Insurance and Coding Specialist
This on-campus program teaches the skills needed to gain employment as an entry-level insurance, biller and coder in a medical facility, physician office, clinic, insurance company or office setting.
The objective of the Insurance and Coding Specialist Program is to provide graduates with the skills and knowledge that will enable them to qualify for entry-level positions in a medical facility, physician office, clinic, insurance company or office setting as well as prepare them for national certifications.
The 128 hour Program is taught:
Tuesday and Thursday evenings from 6:00PM to 10:00PM
Insurance and Coding Specialist Program
ICS 116 Insurance and Coding Specialist
Quarter Credit Units: 12.80
This multi-dimensional program encompasses fundamental skills necessary in the billing and collection of healthcare fees. It includes the assessment of patient records using detailed healthcare coding systems. Other specific skills include computer applications, medical terminology, anatomy, and professional development. Medical terminology and anatomy will be taught throughout the program.
Claims Processing, Health Care Payers, In-Patient/Out-Patient Billing and Coding:
This topic concentrates on providing students with an understanding of the basic types of medical insurance programs available in today's health care system such as HMOs, PPOs, IPAs and Managed Care. It also acquaints students with billing formats using the universal claim form and provides the skills necessary to master the basic aspects of medical insurance billing. Payment collections, overdue accounts receivable, and current reimbursement methodologies and compliance will also be covered.
Health Care Payers:
This topic concentrates on types of insurance payers, knowing how to recognize different types of payers, how to process payer claims and emphasizes rules and regulations, policies and procedures of the various major payers such as Medicare, Medical, the "Blue Programs", Tricare and Worker's Comp.
In-patient Billing and Coding:
Students learn how to abstract medical information from patient records. Students will learn how to use the Physician's Current Procedural Terminology (CPT), Health Care Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-9-CM) volumes 1, 2 for medical insurance and coding. Students will learn the process for coding surgeries, laboratory tests/diagnostics, anesthesia, radiology procedures, pathology, and other medical services.
Out-patient Billing and Coding:
Students will develop ancillary billing and coding skills. Emphasis is placed on advanced diagnostic and procedural coding in the outpatient facility. Students will use the Physician's Current Procedural Terminology (CPT), Health Care Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-9-CM) volumes 1, 2, 3 for medical insurance and coding.
Final course emphasis is geared towards preparing the students for national certification exams for the Insurance and Coding Specialist with the National Center for Competency Testing (NCCT) and National Healthcareer Association (NHA).