and analytical skills to efficiently identify and resolve billing and coding issues.
• Software Proficiency: Become proficient in using industry-standard medical billing and coding software. Practice using software tools for claim submission, payment posting, and reporting.
• Professional Development: Understand the role and responsibilities of a medical billing and coding specialist within the healthcare team. Learn effective communication skills for interacting with healthcare providers, insurance companies, and patients.
• Professional Development: Understand the role and responsibilities of a medical billing and coding specialist within the healthcare team. Learn effective communication skills for interacting with healthcare providers, insurance companies, and patients.

National Certification Examination:

After successfully completing the Medical Billing and Coding Specialist training program at MedNoc Training College, you will be eligible to take the CBCS, a National Certification Exam offered by the National Healthcareer Association (NHA). The exam will be offered at MTC.

Medical Billing and Coding National Certification Exam Details:

• 100 questions, 20 pretest questions.
• Exam time: 2 hours.
• Pass: 390 out of 500 is a passing score in a scaled scoring system.

 NOTE: Other additional costs include but are not limited to the textbook is $ 350.00.