Course Description
- Description:
- Module 1:
- Introduction to Medical Coding and Billing: In this introductory module, we'll delve into the fundamental concepts of medical coding and billing. Understand the importance of accurate coding in healthcare reimbursement and explore the role of medical coders and billers in the healthcare industry.
- Module 2:
- Overview of ICD-9 Coding System: Gain an in-depth understanding of the ICD-9 coding system, including its structure, conventions, and guidelines. Learn to navigate the ICD-9 codebook efficiently and identify the different sections and categories used for coding diagnoses and procedures.
- Module 3:
- ICD-9-CM Coding Guidelines: Master the ICD-9-CM (Clinical Modification) coding guidelines to ensure accurate and compliant coding practices. Explore topics such as coding conventions, sequencing rules, and modifiers, and understand how to apply them in various coding scenarios.
- Module 4:
- Coding for Diseases and Conditions: Learn to assign ICD-9 codes for a wide range of diseases, conditions, and injuries. Understand the principles of coding specificity and accuracy, and practice coding common medical diagnoses encountered in clinical settings.
- Module 5:
- Coding for Procedures and Interventions: Â Explore the process of coding procedures and interventions using ICD-9 procedure codes. Learn to translate medical documentation into accurate procedural codes and understand the importance of proper code selection for billing purposes.
- Module 6:
- Medical Billing Process: Delve into the medical billing process, from patient registration to claims submission and reimbursement. Understand the roles of medical coders and billers in the revenue cycle management process and learn to navigate billing software and electronic health records (EHR) systems.
- Module 7: Reimbursement Methodologies: Gain insight into various healthcare reimbursement methodologies, including fee-for-service, capitation, and value-based reimbursement models. Understand the impact of coding accuracy on reimbursement rates and learn strategies to maximize revenue for healthcare providers.
- Module 8:
- Compliance and Ethics in Medical Coding: Explore the ethical standards and compliance requirements governing medical coding and billing practices. Learn about healthcare fraud and abuse laws, HIPAA (Health Insurance Portability and Accountability Act) regulations, and the importance of maintaining patient confidentiality and data integrity.
- Module 9:
- Quality Improvement and Auditing: Discover the role of quality improvement and auditing in medical coding and billing operations. Learn to conduct internal audits to ensure coding accuracy and compliance with regulatory standards, and understand how audits contribute to enhancing the quality of healthcare services.
- Module 10:
- Career Development and Certification: Prepare for a successful career in medical coding and billing with valuable tips and resources for professional growth. Explore certification options such as the Certified Professional Coder (CPC) credential offered by AAPC (American Academy of Professional Coders) and the Certified Coding Specialist (CCS) credential offered by AHIMA (American Health Information Management Association).
- Module 11:
- Practical Application and Case Studies: Put your knowledge into practice with real-world case studies and coding exercises. Apply coding principles and guidelines to analyze medical records, assign accurate codes, and prepare claims for reimbursement. Gain hands-on experience using coding software and tools commonly used in healthcare settings.
- Module 12:
- Final Assessment and Certification: Test your understanding of medical coding and billing concepts with a comprehensive final assessment. Upon successful completion of the course, receive a certificate of completion recognizing your achievement and readiness to pursue a career in medical coding and billing.
Proudly Display Your Achievement
Upon completion of your training, you will receive a personalized certificate of completion to help validate your new skills.
Step-by-Step Courses List
Module I
- Introduction to Reimbursement
- Medical Terminology
- Basic Anatomy
- Introduction to ICD-9-cm
- Application of ICD-9-cm
- Introduction to ICD-10-CM
Module II
- Introduction to CPT and HCPCS
- Evaluation and Management (E/M)
- Surgery & Integumentary system
- Anesthesia and Modifiers
- Musculoskeletal
- Respiratory and Cardio
- Female Genital System
- Maternity Care & Delivery
- General Surgery
- ENT
- Male Genital System
- Eyes
- Lymph
- Medicine
The ICD is currently the most widely used statistical classification system for diseases in the world. ICD-9-CM is an adaption created by the U.S. National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9, but provides for additional morbidity detail.
The International Classification of Diseases Clinical Modification, 9th Revision (ICD-9 CM) is a list of codes intended for the classification of diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. The numerical format of the diagnosis codes usually ranges from three to five digits that are assigned to a unique category.
The International Classification of Diseases (ICD) is the oldest method of tracking diseases and mortality in the world. It was first developed in Europe, and several versions have evolved over the years. The first edition, known as the International List of Causes of Death, was adopted by the International Statistical Institute in 1893. The current version used in the United States was established by the World Health Organization (WHO) and has seen regular modifications. ICD-9-CM (Clinically Modified) was adopted in United States in 1979. The code set is updated at least once a year, based on the input of providers, payers, and other key stakeholders.
Medical billers and medical coders need to have a solid understanding of the International Classification of Diseases-9th Edition-Clinical Modification (ICD-9-CM). ICD-9-CM is divided into three volumes, the first two of which are composed of diagnosis codes, while the third volume contains a list of available procedure codes.
Inpatient medical coders and medical billers use the third volume to describe medically necessary services that are provided in the hospital setting. All medical coders and billers rely on Volumes 1 and 2 to support the medical necessity of billed healthcare claims.
ICD-9-CM is updated annually as new codes are added to keep current with the current language of medicine, old codes are eliminated that are found to no longer accurately describe current understanding of conditions, and code definitions are modified to provide a more accurate picture of a patient’s state of health.
This course will help lay the foundation of your healthcare data journey and provide you with knowledge and skills necessary to work in the healthcare industry as a data scientist. Healthcare is unique because it is associated with continually evolving and complex processes associated with health management and medical care. You'll learn about the many facets to consider in healthcare and determine the value and growing need for data analysts in healthcare.
You'll learn about the Triple Aim and other data-enabled healthcare drivers. We'll cover different concepts and categories of healthcare data and describe how ontologies and related terms such as taxonomy and terminology organize concepts and facilitate computation.
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What is Included
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Professional Certification
Exam-focused prep and certification guidance aligned to your learning path.
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ATS-Optimized Resume
Build a resume that highlights your new skills for recruiters and hiring systems.
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Mock Interviews
Practice real interview scenarios with structured feedback from career coaches.
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LinkedIn Optimization
Polish your profile so employers discover your credentials and achievements.
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Job Placement Support
Career guidance and placement resources on eligible programs.
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Practical Labs
Hands-on labs and exercises to reinforce concepts from your courses.
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