HI 5000

Medical Coding and Billing Professional

Online Certification Training

Build a rewarding career in billing and coding with this dual-certification program.

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28  Weeks
Program Length
MCBC, CPC-A, CCS-P
Certifications
$38,004
Avg. Starting Salary*
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Issuing Authorities

This program is NOT available to residents of the following states: AR, LA, ND, NV, OK, PA, RI, WI

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Medical Coding & Billing Training Online

MedCerts Tuition Advantage

We believe everyone should have access to higher education. With the option to pay in full, break down payments or utilize government grant funding, we help expand that access.

Monthly Payment Options as low as $346 Payment Plans for Every Student

Talk with an Education Consultant to pick the perfect payment plan, from paying in full to installments with interest rates from 0-12%.

Total Tuition $4,000 Pay in Full

The total tuition can be paid immediately or through a number of grant-funded or monthly payment plan options.

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MyCAA, Department of Defense Credentialing Assistance/COOL and Workforce Grants

MedCerts offers financial aid options through these government grant-funded programs – MyCAA, Workforce Funding (including WIOA), and Department of Defense Credentialing Assistance or COOL funding for the Army, Air Force and Coast Guard. Those eligible include Military Spouses; active duty Army, Reserves, and National Guard members; active duty Air Force, Air Force Reserve, Air Force National Guard, and US Space Force; active duty Coast Guard and SELRES members (enlisted and officers); or workforce-funded qualifying job seekers. Speak to an Education Consultant to see if you qualify.

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What does a Medical Coding & Billing Professional do?

A professional coder reviews clinical documentation and translates medical procedures, diagnosis, supplies, and services into codes that are submitted on a medical claim to payers for reimbursement. They serve a vital role in the financial wellbeing of their employing organization and indirectly influence patient outcomes through accurate medical coding. A professional biller utilizes the codes assigned by the medical coder to process, submit, and track medical insurance claims. An individual with both medical coding and billing knowledge and training often fulfills both roles, assigning medical codes and processing healthcare insurance claims. Professional Coders and Billers demonstrate their proficiency by earning industry-recognized certifications.

186,400
Entry Level Jobs in the US
Medical Coding & Billing Professionals will see available jobs grow 7% over the next ten years.
All available job and salary information is from Burning Glass Labor Insights and is updated annually to reflect industry changes.

What You’ll Learn
HI 5000
Medical Coding and Billing Professional

MedCerts’ Medical Coding and Billing Professional program covers foundational, intermediate, and professional-level topics to allow graduates a clear pathway towards a rewarding career in billing and coding, primarily in a physician office-based environment. This 28-week online dual-certification program provides training in areas including Human Anatomy, Medical Terminology, Insurance Billing and Coding Essentials, and Medical Coding. Dual certification with MCBC and CPC-A or CCS-P can increase marketability, flexibility, and opportunity in the field of medical coding and insurance reimbursement in the outpatient setting.

Students begin in the H1-1011: Insurance and Billing, and Coding Essentials course by gaining a high-level understanding of ICD-10-CM, CPT, and HCPCS coding without the use of coding manuals, in preparation for the Medical Coder and Biller Certification (MCBC). This course is a building block and provides a foundation for progression to an advanced understanding of medical coding.

Moving towards intermediate- and professional-level topics, the H1-1051: Medical Coding course provides comprehensive instruction related to reviewing documentation, abstracting details, and assigning medical codes for diagnoses, procedures, and professional services. Extensive focus and familiarity with use of ICD-10-CM, CPT, and HCPCS coding manuals and official coding guidelines will provide the tools needed to challenge the Certified Professional Coder as an apprentice (CPC-A) or Certified Coding Specialist-Physician (CCS-P) certification. Both certifications are considered "professional-level."

The primary objective for this program is to give the student the tools needed to successfully pass the MCBC examination. Once MCBC-certified, students are eligible for the optional, but valuable, CPC or CCS-P certification, both of which are considered the gold standard for medical coding in physician office settings. Those who pass the CPC examination earn the credential CPC-A. When the CPC-A (apprentice) is ultimately combined with one (1) year of practical coding experience, the individual earns the full CPC designation. Medical Coders holding professional-level certifications are critical to compliant and profitable medical practices and typically earn 20% more than non-certified coders.

