Medical Billing and Coding GES 111 » 240 hours

Upon successful completion of the Medical Billing and Coding program, students will:

• Understand the differences between Commercial, HMO/PPO, Federal and State insurance plans, including eligibility and coverage, preauthorization, certification, and referrals, as well as reimbursement methodologies.
• Explain the legal and ethical responsibilities of an administrative medical specialist, including the HIPAA mandates, the rules for maintaining privacy of medical records and protected health information, and the types of consents and disclosures that are required in a medical office environment.
• Perform tasks associated with billing and reimbursement, including insurance and patient billing, payment processing, and claims review, correction, and appeals.
• Perform traditional business office tasks for Accounts Receivable, Accounts Payable, and bookkeeping maintenance.
• Demonstrate a proficiency in diagnostic and procedural coding using the ICD-9, CPT, and HCPCS coding manuals.
• Be prepared to take advanced education courses, including advanced coding, healthcare administration, and health information management.