MED-BILL.AE1
Medical Billing and Coding
Learn medical coding to succeed in the healthcare industry. Step-by-step claim submission, coding, and reimbursement.
- Practice in 49 Hands-On Labs — nothing to install
- 22 Interactive Lessons and 108 topics mapped to the official exam objectives
Beginner Self-paced · 1 year access
49 Hands-On LiveLabs
Practice real IT tasks in guided environments.
- Real environments
- Auto-graded
- No installation
01 / Skills you'll get
What you will be able to do
- Expertise in accurately representing medical procedures and diagnosis using CPT, ICD-10, and HCPCS codes
- Knowledge of the billing process: claim submission, coding, and reimbursement
- Knowledge of HIPAA, Medicare, and Medicaid regulations and their impact on billing practices
- Skilled in handling medical billing software and EHR (Electronic Health Records) systems
- Perform detailed review and analysis of medical records for coding purposes
- Identifying and resolving billing issues and disputes
- Communicating precisely with patients, healthcare providers, and insurance companies
- Dealing with commercial insurance claims
- Providing Data to the World Health Organization
Course Highlights
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22 Structured Lessons Comprehensive coverage of core course objectives
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49 Hands-On LiveLabs Interactive guided scenarios with instant evaluation
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1 Year Full Access Self-paced learning accessible anytime on all devices
02 / Lessons & labs
See exactly what you will learn and practice
Lessons
22 Interactive Lessons · 108 topics01 Introduction 3 topics +
- About This Course
- Icons Used in This Course
- Where to Go from Here
02 Dipping Your Toes into Medical Billing and Coding 6 topics · 2 LiveLab +
- Coding versus Billing: They Really Are Two Jobs
- Following a Day in the Life of a Claim
- Keeping Abreast of What Every Biller/Coder Needs to Know
- Deciding Which Job Is Right for You
- Prepping for Your Career: Training Programs and Certifications
- Planning for the Future
2 LiveLab in this lesson — see the labs panel →
03 Exploring the Billing and Coding Professions 3 topics · 7 LiveLab +
- Looking at the Medical Coding Job
- Breaking Down the Medical Biller’s Job
- In Tandem: Working Together or Doing Both Jobs Yourself?
7 LiveLab in this lesson — see the labs panel →
04 Weighing Your Employment Options 4 topics +
- Choosing Your Environment: Doctor’s Office, Hospital, and Others
- Remote Access: Setting up Off-Site
- Reviewing Other Work Options: Freelancing, Temping, and More
- Heeding a Word of Advice for New Coders
05 Compliance: Understanding the Rules 4 topics · 6 LiveLab +
- You Rule! Meeting the Rule Makers
- Complying with HIPAA
- Unbundling the Compliance Bundle
- Getting the Most out of the Dreaded Audit
6 LiveLab in this lesson — see the labs panel →
06 Not-So-Strange Bedfellows: Medical Terminology and Medical Necessity 5 topics · 4 LiveLab +
- Brushing Up on Basic Anatomy
- Say What? Deciphering Medical Terminology
- Understanding Medical Necessity
- Scrubbing In: Proving Medical Necessity for Surgical Procedures
- Connecting with the World of Evaluation and Management Codes
4 LiveLab in this lesson — see the labs panel →
07 Getting to Know the Payers 3 topics · 6 LiveLab +
- Wading through Commercial Insurance Payers
- Medicare: Meeting the Chief Government Payer
- Working with Other Government Payers
6 LiveLab in this lesson — see the labs panel →
08 Your Basic Certification Options, Courtesy of the AAPC and AHIMA 4 topics · 2 LiveLab +
- Introducing the Two Main Credentialing Organizations: AAPC and AHIMA
- Looking at the Basic Certifications
- Choosing the Certification That’s Right for You