The payment for the MCBC and either the CPC or CCS-P exam is provided by MedCerts.

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  1. Accurately locate documentation in the patient record to support coding and billing processes
  2. Submit claims for reimbursement based on payer policies and procedures
  3. Review patient records and assign numerical codes for each diagnosis and procedure
  4. Specialize in physician-based settings such as physician offices, group practices, multi-specialty clinics, or specialty centers
  5. Provide practical application of coding operative reports and evaluation and management services
Medical coding billing Hero

Enrollment Requirements

  1. High School Diploma or GED
  2. Web browser with internet connection
  3. Course registration & payment

MedCerts-Covered Materials*

  1. Expert-led video based training
  2. eBook: Medical Insurance, A Revenue Process Approach
  3. Textbook: CPC Bundle (Text and Coding Resources)
  4. Textbook: Buck’s Step-by-Step Medical Coding
  5. Competency assessments
  6. National Certification exam fees (MCBC, and option of CPC-A exam or CCS-P exam)

Student Services

  1. Dedicated Student Success Advisors
  2. Tailored support based on performance & behavior
  3. Exam preparation process
  4. 1 yr. post-program access to Career Center & Career Coaches

*The cost of all materials needed for this program are covered by MedCerts. They are not included in the tuition costs and the student is not liable for any costs or fees related to the above materials.

Required Courses
PS 1011

Professionalism in Allied Health

32 hours
Length
2 Weeks
Duration

This course will benefit anyone considering a career in allied health, as well as those already working in the field. Allied Health Professionals must be committed to the key attributes of professionalism and strive to reflect this within the delivery of patient-centered safe and effective care. “Professionalism” is a broad term that reflects many different skills and abilities. For an individual to exhibit professionalism, he/she must be armed with specific skills and abilities that do not always show up within certification requirements, or even within a career training curriculum. Soft skills are hard to measure and are typically less well-defined than hard skills. However, soft skills are what set many job candidates apart. Professionalism is not just what one knows, it is how one does their job, how one behaves and how one comes across as they interact with others.

The purpose of this course is to provide students with soft skills training that will provide the tools needed to demonstrate a higher level of professionalism on the job. Key components of the course focus on patient interaction, proper office behavior, medical ethics, diversity and cultural bias, emotional strength, professional appearance and communication. The course maintains a focus on the key attributes that are true markers of professionalism.

This course was created with input from healthcare professionals working in the field, healthcare employers that hire our graduates, professional educators and even former MedCerts students. The end result is a collection of modules that touch on the soft skills that are TRULY important in the real world of allied healthcare. In this course, students are engaged through scenario-based learning that allows for real interaction with virtual co-workers and patients. Additionally, game-based activities keep students engaged and entertained throughout their learning journey.

    • Gain an understanding of the expectations of an allied healthcare professional in the workplace
    • Develop and exercise emotional intelligence, self-management and interpersonal skills
    • Build and improve internal and external communication skills with all exchanges
    • Enhance the patient care experience with successful interactions and patient satisfaction
    • Maintain solution-oriented conversations, manage conflict and build self-confidence
HI 1014

Introduction to Human Anatomy and Medical Terminology

96 hours
Length
6 Weeks
Duration

This course is designed to familiarize the student with the language of medicine, through the study of prefixes, suffixes, root words, abbreviation, and pronunciation of words. The curriculum also includes an anatomy and physiology app that enables students to explore, visualize, interact, and experience the anatomy of the human body in 3D and augmented reality (AR). Students will examine the organization of the integumentary, musculoskeletal, hematic, lymphatic and immune, and cardiovascular systems in the human body. They will become familiar with the medical terms that relate to the respiratory, digestive, nervous, endocrine, reproductive, and excretory systems. Students will also examine terms related to the sensory organs, with a concentration on the organs for hearing, sight, and smell. This immersive experience will trigger thought processes and enhance learning outcomes in their Anatomy and Physiology program. The app has about 50 simulations across different topics.

