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Medical Insurance Billing & Coding Certificate Program


Healthcare is one of the most job-secure fields of the next few decades and knowledge of coding and billing can open lots of doors. Our certificate program will give you basic foundational knowledge and skills, an understanding of the types of jobs the knowledge applies to, and the variety of career paths.  The program consists of 10 required classes, totaling more than 80 hours of class time, plus plenty of at-home and online practice. Developed by professionals in the field, it can be completed in about six months.
 
Participation in the Certificate Program is not required. Individual classes may be taken as long as you meet prerequisites. However, only students who successfully complete all required classes will earn our certificate.
 
Texts and necessary manuals are NOT included in the class fees. Some required books may be purchased in our campus bookstore; all are available online. Expect to spend approximately $900 (depending on choices) for these books which provide up-to-date information and are used throughout the program.


ETPL & I-TRAIN-approved free training for WIOA eligible WorkSource Center participants. 
Contact your case worker first to make sure you qualify.

Find your local WorkSource Center



Click here for our Medical Insurance Billing & Coding Syllabus and Book List.

For answers to frequently asked questions about our program, check out our Medical Insurance Billing & Coding FAQ's.



Our next program begins in Fall 2021! 

Register for our interest list to receive updates.

 



10 Required Courses for the Program Certificate
2 Cohorts Per Year: Fall-Winter and Spring-Summer


 
The first 4 courses of the program will be offered in FALL 2021 (NEW STUDENTS)

Class 1: Body Systems & Terminology for Billers & Coders, Part 1, 2, & 3
Designed specifically for coders and billers, this course teaches you to decipher terminology by root words as well as about anatomy and physiology, since that’s how coders code and billers bill. Plus a strong medical vocabulary is the foundation of any healthcare career!

Class 2: CPT (HCPCS) Coding
Get an introduction to CPT (procedural) descriptive terms and identifying codes currently being used in the field of medicine. You’ll get instruction in the use and format of the CPT manual. Prerequisite: Body Systems & Terminology.


Class 3: ICD-10 CM/PCS Coding
Learn about diagnosis coding related to reimbursement. Understand the principles used to transform verbal diagnoses and surgical procedures into numerical codes; learn about the use and format of the ICD manual.  Prerequisite: Body Systems & Terminology.


Class 4: Advanced Coding
Get acquainted with medical chart analysis and HIM chart abstracting. Find out about Medicare reimbursement compliance and how Medicare Prospective Payment Systems (PPS) impact hospital and physician reimbursement. Practice coding from a variety of report types, including professional services reports, surgical reports, and interventional inpatient progress reports that include physical therapy, pharmacology, diagnostic injections and infusions with administration coding guidelines. Prerequisites:
ICD, CPT Coding, and familiarity with computer keyboard.



The last 6 classes will be offered in SUMMER 2021 (CONTINUING STUDENTS)

 
Class 5: Health Insurance & Managed Care, Part 1 (Remote Live)
This class reviews the basic key concepts of insurance and managed care carriers including Blue Cross, Blue Shield, Medicare, Medicaid, Tricare and recent changes impacting our health system due to health care reform. Also learn about HMOs and PPOs. It prepares the student for understanding the many different types of insurance plans and how they work.
CLICK HERE to register for this class.


Class 6: Health Insurance & Managed Care, Part 2 (Remote Live)
Instructors choose current relevant topics to help make students more knowledgeable and employable. Topics may vary from session to session, so students may repeat this class to gain additional knowledge. Topics may include dental, home health or domiciliary (medicare) coding or workers' comp lien processing.
CLICK HERE to register for this class.


Class 7: Claims Processing (Remote Live)
Learn medical billing techniques and how to follow up and collect on billed claims. You will also learn how to complete medical and itemized statements. Various types of insurance plans and insurance cards will also be reviewed. PREREQUISITE: Body Systems & Terminology, ICD-10 Coding, and CPT Coding.
CLICK HERE to register for this class.


Class 8: Computer Billing, Part 1 (Remote Live)
Covers billing forms in more detail, including entering charges, modifiers, posting payments, appealing denials and minimizing receivables. Learn about the most popular insurance plans and get tips for working on various medical software programs and avoiding common mistakes. Prerequisites: Body Systems & Terminology, ICD Coding, and CPT Coding.
CLICK HERE to register for this class.


Class 9: Computer Billing, Part 2 (Remote Live)
Get familiar with billing forms in greater detail including entering charges, modifiers, posting payments, appealing denials and minimizing receivables. Learn about the most popular insurance plans and get tips for working on various medical software programs and avoiding common mistakes. Prerequisites: Computer Billing, Part 1.
CLICK HERE to register for this class.


Class 10: Hospital Billing Part 1 & 2 (Remote Live)
Hospitals hire the majority of billers, pay well, and have great training and advancement opportunities. This class acquaints you with billing for hospitals and outpatient surgery centers. Learn federal requirements for understanding reimbursement including ancillary care, outpatient and inpatient surgery, and emergency billing. Also get an overview of the accounts receivable process including revenue cycle. Evaluate the CMS-1450 (UB-04) billing form and the collection process by understanding payer guidelines. Find out how the Department of Health and Human Services, including CMS, impacts hospital revenue. Prerequisites: Computer Billing, Part 1 & 2.

CLICK HERE to register for Part 1.
CLICK HERE to register for Part 2.


    
Instructors/Advisory Board
 
  • Xochitl Perez, MBA, Compliance Analyst at Inland Empire Health Plan
  • Sue Mardirosian, AHIMA Certified Coder
  • Meredith Flynn, MPH, former Director of Contracting for the UCLA Health System
  • Carol Buitrago, President of Buitrago Healthcare Consulting