Medical Billing and Coding Principles
Course Schedule
| Week | Topic | Learning Outcomes | Activities & Assessments |
|---|---|---|---|
| 1 |
Introduction to Medical Coding |
- Understand the role and responsibilities of medical coders. - Learn the basics of medical documentation and terminology. |
- Lecture on medical coding roles. - Quiz on basic medical terms and coding principles. |
| 2 |
Overview of ICD-10 Coding System |
- Understand the purpose of ICD-10 codes. - Assign basic diagnosis codes using the ICD-10 manual. |
- Practice assigning codes for common diagnoses. - Assessment: ICD-10 coding exercise. |
| 3 |
ICD-10 Guidelines and Commonly Used Codes |
- Apply ICD-10 coding conventions and guidelines. - Accurately code common medical conditions. |
- Case studies: Practice coding real-world scenarios. - Quiz on ICD-10 guidelines. |
| 4 |
Introduction to CPT Coding System |
- Understand the structure and usage of CPT codes. - Assign codes for outpatient and procedural services. |
- Workshop on CPT code assignment. - Assessment: Coding outpatient services. |
| 5 |
CPT Coding: Evaluation and Management (E/M) Services |
- Apply CPT codes for E/M services. - Differentiate between levels of service based on patient documentation. |
- Simulated coding for E/M services. - Assessment: E/M coding quiz. |
| 6 |
Introduction to HCPCS Coding System |
- Understand HCPCS Level I and Level II codes. - Assign codes for equipment, supplies, and additional services. |
- Practical exercises on HCPCS code usage. - Quiz on HCPCS Levels I and II codes. |
| 7 |
Medical Coding and Billing Workflow |
- Understand the relationship between coding, billing, and reimbursement. - Learn the basics of claim submission and denial management. |
- Simulate claim submission and correction. - Written assignment: Billing workflow. |
| 8 |
Compliance and Ethics in Medical Coding |
- Understand the importance of compliance (HIPAA, OIG). - Identify and avoid common coding errors and fraud risks. |
- Review compliance case studies. - Quiz on ethical coding practices. |
| 9 |
Introduction to Electronic Health Records (EHR) and Coding Tools |
- Use basic EHR systems to document and retrieve patient data. - Familiarize with coding software and online tools. |
- Hands-on activity with EHR systems. - Assessment: Coding in a simulated EHR system. |
| 10 |
Review and Certification Preparation |
- Review course content to reinforce knowledge. - Prepare for certification exams (e.g., CCA, CPC-A). |
- Mock certification test. - Resume writing workshop and job application guidance. |
Program Outcomes
By the end of the program, students will:
- Understand the foundational concepts of medical coding and billing.
- Apply ICD-10, CPT, and HCPCS coding systems to common medical scenarios.
- Demonstrate knowledge of medical coding ethics and compliance regulations.
- Use basic coding tools and EHR systems effectively.
Potential Job Opportunities
Graduates of this program will be prepared for roles such as:
- Entry-Level Medical Coder: Working in clinics, physician offices, or hospitals to code diagnoses and procedures.
- Billing and Coding Assistant: Supporting medical billers and coders in managing insurance claims and coding documentation.
- Claims Processor: Reviewing and processing insurance claims for payers or billing agencies.
- EHR Specialist: Assisting in maintaining accurate patient records and coding within EHR systems.
Program Structure
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Weekly Live Tutorials (2 Hours via Zoom):
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Purpose: Interactive, instructor-led sessions to introduce key topics, clarify complex concepts, and provide hands-on practice.
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Schedule: Conducted once a week, each tutorial focuses on a specific topic and includes:
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A 60-minute lecture/discussion to explain coding principles, systems, and techniques.
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A 60-minute guided practice session where students work through real-world coding scenarios and receive feedback.
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Self-Study (4-6 Hours Per Week):
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Purpose: Allows students to reinforce learning, complete coding exercises, and prepare for the next tutorial.
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Activities Include:
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Reading handouts and course materials.
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Watching video tutorials on coding systems.
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Practicing coding exercises using case studies.
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Completing quizzes and coding assignments to test understanding.
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