- Examining the Exams: A Quick Review of the Main Tests
2 LiveLab in this lesson — see the labs panel →
09 The Path to Certification: Finding a Study Program 5 topics · 2 LiveLab +
- The Big Picture: Thinking about Your Degree and Career Objectives
- Considering the Time Commitment
- First Things First: Squaring Away Your Prerequisites
- Picking a Program of Study
- Caveat Emptor: Watching Out for Diploma Mills
2 LiveLab in this lesson — see the labs panel →
10 Signing Up and Preparing for the Certification Exam 4 topics · 4 LiveLab +
- Establishing a Study Routine and Strategy
- Focusing on the Right Topics
- Preparing Yourself for Test Day
- Signing Up for and Taking the Big Test
4 LiveLab in this lesson — see the labs panel →
11 Adding Street Cred: Specialty Certifications and Continuing Ed 2 topics · 1 LiveLab +
- Introducing Specialty Certification Options
- Building on Your Cred with Continuing Education
1 LiveLab in this lesson — see the labs panel →
12 Processing a Run-of-the-Mill Claim: An Overview 5 topics · 3 LiveLab +
- Dreaming of the Perfect Billing Scenario
- Delving into the Details: Contract Specifics
- Covering Your Bases: Referrals and Preauthorization
- Tracking Your Claim from Submission to Payment
- Fighting for Proper Payment: Filing an Appeal with the Payer
3 LiveLab in this lesson — see the labs panel →
13 Homing In on How to Prepare an Error-Free Claim 4 topics · 3 LiveLab +
- Assigning CPT Codes
- Applying Modifiers Correctly
- Looking for Money Left on the Table
- Checking and Double-Checking Your Documentation
3 LiveLab in this lesson — see the labs panel →
14 From Clearinghouse to Accounts Receivable to Money in the Pocket 4 topics · 1 LiveLab +
- Spending Time in the Clearinghouse
- Facing Factors Affecting Reimbursement Amounts
- Payment or Denial: Being in the Hands of the Payer
- Breaking Down the Remittance Advice
1 LiveLab in this lesson — see the labs panel →
15 Handling Disputes and Appeals 6 topics · 1 LiveLab +
- Dealing with Disputes Involving Contract and Non-Contracted Payers
- Knowing When to File an Appeal: General Guidelines
- The Art of the Appeal: Understanding the Basics before You Begin
- Going through an Appeal, Step by Step
- Appealing Medicare Processing
- Appealing a Workers’ Comp Claim
1 LiveLab in this lesson — see the labs panel →
16 Keeping Up with the Rest of the World 3 topics · 1 LiveLab +
- WHO’s on First: Providing Data to the World Health Organization
- Charting Your Course with ICD
- Moving beyond ICD-10
1 LiveLab in this lesson — see the labs panel →
17 Dealing with Commercial Insurance Claims 3 topics · 1 LiveLab +
- Meeting Commercial Insurance
- Cashing In with Commercial Payers
- Knowing What’s What: Verifying the Patient’s Plan and Coverage
1 LiveLab in this lesson — see the labs panel →
18 Caring about Medicare and Medicaid 6 topics · 1 LiveLab +
- Brushing Up on Medicare Basics
- Working with Medicare Claims
- Deciding What Gets Paid
- Working with Medicare Contractors
- Doing Business with Medicare Part C Plans
- Verifying Coverage and Plan Requirements
1 LiveLab in this lesson — see the labs panel →
19 Coding Ethics: Being an Advocate for Your Employer 3 topics · 1 LiveLab +
- Playing the Part of the Professional Medical Biller/Coder
- Protecting Yourself and Your Integrity
- Getting the Most Bang for Your Client’s Buck — Honestly
1 LiveLab in this lesson — see the labs panel →
20 Ten Common Billing and Coding Mistakes and How to Avoid Them 10 topics +
- Being Dishonest
- Shifting the Blame
- Billing More than Is Documented
- Unbundling Incorrectly
- Ignoring an Error
- Mishandling an Overpayment
- Failing to Protect Patients from Out-of-Network Penalties
- Failing to Verify Prior Authorization
- Breaking Patient Confidentiality
- Following the Lead of an Unscrupulous Manager
21 Ten Acronyms to Burn into Your Brain 10 topics · 3 LiveLab +
