Medical Billing Specialist
Certificate of Applied Science Degree
Advisor: Deborah Newton
This program is offered completely on-line.
The Medical Billing Specialist works in a variety of settings including medical management organizations, physician offices, hospitals, clinics, group practices, billing companies, and education. Students in this Certificate program are trained as entry-level billing specialists.
Outcomes - Graduates are prepared to:
- Abstract information from patient records for reimbursement purposes;
- Use current ICD and CPT coding appropriately;
- Complete ‘‘clean” claims, CMS/UB-92, for private insurances and government programs such as TRICARE, Medicare, Medicaid, and Worker’s Compensation;
- Analyze explanations for benefits (EOBs) and Remittance Advice (RA) forms and post to patient accounts;
- Amend incorrect claims, appeal claims that did not pay correctly, and trace outstanding claims;
- Understand and work within HIPPA guidelines for medical facilities; and
- Interact and communicate with other healthcare workers in a professional manner, following medicolegel and ethical standards.
A grade of “C-” or above must be achieved in all courses to advance in the program.
Estimated Resident Program Cost:
| Tuition and Fees | $4499 |
| Application Fee | $30 |
| Lab Fees | $35 |
| Books/Supplies | $1700 |
| TOTAL: | $6264 |
Students wishing to enter the Medical Billing Specialist program are strongly advised to be proficient in keyboarding and typing.
A grade of “C-” or above must be achieved in all courses to advance and graduate from the program.
Fall Semester
| Course | No. | Title | Credits |
| AH | 185 | Basic Medical Terminology | 3+ |
| BIO | 127 | Anatomy and Physiology I for non-clinical major | 4+ |
| CIT | 110 | Introduction to Computers | 3+ |
| HI | 132* | Health Data Content and Structure | 3+ |
| OO | 111* | Fund of Health Insurance | 4+ |
SUBTOTAL |
17 |
Spring Semester
| Course | No. | Title | Credits |
| AH | 201* | Medical Science | 3+ |
| HI | 156* | Legal & Regulatory Aspects of Healthcare | 3+ |
| HI | 236* | ICD Coding | 3+ |
| HI | 237* | CPT Coding | 3+ |
| MATH | ---** | 103 or Higher | 4+ |
| OO | 112* | Adv Health Insurance Tech | 3+ |
SUBTOTAL |
19 |
Summer Semester
| Course | No. | Title | Credits |
| ENGL | 124** | Business and Professional Comm | 3+ |
| HI | 270* | Professional Practice Experience | 2+ |
| PSY | 101 | General Psychology OR | |
| SOC | 111 | Introduction to Sociology | 3+ |
SUBTOTAL |
8 |
Total Program Credits: 44~
~ Many students need preliminary math and English courses before enrolling in the program requirements. These courses may increase the total number of program credits. Students should review their math and English placement before planning out their full program schedules.
+ A grade of "C-" or above required for graduation
* Indicates prerequisites needed
** Placement in course(s) is determined by placement assessment
