Medical/Dental Billing and Coding

480 Clock Hours –
300 Lecture Hours, 100 Lab Hours, 80 Externship Hours

20 Weeks: 20 Hours per week
2 Weeks: 40 Hours per week

Program Description:

This program prepares students for entry-level positions as Medical Biller/Coder, Dental Biller/Coder, and Healthcare Biller/Coder. The Medical/Dental Billing and Coding Program consist of lecture, lab, and externship activities. The program is designed to provide students with the skills and knowledge necessary to provide qualified help to a medical or dental office. Course components include:

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Medical/Dental Billing and Coding Program
(6 module) - Course Descriptions

Module 1 – Medical and Dental Office Administration
The student will understand the billing process, and will be able to use calculators, computers, and other office equipment. Students will learn the importance of legal issues, the names and usage of basic reference books, the usage of the PDR, how and when to properly complete the HCFA 1500 billing form, the principles and eligibility guidelines for Medicare, how to bill for Medicaid services, and billing procedures for CHAMPUS, worker's compensation, and coordination of benefits.

Module 2 – Terminology, Anatomy and Physiology
To acquaint students with insurance terminology, and the meaning and pronunciation of medical terms, including prefixes, root words and suffixes. The student will also learn provider abbreviations and appropriateness of services rendered. The student will also learn the names, pronunciation and locations of all principal parts of the body systems.

Module 3 – Medical/Dental Billing Forms Practical Application
Students will learn to use the ICD-9 and CPT, as well as familiarize themselves with different types of medical and dental reports and how to use these reports to bill for procedures rendered. They will also learn the use and the proper completion of the UB-92 hospital billing form.

Module 4 – General Office Procedures
Students will learn basic insurance procedures, customer service, basic correspondence styles and skills, and job preparation skills, including interviewing techniques, resume preparation and general job preparation guidelines. Students will also become familiar with form letters, which are generally used within the insurance industry.

Module 5 – Medical Law and Ethics
The student is introduced to the medical workplace, office employees, hiring practices, liability, malpractice, consent and relevance of medical records. Course also discusses biomedical issues, such as cloning, DNA testing, abortion, euthanasia, and death and dying.

Module 6 – Externship
Externship provides school-coordinated work experience in a medical or dental setting. Students gain practice with administrative and clinical duties and receive employer feedback.



 

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