The Medical Billing and Coding Specialist program prepares graduates for a variety of challenging career opportunities in the healthcare field. Students are introduced to the basic principles of health insurance and medical billing & coding for environments, such as, hospitals, doctor’s offices and insurance companies. Students are also provided a strong foundation in health related office systems and software applications. Students are required to attain a working knowledge of various EHRs and EMRs with the use of EHRGo and MediSoft to successfully complete the program. Students will be also prepared to take billing and coding certification exams offered by the National Healthcare Association and American Academy of Professional Coders.
In addition to demonstrating competence in the college-wide general education outcomes of Taylor Business Institute, Medical Billing and Coding Specialist students will, upon completion of the program, be able to:
1. Demonstrate critical thinking skills while applying knowledge of specialized medical terminologies, insurance and regulation systems.
a) Define basic health insurance terminology relating to medical billing and the claims process.
b) Define basic anatomical, physiological and pathological terms used in the healthcare field
c) Apply security & privacy concepts according to HIPAA guidelines.
d) Differentiate between major classes of health insurance.
2. Apply a variety of computer skills necessary to prepare documents related to billing, coding and health care settings.
a) Collect, interpret, and analyze source documents to create accurate medical records.
b) Prepare accurate health insurance claim forms including CMS 1500 and UB-04.
c) Operate health insurance billing software.
d) Apply ICD-10-CM CPT, and HCPCS codes based on medical documentation.
e) Introduce ICD -11 to begin preparing students to transition to the new format
3. Demonstrate soft skills and qualities expected for this career field
a) Apply communication skills, both oral and written, including letters, memos, telephone, and email, in interactions with patients, physicians and coworkers.
b) Demonstrate the ability to research employment opportunities, prepare an effective employment package, and present oneself positively in a job interview.
c) Express an awareness of the need for continued professional education and growth.
d) Demonstrate the ability to work as a member of a team with diverse backgrounds, attitudes and beliefs in a healthcare setting.
