Medical Coding and Billing Certificate
The Certificate program in Medical Coding and Billing will prepare students for a dynamic career in the health care industry. The Certificate Program in Medical Coding and Billing will prepare the student to step right into positions such as medical coder, abstracter, coding specialist, coding compliance auditor, reimbursement manager, collection supervisor, and billing compliance specialist.
Please click here for a complete program brochure.
According to the U.S. Bureau of Labor Statistics, “employment of medical records and health information technicians is expected to increase by 18% through 2016 faster than the average for all occupations.” Technology is advancing at a rapid pace and is producing more advanced medical procedures and treatments. With these advances comes the need for trained professionals with the knowledge to code, bill, and correctly document the performance of these procedures. Trained professionals will be needed to ensure correct coding and documentation of new and established procedures to pass potential audits by federal as well as private insurance payers.
The program is designed for students who wish to acquire a thorough understanding of the human anatomy, the language used in the medical profession, regulations that govern the practice of medicine, and the knowledge of how to correctly code and bill for services provided. Upon completion of the program students can expect to be employed in physician offices, multi-specialty group practices, insurance companies, outpatient care facilities, and with government agencies.
Registration and Tuition:
This program consists of 6 required courses which should be taken in the following order: Medical Terminology, ICD-9 Coding, Accelerated ICD-10 , CPT-4 Coding, Regulations in Health Care Coding, Medical Billing with Practicum. Tuition is $3,500 plus a one time $20 registration fee, or you can register for each course individually, with a $20 registration fee per semester. To register for courses please click on the Course Browser/Registration.
Note for those registering online: Please call our office at 212.650.3850 to select classes you are taking per semester. Please be aware that you are registering for the certificate and that you still need to call/come in to the office to choose the classes. If you wish to do a Payment Plan, please come to our office E1022 ( Mon-Fri 9am-5pm). Learn more about the benefits of registering for the entire certificate program.
|Spring 2014 Semester||Day||Time||Dates
|Medical Terminology||Tue. & Thu.||6:00-8:30pm||2/4-3/27
|ICD-9 Coding||Tue. & Thu.||5:55-9:00pm||4/1-4/30|
|Accelerated ICD-10||Tue. & Thu.
|CPT-4 Coding, S1
||Tue. & Thu.
|CPT-4 Coding, S2||Mon. & Wed.
|Regulations||Tue. & Thu.
|Medical Billing, S1
|Combined Certificate Courses|
|Outpatient Facility Coding||Thursday||6:00-10:00pm||2/13-3/20|
|Inpatient Facility Coding
- Medical Terminology
This course will provide the framework needed to understand medical terms through the analysis of word components. This will include an in-depth study of prefixes, suffixes, word roots, connecting and combining forms. The student will acquire an understanding of medical terms by dissecting terms into their component parts. Students will also learn terms applicable to the structure, function, and diseases of the human body. Required Book: The Language of Medicine (any edition).
- ICD-9 Coding (Prerequisite Medical Terminology)
This course will emphasize the fundamentals of assigning International Classification of Diseases, ICD-9-CM, codes. Students will learn the history of coding and coding conventions. Coding exercises will be explored and coding and billing issues will be reviewed.
- Accelerated ICD-10 Coding
This course will prepare students for the trasition to ICD-10 taking effect October 1, 2014. This course will also cover the coding conventions and guidelines unique to ICD-10-CM for those involved with their organization's transition to ICD-10.
- CPT-4 Coding (Prerequisite Medical Terminology and ICD-9)
This course is designed to provide the student with an understanding of coding medical procedures and the accurate utilization of assigned codes. The classification system for coding medical procedures will be reviewed through in-depth coverage of the correct usage of the Current Procedural Terminology Manual, CPT-4 and the Health Care Financing Administration Common Procedure Coding System, HCPCS, Level II codes. Must take ICD-9 before enrolling in this class.
- Regulations in Health Care Coding
This course is designed to give students an understanding of the legal and ethical issues encountered in the delivery of health care services. The student will learn regulations and procedures for claims filed with government agencies. This will include discussions of fraud and abuse, the National Correct Coding Initiative, NCCI, as well as current health care legislation.
