Medical Billing & Coding Specialist Certificate Weekday Day Program

Billing & Coding Specialist Certificate Weekday Day Program

Program cost $4,500
Duration

20 weeks; 320 classroom & lab hours plus 160 hour externship

Schedule

Monday- Thursday, 9:00am- 2:30pm; Externship provided  between 9am-5pm Monday -Friday

Prerequisites 18 years of age & High school diploma or GED
Books 

1. The Complete Diagnosis Coding Book by Shelley C. Safian (ISBN:  978-0-07-337394-2)
*Resource book – ICD-9-CM.
2. The Complete Procedure Coding Book by Shelley C. Safian (ISBN:  978-0-07-340187-4)  
*Resource book (s) CPT-CM  and HCPCS Level II. 
3. Computers in the Medical Office 7th Ed. (Medisoft) (ISBN: 978-0-07-33460-4) by Susan M.
Sanderson
4. Administrative Medical Assisting Foundations and Practices by Christine Malone (ISBN:  978-0-13- 1999932-9) and Administrative Medical Assisting Foundation and Practices Student Workbook by Christine Malone (ISBN: 978-0-13-243145-3)
5. Medical Terminology Complete by Bruce Wingerd; ISBN # 978-0-13-513395-8
6. Medical Dictionary: ISBN # 978-0-87779-853-8

*Resource books are NOT included in the Medical Billing and Coding program. They can be used at RadiumSoft, Inc. but cannot be taken out of RadiumSoft, Inc.

Module I: Medical Terminology

Duration: 80 Classroom clock hours
Schedule: Monday - Thursday, 9:00am – 2:30 pm (20 hours per week)

Books & materials:
Text Books:  Bruce Wingerd Medical Terminology Complete; ISBN # 978-0-13-513395-8

 Module Objectives:
To learn Terminology needed to acquire a job as a competent Medical Professional. This will be achieved through class work, and tests.

Week 1:   
Chapter 1: Introduction to Word Parts and Word Construction;
Chapter 2: Understanding Suffixes;     
Chapter 3: Understanding Prefixes;
Chapter 4: The human body in health and disease
Tests are mandatory every Thursday. Testing on chapters 1, 2, 3, and 4 (homework and class work may vary).

WEEK 2:     
Chapter 5: The Integumentary System;
Chapter 6: The Skeletal and muscular System;
Chapter 7: Blood and the Lymphatic System.
Chapter 8: The Cardiovascular System;
Chapter Tests are mandatory every Thursday. Testing on chapters 5, 6, 7, and 8 (homework and class work may vary).

WEEK 3:    
Chapter 9: The Respiratory System;
Chapter 10: The Digestive System;
Chapter 11: The Urinary System;
Chapter 12: Reproductive System and Obstetrics;
Chapter Tests are mandatory every Thursday. Testing on chapters 9, 10, 11, 12 (homework and class work may vary).

WEEK 4:  
Chapter 13: The nervous System, Mental Health, and Special Senses
Chapter 14: The Endocrine System;
Test on Chapters 13 & 14 at instructor’s discretion. Test Review.   
Chapter Tests are mandatory every Thursday.  
Ending with a final compensative EXAM including, all chapter tests.

Module II: Diagnosis Coding

Duration: 40 Classroom clock hours
Schedule: Monday - Thursday, 9:00am – 2:30 pm (20 hours per week)

Books & materials:

  1. The Complete Diagnosis Coding Book by Shelley C. Safian

2.  Folder, notebook (2), pens, pencils, different color highlighters to make information with the color coding technique that you will learn

*Resource book – ICD-9-CM with Vol. 1, 2, and 3

Module Objectives:
To learn how to use ICD-9-CM as needed to be a competent Billing & Coding specialist. This will be achieved through class work, and tests.