- ACA: Patient Protection and Affordable Care Act
- ACO: Accountable Care Organization
- CDI: Clinical Documentation Improvement
- CMS: Centers for Medicare & Medicaid Services
- EHR: Electronic Health Record
- EOB: Explanation of Benefits
- HIPAA: Health Insurance Portability and Accountability Act
- INN: In-Network
- NCCI: National Correct Coding Initiative
- OON: Out-of-Network
3 LiveLab in this lesson — see the labs panel →
22 Ten (Plus One) Tips from Billing and Coding Pros 11 topics +
- Insist on Proper Documentation
- Verify Patient Benefits
- Get Vital Patient Info at Check-In
- Review the Documentation ASAP
- Set Up a System to Ensure Accuracy
- Play Nice with Others
- Follow Up on Accounts Receivable Daily
- Be a Bulldog on the Phone
- Know Your Payer Contracts by Heart
- Create a File System That Lets You Find What You Need
- Make Payers Show You the Money!
Hands-On Labs Our edge
49 LiveLabs- Gaining Knowledge about Federal and State Regulations
- Knowing about Billing and Coding Job
- Learning about Super-Bill
- Looking at the Medical Coding Job
- Verifying Documetation
- Choosing Medical Coding as a Profession
- Understanding the CMS-1500 Form
- Understanding Payers and Organizations
- Knowing about the HCFA/CMS-1500 Form
- Understanding HHS agency
- Working with OIG
- Understanding HIPAA Titles
- Working with Key Provisions of HIPAA
- Understanding Compliance Bundle
- Learning about Laparoscopic Procedure
- Knowing about Medical Terminologies
- Learning about Arthroscopic Surgery
- Learning about Hospital Visit Code
- Examining Patient Status
- Understanding Commercial Plans
- Learning about TPAs
- Identifying the Carriers
- Working with Medicare Type
- Understanding Payouts
- Knowing about Tricare Program
- Getting to Know about the AAPC Certifications
- Understanding AHIMA Certifications
- Learning about Online Programs
- Learning about Community College
- Learning about Respiratory System
- Learning about Endocrine System
- Learning about Muscular System
- Understanding Digestive System
- Understanding AAPC Certifications
- Learning about Contracts
- Knowing about Carve-Outs
- Knowing about Prior Authorization
- Assigning CPT Codes
- Applying Modifiers Correctly
- Understanding Tricare
- Understanding Insurance Claim
- Appealing Medicare Processing
- Working with the 5010 Platform
- Cashing In with Commercial Payers
- Knowing about Advance Beneficiary Notice
- Avoiding Accusations of Fraudulent Billing
- Learning about Medical Offices
- Understanding HIPPA
- Understanding NCCI
03 / FAQs
Questions before you start
Who should take this Medical Billing and Coding course?+
Do I need any prior healthcare experience to take this course?+
What will I learn in the Medical Coding course?+
Will I get a certification after completing the course?+
What career opportunities can I explore after completing this course?+
What is the salary range of a certified Medical Assistant and Billing Coding Specialist?+
What are the certification options available for medical billers and coders?+
There are the two basic certification options for this course:
- AAPC (American Academy of Professional Coders)
- AHIMA (American Health Information Management Association)
How do I choose the right certification for this course?+
Choosing the right certification for Medical Coding depends on what you want to pursue for specialization, physician office billing or hospital billing. Depending on your interests, you can choose from:
- AAPC coding is usually for outpatient settings (doctors' offices and clinics)
- AHIMA coding is for inpatient settings (hospitals)
For A Thriving Career In Healthcare
Learn Medical Coding to make a difference in the healthcare industry.
- 1 year of full access
- 49 LiveLab included
- Certificate of completion
No credit card required