- Medical Billing with Practicum (Prerequisite Medical Terminology and ICD-9 and CPT-4)
The student will learn the theory and basic financial techniques utilized in a physician’s office and other health care facilities. This will include gaining an insight into the administrative and clerical aspects of a medical office. The principles and applications of medical and financial records management, billing details, appointment scheduling, insurance processing and accounts receivable will be explored. The student will also be given the opportunity for practical application of lessons learned using medical billing software.
Combined Certificate in Outpatient and Inpatient Medical Billing $4,500
This program begins with an overview of coding and billing for hospital services. The first course is focused specifically on outpatient coding and billing. The second course covers coding and billing for inpatient services. Students will further develop proficiency in basic coding and billing skills while expanding knowledge of technical services in coding and billing, as well as gain insight into guidelines and principles for facility inpatient and outpatient coding and billing, including assigning ICD-9-CM and ICD-10 diagnostic codes, ICD-9-CM procedure codes, and CPT & HCPCS procedure codes in multiple inpatient and outpatient settings. Students will also have an understanding of all major steps in a hospital's revenue cycle, payer-specific payment methodologies and regulatory guidelines for coding and billing facility services through review of assigned reading materials, attendance and participation in class time lectures. By the end of this program, students will be able to demonstrate proficiency in the basic concepts of coding and billing for facility inpatient and outpatient services through completion of assigned practice exercises and case studies and pass a written examination demonstrating understanding and competency in the above.
Prerequisites: Medical Terminology, ICD-9-CM Coding, CPT Coding
Students interested in this program must complete all 6 courses outlined in the Medical Coding & Billing Certificate as well as the 2 courses below. Click here for Payment Plan
Inpatient Facility Coding
Prerequisite: Medical Terminology, ICD-9, ICD10 and CPT-4
Outpatient Facility Coding
Prerequisite: Medical Terminology, ICD-9, IDC10 and CPT-4
First course taken must be Medical Terminology. If you are a registered nurse you do not need to take the Medical Terminology class. You must bring a transcript as proof you have completed this class.
Upon completion of the program, students will be knowledgeable on all aspects of ICD-9, HCPCS and CPT-4 coding, understand government regulations that affect reimbursement and documentation, have a thorough understanding of filing insurance claims, understand the differences between federal carriers and managed care companies, worker’s compensation and no fault billing, the meaning and implications of medical necessity, correct reimbursement procedures, and revenue cycle management.
The student will have 151 hours of instruction and will be prepared to sit for the national certification exam given by the American Academy of Professional Coders, AAPC. Upon successfully passing the exam, candidates will earn the credential, Certified Professional Coder, CPC.
To register for courses online, please click on the Course Browser/Registration
Required Text Books:
Regulations and Medical Billing: no text book required
Medical Terminology: The Language of Medicine by Davi-Ellen Chabner
ICD-9 and CPT: If you join the AAPC, you can get a discount on this package. Click on the link below to buy the bundle package.
For the Combined certificate:
*If your coding class begins after October 1st, please confirm the edition with the instructor.
**The offer above (promo code 92602) excludes all Pageburst eBooks, HESI Testing, Simulation Learning System (SLS), NurseSquared, and SimChart products. Offer expires 12-31-2013. Valid for purchases made only on evolve.elsevier.com based on pre-tax amount, and subject to relevant sales tax. Coupon can be used multiple times. Discount will be reflected in your shopping cart. Not valid on bulk orders or in combination with any other promotion. Valid for individuals in the U.S. only. Current prices and offers subject to change without notice. All sales final
If enrollment for a course does not reach a required level, the course will be canceled. However, when maximum enrollment is reached, the course will be closed immediately and the names of interested registrants will be put on a wait list and notified on a first-come basis if an opening occurs. Please register early to avoid disappointment.
Students’ progress is measured through examinations, research and writing assignments, and classroom participation. A grade of A, B, or C is required in each course certification. A passing grade is 73=C.
Students are required to attend all the classes and be on time. If absence occurs, the student is responsible for making up missed assignments. The instructor maintains and submits attendance records for each student.
Continuing Education’s certification programs are offered for no college credit. A certificate is awarded to students who successfully meet the requirements explained in the CE bulletin.