Medical Billing Program Outline

Change the game with just a few months of online training.

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Overview

Our medical billing online training was developed by industry experts with real-world input from employers. Our medical billing training is designed to help you quickly develop all the knowledge and skills needed to thoroughly understand the healthcare reimbursement process and methods. But, our program is way more than just training. It’s preparation for industry certification and employment. When you complete our program you’ll get a free Certified Billing and Coding Specialist (CBCS) exam voucher, (a $117 value). So you’ll be able to get certified right away, then jump into your medical billing career and start earning.

Program Timeline

Your new medical billing career is closer than you think. Our program is designed to be completed in just 12 weeks of full-time study. (Based on 8 hours a day, 5 days a week.) But it’s also totally self-paced. How long it takes to complete the program is up to you. If you have other obligations to juggle and need extra time, you’ll have half a year of program access to complete your training. Best of all, you don’t have to wait. You can begin today. As soon as your payment is processed, we’ll email your login and password so you can start training immediately.

180 hours of online courses

Just 3 months of full-time study

6 months of program access

Study Format

Our have-it-your-way training is always on…because it’s online. 24/7 Web access gives you the freedom to study however, wherever, and whenever you want. Got a laptop? You’re ready to rock! Pretty empowering when you think about it.

Learn from home (or anywhere)

Study online (anytime)

Support

We win when you win. So, don’t think of your medical billing training as e-learning. Think of it as we-learning, because we’re with you every step of the way. Real people—dedicated trainers and tutors to career advisors—all devoted to your success, from sign up to post completion.

One-on-one support

Phone, live chat, and email

Medical Billing Program Modules

Our medical billing training online is based on 11 bite-size modules. Each module is essentially a class or course subject. Click the modules below to see exactly what you’ll learn.

Program Orientation (1 Hour)

  • Identify the elements, expectations, and requirements of the program.
  • Navigate the program using the pages, menus, and buttons provided.
  • Use the program tools, including the study planner, gradebook, and completion report and be able to contact Career Step via phone, email, forums, chat rooms, and social media.
  • Identify and use program-specific resources.

Computer Fundamentals (7 Hours)

  • Identify basic computer hardware and interpret system requirements.
  • Navigate a Windows operating system environment as well as install and operate basic software utilities.
  • Navigate between websites in multiple tabs or windows, send and receive email, and access search engines to find information and troubleshoot basic computer problems.
  • Recognize basic technologies related to an office environment.

Medical Word Building (15 Hours)

  • Identify common medical prefixes, roots, and suffixes.
  • Identify and properly combine word parts to create medical terms.

Healthcare Structure and Organization (25 Hours)

  • Identify the involvement of everyone in the healthcare system, including consumers, providers, government and regulatory agencies, third-party payers, vendors, and trade associations.
  • Identify and describe patient rights and responsibilities.
  • Identify the responsibilities of healthcare-related government agencies.
  • Identify third-party payers and appropriately use the associated terminology in a healthcare documentation context.

Documentation and Confidentiality (20 Hours)

  • Identify basic types of medical records, including work types, components, formatting, and documentation standards.
  • Define HIPAA compliance and other related regulations as well as the role of healthcare documentation workers in preserving patient confidentiality and managing risk.

Medical Coding Basics (20 Hours)

  • Describe the roles and responsibilities of medical coders and medical billers.
  • State the basics of the ICD-10-CM diagnostic classification system, including its history, current purposes, and future implications on healthcare finance in the United States.
  • State the basics of the ICD-10-PCS, CPT®, and HCPCS procedural classification systems, including their history, current purposes, and future implications on healthcare finance in the United States.
  • Recognize ICD-10-CM diagnosis codes, and use code reference books to verify their appropriate use.
  • Recognize ICD-10-PCS, CPT, and HCPCS procedure codes and use code reference books to verify their appropriate use.

Mastering Medical Language (23 Hours)

  • Pluralize common medical words.
  • Define common medical slang, jargon, and foreign terms.
  • Distinguish between common similar medical words and word parts.
  • Recognize common medical abbreviations and their meanings.

Exploring Healthcare Reimbursement (30 Hours)

  • Calculate and bill for reimbursement for medical services.
  • Identify various sources and types of insurance coverage and the differences between them.
  • Follow the process for creation, submission, and collection of a claim for medical services as well as appeal denied claims.
  • Identify the processes for auditing claims, both internal and external, and be able to state the difference between proactive and reactive audits.
  • Identify Medicare Severity Diagnostic Related Groups (MS-DRG), what factors influence their assignment, and how the facilities payment is calculated based on the MS-DRG.

Patient Billing and Collection (18 Hours)

  • Describe the payment process and manage payments, including explanations to patients about insurance basics, fee schedules, billing, and adjustments.
  • Identify effective and appropriate communication techniques when dealing with patients, physicians, coworkers, and third-party payers.
  • Describe the basic functions and uses of medical office software, including patient records, payments, entering diagnosis and procedural codes, and reviewing superbills.

Claim Form Completion (20 Hour)

  • Understand and accurately fill out CMS-1500 claim forms.
  • Understand and accurately fill out UB-04 claim forms.

Final Exam Preparation (1 Hour)

  • Identify the steps needed to be eligible and prepared for the final exam and understand how it is accessed.
  • Identify the format, restrictions, and policies of final exams, including scoring, retakes, allowed resources, and time limits.

Medical Billing Certifications

Inspire confidence in employers and set yourself apart from other job seekers by earning your medical billing certification. Our program includes a free exam voucher—a $117 value—to cover your medical billing certification cost. So immediately upon program completion, you’ll be prepared you to take and pass your CBCS medical billing certification online.

Certified Billing and Coding Specialist (CBCS)