Module description:
The following topics will be discussed:

  1. Introduction to Diagnostic Coding
  2. Introduction to the ICD-9-CM Book and its Codes
  3. General Guidelines and Notations
  4. Coding Circulatory Conditions
  5. Coding Neoplasms
  6. Coding Poisonings and Adverse Reactions
  7. Coding Burns
  8. Coding Orthopedics
  9. Coding Obstetrics and Gynecology
  10. Coding Congenital and Prenatal Conditions
  11. Coding Infectious Diseases
  12. Coding Diabetes Mellitus
  13. Coding Respiratory Conditions
  14. Coding Using ICD-10-CM

Schedule

Week 1:

Day 1:  Review the outline/The Complete Diagnostic Coding Book.  Lecture Chapter 1& 2 Introduction to Diagnostic Coding &, Introduction to the ICD-9-CM Book, Review S/G #1 & #2. Question and Answer session.  Go to www.mhhe.com/SafianDiagnosis, take test(s) #1 & #2, and email the test(s) to instructor email ID.

Day 2:  Lecture Chapter 3 & 4 General Guidelines and Notations and Coding Circulatory Conditions, Review S/G #3 & #4. Question and Answer session.  Go to www.mhhe.com/SafianDiagnosis, take test(s) #3 & #4, and email the test(s) to instructor email ID.

Day 3:  Lecture Chapter 5 & 6, Coding Neoplasms & Coding Poisonings and Adverse Reactions, Review S/G #5 & 6. Question and Answer session. Go to www.mhhe.com/SafianDiagnosis and take test(s) #5 & #6 and email the test(s) to instructor email ID.

Day 4:  Lecture Chapter 7 & 8, Coding Burns & Coding Orthopedics, Review S/G #7 & #8.  Question and Answer session. Go to www.mhhe.com/SafianDiagnosis and take test(s) #7 & #8 and email the test(s) to instructor email ID.

Week 2

Day 1:  Lecture Chapter 9 & 10, Coding Obstetrics and Gynecology & Coding Congenital and Prenatal Conditions, Review S/G #9 & #10. Question and Answer session. Go to www.mhhe.com/SafianDiagnosis and take test(s) #9 & #10 and email the test(s) to instructor email ID.

Day 2:  Lecture Chapter 11 & 12, Coding Infectious Diseases & Coding Diabetes Mellitus, Review S/G #11 & #12.  Question and Answer session. Go to www.mhhe.com/SafianDiagnosis and take test(s) #11 & #12 and email the test(s) to instructor email ID.

Day 3:  Lecture Chapter 13 & 15, Coding Respiratory Conditions & Coding Using ICD-10-CM, Review S/G #13 & #15.  Question and Answer session. Go to www.mhhe.com/SafianDiagnosis and take test #13 & #15 and email the test to instructor email ID. Give the final study guide for the final to be done for review on the next day.

Day 4:  You code it!  Practice and Simulation:  Complete Diagnostic Coding Review.  Review the study guide for the comprehensive final.  Take the final.

Module III: Procedure Coding

Duration: 60 Classroom clock hours
Schedule: Monday - Thursday, 9:00am – 2:30 pm (20 hours per week)

Books & materials:
Text:  1. The Complete Procedure Coding Book by Shelley C. Safian
Folder, notebook (2), pens, pencils, different color highlighters to make
information with the color coding technique that you will learn.
*Resource books – CPT-CM and HCPCS Level II

Module Objectives:
To learn HCPS & CPT as needed to be a competent Billing & Coding specialist. This will be achieved through class work and tests.

Course Description:
The following topics will be discussed:

  1. Legal and Ethical Issue
  2. Introduction to Coding and CPT
  3. Introduction to Modifiers
  4. Evaluation and Management, Part I and Part II
  5. Coding Anesthesia Service
  6. Surgery Coding Part I and Part II
  7. Radiology Coding
  8. Pathology and Laboratory Coding
  9. Medicine Coding I
  10. Category II and Category III Coding
  11. HCPCS Level II Coding:  Introduction and Guidelines
  12. Coding Medical Supplies, Durable Medical Equipment (DME), Pharmaceutical, and Ambulance & Other Transportation Services
  13. HCPSC Level II Modifiers
  14. ICD-9-CM Volume 3 Procedure Codes
  15. ICD-10-PCS

Schedule

Week 1:

Day 1:  Review the outline/Lecture Chapter(s) 1, 2, & 3:  Legal and Ethical Issues, Introduction to Coding and CPT, and Introduction to CPT Modifiers.   Review S/G #1, 2, & 3. Question and Answer session.  Go to www.mhhe.com/SafianProcedure and take test #1, 2, & 3 and email the test (s) to instructor email ID.

