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Medical Billing and Coding Program Curriculum

Our medical billing and coding program curriculum teaches you how to apply the correct coding to medical diagnoses and treatments for billing purposes. This is a specialized and practical skill needed by medical facilities everywhere in the U.S. Upon graduation, you’ll be prepped for the certification exam.

Orientation: Learning at Ashworth

Orientation: Learning at Ashworth 

In this course, you’ll examine the goals and values of Ashworth College, time management, creating a realistic weekly and monthly study schedule, the nature and purpose of assessments, how to study effectively to prepare for and take an online examination, and developing the skill sets necessary for success in the twenty-first century.

By the end of this course, you'll be able to do the following:

  • Identify skills needed to be a confident and independent online learner.

Lesson Group 1: Introduction to Allied Health

Lesson Group 1: Introduction to Allied Health  

In this course, you’ll learn about healthcare, the healthcare industry in the United States, and the roles that healthcare workers play in that industry.

By the end of this course, you'll be able to do the following:

  • Differentiate between the various available allied health professions.
  • Describe the legal and ethical issues that arise when working in a healthcare facility.

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Medical Billing & Coding Program Description

The Medical Billing and Coding certificate program is designed to provide you with knowledge of the skills required for careers in medical billing and coding. You’ll familiarize yourself with reimbursement methodologies and best practices concerning the law, ethics, confidentiality, communication, electronic medical records, and medical coding. You’ll review medical terminology relating to the body systems, pharmacology, and pathology before preparing for the Billing and Coding Professional Certification Exam.

NOTE: Ashworth covers the cost of the CBCS exam within the tuition. Candidates for the CBCS and CCA must be High School graduates. Additional requirements such as membership and applications can be found with each certifying agency. CBCS, CPC®, CCA®

Medical Billing & Coding learning objectives

After completing the Medical Billing and Coding program, students will be able to:

  1. Outline the typical responsibilities of a medical biller/coder, describe the personal and professional ethics required for success in this profession, and describe the career opportunities available to appropriately trained personnel.
  2. Describe how to build a strong base of medical terminology and use this terminology to accurately identify and describe body planes, anatomical directions, and the major structures, functions, and pathologies of all body systems.
  3. Describe the purpose and impact of the Healthcare Portability and Accountability Act (HIPAA) and explain how professionals can learn about changes to the laws and regulations that affect them.
  4. Compare and contrast the major types of government and commercial insurance health plans, including Medicare, Medicaid, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Point-of-Service (POS) plans.
  5. Describe the typical billing guidelines for inpatient medical, inpatient/outpatient global surgery, medical/surgical, and minor surgical procedures.
  6. Summarize the life cycle of a typical insurance claim and explain the processing steps that must be completed before claims and other forms can be submitted to the insurance company.
  7. Explain the purpose of medical coding and accurately code diagnoses and procedures using industry-standard coding systems published by the World Health Organization (WHO) and the American Medical Association (AMA).
  8. Accurately assign ICD-10-CM/PCS, CPT, and HCPCS codes for diagnoses, procedures, and medical services as part of the insurance reimbursement process.

Decoding your career path

Ashworth College's API Program Name Career Diploma program helps you develop the confidence you need to reach for your career goals because we integrate job search prep into your studies. With the online tools at the Ashworth College Central Network, you’ll get step-by-step guidance as you create polished, professional resumes and letters. After you graduate, you’ll keep your Ashworth College Central Network account so you can revisit the tools any time you need to make a good impression on a potential employer. Learn more about it at the Career Services page.

Advance your career in our online API Program Name program. Call 1-800-957-5412