    • Recognize the structure and function of the 11 body systems and their organs
    • Understand the medical language that is used to describe those systems
    • Analyze and understand medical terms by breaking down their word components
    • Appreciate the major diseases and conditions related to the human body
    • Apply your knowledge within the healthcare setting
HI 1015

Insurance and Billing, and Coding Essentials

96 hours
Length
6 Weeks
Duration

This course provides foundational knowledge required of an administrative allied healthcare professional with insight and focus on the role of the Insurance Billing Specialist. Emphasis is placed on the revenue cycle and basic insurance terminology. This includes topics related to HIPPA and HITECH laws and regulations, patient financial responsibility, insurance verification, government and commercial insurance plans, diagnosis coding using ICD-10-CM, procedure coding using CPT and HCPCS, modifiers, and the encounter form. CMS-1500 and HIPAA 837P claim formats, payment processing, claim follow up and collections are also addressed.

    • Describe the phases of the revenue cycle and gain an understanding of basic insurance terminology
    • Demonstrate knowledge of confidentiality and billing laws, regulations, and standards
    • Explain verification of patient financial responsibility and insurance information
    • Differentiate government and commercial insurance plans and determine which is primary
    • Apply ICD-10-CM, CPT, and HCPCS codes and modifiers based on coding guidelines
HI 1051

Medical Coding

224 hours
Length
14 Weeks
Duration

Medical Coding is a comprehensive course that provides the opportunity to gain expertise in reviewing documentation and assigning medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting. Using CPT, ICD, and HCPCS manuals as resources, codes will be assigned across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. This course will cover coding guidelines, regulations, compliance, and reimbursement to include medical necessity, insurance payers and claims, correct coding, and charges related to code assignment. The Medical Coding textbook contains access to a coding software that allows for coding practice even AFTER the completion of the course. The software allows for hands-on demonstration of learned coding skills.

Students are exposed to a variety of eLearning elements that allow for hands-on interaction with the screen for an engaging learning experience. In addition to video-based instruction and simulation, a variety of other learning methods are utilized for engagement, entertainment, and inspiration throughout training.

    • Appreciate the contribution of anatomy and medical terminology in the role of outpatient medical coding
    • Understand the use of medical documentation, medical records, and healthcare information for coding accuracy
    • Utilize characteristics of ICD-10-CM and follow appropriate medical coding conventions and guidelines to select codes for diagnoses, signs, and symptoms
    • Demonstrate the ability to code services, procedures, and supplies using CPT/HCPCS codes following documentation guidelines by applying coding terminology
    • Gain an understanding of the standards of ethical coding, legal compliance and HIPAA as applicable to medical record abstracting to achieve coding quality for accurate reimbursement
Code Course Duration
PS 1011 2 Weeks
HI 1014 6 Weeks
HI 1015 6 Weeks
HI 1051 14 Weeks
Total Program Duration 28 Weeks

Eligible Certifications

MCBC Medical Coder & Biller Certification Course

CPC-A Online Certified Professional Medical Coder Certification Course

CCS-P Online Certified Coding Specialist-Physician-based Course

Medical Coding & Billing Professional

Job Opportunities

Entry Level

Professional Medical Coder

$28,000 – $56,000*
Estimated Salary

Medical Insurance Specialist

$32,000 – $66,000*
Estimated Salary
Entry-Level

Medical Biller

$25,000 – $51,000*
Estimated Salary

Disclaimers

  1. This program is NOT available to residents of the following states: Arkansas, Louisiana, North Dakota, Nevada, Oklahoma, Pennsylvania, Rhode Island, Wisconsin
  2. While MedCerts training and related target certifications may be accepted and/or approved by your state of residency, employers reserve the right to dictate prerequisite education, experience, or certification/licensure requirements for their positions. We strongly advise students to research target job posts from area employers and relevant state requirements, barriers, or restrictions prior to enrollment to ensure eligibility upon graduation.

Medical Coding and Billing Professional