Certified Billing & Coding Specialist (CBCS)

Medical Billing and Coding Specialist

 Course Description

The Medical Billing and Coding is a 195-Clock hour Program that offers the skills needed to solve insurance billing problems, manually and electronically file claims, complete common insurance forms, trace delinquent claims, appeal denied claims, and use generic forms to streamline billing procedures. The course provides instruction in the following areas: Current Procedural Terminology (CPT); Healthcare Common Procedure Coding System (HCPCS); specialty fields such as surgery, radiology, and laboratory; International Classification of Diseases (ICD); and basic claims processes for medical insurance and third-party reimbursements.

Upon successful completion and graduation from this Program, the student will be awarded a Certificate of Completion and a Training Verification Form. After passing the National Healthcareer Association (NHA) National Certification Examination, the graduate shall be certified Nationally as a Certified Billing Coding Specialist (CBCS).

Total Training hours for this program = 195 hours.

 Objectives:

• Learn how to find the service and codes using manuals (CPT, ICD-10, and HCPCS manuals).
• Identify and select the right diagnostic and procedural code for third-party insurance reimbursement.
• Be able to complete common insurance forms, trace delinquent claims, appeal denied claims, and use generic forms to streamline billing procedures.
• Understand HIPAA and Electronic Data Interchange (EDI).
• Be able to trace delinquent, denied claims, and utilize insurance problem-solving skills.

 Admission Requirements

1. Mentally and physically able to complete and pass this course.
2. 18 years old.
3. MTC Application.
4. Two Forms of Government-issued Identification. (One must be a Photo ID and the other SSN).
5. Minimum High School Diploma, GED, or another Equivalency, or higher.
6. Background check. ($35.00 if done at MTC).
7. TB Skin Screening Test. ($35.00 if done at MTC).
8. Drug Test. (If done at MTC for $50.00).
9. Current BLS certification is needed before clinical. ($60.00 if done at MTC).
10. Signed Affidavit of Legal Presence
11. Mentally and physically able to complete and pass this course.

 Class Examinations/Clinical Skill Examinations:

1. The Student is required to take a minimum of 12 exams and make an average score of 80%.
2. The students must take 2 final exams and score a minimum of 90% on each before being allowed to take the national certification exam.
3. The students must pass all coding and billing skills with a score of 100% accuracy
4. Students must pass checkoffs with a score of 100%.
5. The student must write a 7-page essay about their experience and score 80% per the grading rubric.
6. The student must complete all 27-chapter exams and score a minimum of 90% on each chapter test.
7. Homework, tests, and popup quizzes will be given. Therefore, completion of all readings assigned daily will be of paramount importance. This means that the student must always be prepared.
8. If a student is unable to pass the national certification, they will be required to remediate until such a passing score is attained before he/she can test for the state certification test.

National Certification Examination:

After successfully completing the Medical Billing and Coding Specialist training program at MedNoc Training College, you will be required to take the CBCS, which is 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.