Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology GES 123 » 360 hours

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

• Display a working knowledge of medical terminology.
• Be proficient in skills such as communication, telephone techniques, organization and time management.
• Have knowledge of medical practice settings and specialties, as well as the differences in Traditional and Managed Healthcare
• Understand the differences among 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 a typical patient encounter including reception, appointment scheduling, chart preparation and maintenance, and charge ticket processing at check-out.
• 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.
• Perform data entry tasks, run office reports, and process insurance claims using Medical Office Simulation Software (MOSS©).
• Be prepared to take advanced education courses, including advanced coding, healthcare administration, and health information management.