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Medical Billing and Coding CC
Health Sciences Department | C.C. Certificate of Completion | Less than one year
Looking for a career in health care but don’t want to give injections or draw blood? Work with physicians and help patients in the front office with the Medical Billing and Coding certificate from Clackamas Community College.
Medical coders analyze the doctor's documentation using specific guidelines to determine the correct codes for billing the doctor's services. Insurance billers apply health care laws to create and submit the claims for the doctor's work. Insurance billers will work with the insurance companies and patients to track the claims through the payment of services rendered. The program goal is to prepare students for the Certified Professional Biller (CPB) and Certified Professional Coder (CPC) national certification exams through the AAPC.
Medical Billing and Coding CC
You will be taught some exciting new skills in this program. Among these new skills, you will learn how to:
- Translate doctors' notes into useful medical code
- Navigate through various insurance rules and regulations to reduce accounts receivable (A/R) days
- Understand the nuances of various types of insurance carriers along with their claim requirements
Career opportunities may include but are not limited to:
- Medical coder
- Medical biller
Interested in one of these career fields? Here are some qualities that you might possess that will serve you in these fields:
Medical coders are excellent critical thinkers who possess a strong focus and are detail orientated. They are able to meet production and accuracy standards while working independently or as a team.
Medical billers demonstrate initiative while maintaining effective verbal and written communication skills with patients, teammates, and providers. They are able to develop and meet goals and objectives for themselves while analyzing and interpreting data. Medical billers will also need to understand the revenue process and possess some basic accounting skills.
Earning potential in Oregon according to the most recent data:
- Medical coder: $49,000-$51,000 annually
- Medical biller: $42,000-$43,000 annually
PROGRAM CODE: CC.MEDBILLCODE
Looking for a career in healthcare but don't want to give injections or draw blood? Work with physicians and help patients in the front office with the Medical Billing and Coding certificate from Clackamas Community College.
Medical Coders analyze the doctor's documentation using specific guidelines to determine the correct codes for billing the doctor's services. The insurance biller will apply healthcare laws to create and submit the claims for the doctor's work. The insurance biller will work with the insurance companies and patients to track the claims through payment of services rendered.
The work of the coder and insurance biller can produce prompt and proper payments to your doctor and lower their costs by applying current health insurance regulations and practices to healthcare billing, coding and reimbursement. After completing this program, students will be exposed to the knowledge to prepare them to sit for the national certification exams through the AAPC Certified Professional Biller (CPB) and Certified Professional Coder (CPC).
PROGRAM OUTCOMES
Upon successful completion of this program, students should be able to:
- perform medical insurance billing, including producing claims and making changes to claims;
- apply coding and billing guidelines and laws;
- analyze insurance reimbursement forms to ensure insurance companies have paid accurately;
- post payments/adjustments to patient accounts;
- explain provider chart notes and code patient visits accurately for billing;
- communicate with providers and patients about billing and coding;
- describe healthcare laws that pertain to medical billing and coding;
- maintain confidentiality and security of patient data.
CAREERS
Upon successful completion of this program, students should be able to work confidently in medical billing and/or coding.
Medical Billing and Coding Program Requisites
Complete the following Medical Billing and Coding Program Requisites
- *BI-120
- Introduction to Human Anatomy and Physiology
- 4
- MA-110
- Medical Terminology
- 4
- WR-121
- English Composition
- 4
Medical Billing and Coding Core Requirements
Complete MTH-060 or MTH-098
- MTH-060
- Algebra I
- 4
- MTH-098
- College Math Foundations
- 4
Complete the following Core Requirements
- BA-131
- Introduction to Business Computing
- 4
- COMM-218
- Interpersonal Communication
- 4
- MBC-115
- Insurance Billing and Reimbursement I
- 4
- MBC-116
- Insurance Billing and Reimbursement II
- 3
- MBC-120
- Introduction to Medical Coding
- 3
- MBC-125
- ICD-10 Coding I
- 2
- MBC-126
- CPT/HCPCS Coding I
- 4
- MBC-135
- Law and Ethics for Healthcare Professions
- 3
- MBC-140
- Billing and Coding Exam Review
- 1
- MBC-225
- ICD-10, CPT® and HCPCS Coding II
- 5