Day 2:  Lecture Chapter 4, 5, & 6:  Anesthesia Coding, Evaluation and Management Codes, Part 1: Key Components, Evaluation and Management Codes, &, & Review S/G #4, #5, & # 6. Question and Answer session.  Go to www.mhhe.com/SafianProcedure and take test(s) #4, #5, & #6 and email the test(s) to instructor email ID.

Day 3:  Lecture Chapter 7, 8, & 9:  Surgery Coding Part 1:  The Global Surgical Package, Surgery, Part 2:  Surgery Guidelines – Musculoskeletal, Respiratory, Cardiovascular, Digestive, Urinary, Genital, Nervous, Visual, and Auditory System Coding, Surgical Modifiers, and Surgery Guidelines – Integumentary System, &  Radiology Coding and Pathology and Laboratory Coding Review S/G #7, #8, & 9. Question and Answer session. Go to www.mhhe.com/SafianProcedure and take test(s) #7, #8, #9 and email the test(s) to instructor email ID.

Day 4:  Lecture Chapter 11, 12, & 13:  Medicine Coding & Category II and Category III Coding & HCPCS Level II Coding:  Introduction and Guidelines, Review S/G #11 & 12 Question and Answer session. Go to www.mhhe.com/SafianProcedure and take test(s) #11, 12, & 13 and email the test(s) to instructor email ID.

 Week 2

Day 1:  Lecture Chapter 14, 15, & 16:  Coding Medical Supplies, Durable Medical Equipment, Pharmaceutical, and other Transportation Services, HCPCS Level II Modifiers, ICD-9-CM Volume 3 Procedure Codes, Review S/G #14, #15, & 16. Question and Answer session. Go to www.mhhe.com/SafianProcedure and take test(s) #14, #15, & #16 and email the test(s) to instructor email ID.

Day 2:  Take the final

Day 3:  Review for the NHA review

Day 4:  Review for the CPC review

Week 3

Day 1:  Word, Excel, and PowerPoint

Day 2:  Medical Terminology Review

Day 3:  Computers in the Medical Office Review

Day 4:  Comprehensive Review

Module IV: Medisoft

Duration: 40 Classroom clock hours
Schedule: Monday - Thursday, 9:00am – 2:30 pm (20 hours per week)

Books & materials:
Text:  1. Text:  Computers in the Medical Office 6th Ed. (ISBM:  978-0-07-340199-7) by
Susan M. Sanderson

  1. Folder, notebook, pens, pencils, and different color highlighters to make information with the color coding technique that you will learn.

Module objectives:
To learn the billing aspect of Billing & Coding. Hands on with the actual Medisoft billing program. This will be achieved through class work and tests.

Module description:

The following topics will be discussed:

Module V: Administrative Medical Assisting (Front Office)

Duration: 40 Classroom clock hours

Schedule: Monday - Thursday, 9:00am – 2:30 pm (20 hours per week)

Books & materials:
Text:  1. Text:  Administrative Medical Assisting Foundations & Practices by Christine Malone (ISBN: 978-0-13-5115176)

Module objectives:
To be proficient in working the front office of a Medical facility. This will be achieved through class work and tests.

The following topics will be discussed:

  1. The History of Medicine and Health Care
  2. Medical Assisting Today
  3. The Medical Assisting Career:  Roles and Responsibilities
  4. Medical Law and Ethics
  5. Interpersonal Communication Skills
  6. Written Communication Skills
  7. Telephone Procedures
  8. Front Desk Reception
  9. Patient Scheduling
  10. Medical Records Management
  11. Electronic Medical Records
  12. Computers in the Medical Office
  13. Equipment, Maintenance, and Supply Inventory
  14. Handling Medical Office Emergencies
  15. Insurance Billing and Authorizations
  16. ICD-9-CM Coding
  17. Procedural Coding
  18. Billing, Collections, and Credit
  19. Payroll, Accounts Payable, and Banking Procedures
  20. Managing the Medical Office

Schedule

Week 1

Day 1:  Lecture Chapter 1, 2, 3, & 4:  The History of Medicine and Health Care, Medical Assisting Today, The Medical Assisting Career:  Roles and Responsibilities, & Medical Law and Ethics Review S/G #1, #2, #3, & #4. Question and Answer session.  Do the assigned workbook pages. 

Day 2:  Review workbook assignments and study guides and take test #1.

Day 3:  Lecture Chapter 5, 6, 7 & 8: Interpersonal Communication Skills & Written Communication, Telephone Procedures, & Front Desk Reception, Review S/G #5, #6, #7, & #8. Question and Answer session.  Do the assigned workbook pages.

Day 4:  Review workbook assignments and study guides and take test #2.

Week 2

Day 1:  Lecture Chapter 9, 10, 11, & 12:   Patient Scheduling & Medical Records Management, Electronic Medical Records, & Computers in the Medical Office Review Question and Answer session.  Do the assigned workbook pages.

Day 2:  Review workbook assignments and study guides and take test #3.

Day 3:  Lecture Chapter 13, 14, 15, & 16:  Equipment, Maintenance, and Supply Inventory, Office Policies and Procedures, Handling Medical Office Emergencies & Insurance Billing and Authorizations, Review S/G #13, #14, #15, & #16.
Question and Answer session.  Do the assigned workbook pages. Handout the review for the final and answer any questions.

Day 4:  Review workbook assignments and study guides and take test final.

 

Grading Scale:
Average%                            Grade
90 – 100                                     A
80 – 89                                       B
70 – 79                                       C
60 – 69                                       D
Below 60                                    F

Grades are based on the following:
25%= Attendance and Participation
25%= Assignments
25%= Test
25%= Final Exam

Attendance
Good Attendance is imperative in order to keep up with your classes and to maintain good standing in school.  Since this institution is a business college, we encourage students to always conduct themselves in a professional manner and develop a positive attitude toward consistent attendance that can be carried with them in to the business community.  Absences should be documented in writing upon the first day of return.

Assignments/Projects/Exams
All school work activities/exercises and reading assignments are to be done as per instructors orders, and will be due upon request.

Career Services
Career assistance is an important part of the course curriculum.   Attendance at one career workshop is mandatory of all students. Individual resume and cover letter critiques are available with the career advisor by appointment Monday thru Thursday between the hours of 9:00am – 1:00pm.   At the end of the course an updated resume must be submitted to be assigned an externship or course certificate.

Externship Policy
Upon completion of all class & lab requirements students will be offered an externship.  Should the student decide to reject the original offered externship site, he will be put on a waiting list until another opening at an alternative location becomes available.  An alternative externship site location will be offered only once.  Should the second externship location be rejected no other site opportunities will be granted.

In the event a student rejects an externship or desires to change an externship midstream,  RadiumSoft will grant one additional opportunity for an alternative site.  Thereafter, it will be the sole responsibility of the student to procure his own externship site.

Upon changing from one externship to another, all hours accrued on the original externship site will be lost.  Externship hours will start from zero at the new site regardless of how many hours completed on the originally site.  The 80 hours must be completed at one location and without any gaps in time. 

Grievance Procedure
We encourage students to make contact with the appropriate instructor or staff member at the first indication of a problem or concern.   The student will not be bound by any resolution unless the student agrees to accept it. We will confidentially investigate all complaints or grievance fully and promptly. If the matter is not resolved to the student’s satisfaction the student may submit a written, dated and signed statement of the grievance or complaint and a description of the actions that have taken place thus far to the Program coordinator.
If the matter cannot be resolved at that level the written statement should be submitted to the Student Operations Manager who within (10) business days of receipt will render a decision in writing.  The Student Operations Manager’s decision will be final.

National Certification Exam
Upon completion of the course, the student may register for the national certification exam.  All registration information is available online through the National Healthcare Association by going to
http://www.nhanow.com  Exams are available at RadiumSoft the second Monday of each month at 3:00 pm., however, advanced registration is required.

Student Surveys
Students are given an evaluation survey at the conclusion of the each class, and asked to provide constructive feedback. 

Note: The course schedule is subject to change at the instructor’s discretion. Students will be held responsible for any changes announced in clas

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Fee Details

Total fee : $4500
Includes
Registration fee 
Tuition fee
Books
Uniform
NHA Exam 

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