Medical Coder and Biller Program

About Course

The Certificate Program in Medical Coder and Biller offered by Nucleus Training Institute is a specialized training program designed to prepare individuals for a career in medical coding and billing. Nucleus Training Institute is a renowned educational institution known for its quality training and industry-relevant programs.

This certificate program provides comprehensive training in medical coding and billing practices, equipping students with the knowledge and skills required for accurate and efficient coding and billing in the healthcare industry. Students will learn key concepts such as medical terminology, anatomy, and physiology, as well as gain an understanding of disease processes and healthcare documentation.

The program focuses on teaching students how to assign the appropriate diagnostic and procedural codes using standard coding systems, including ICD-10-CM, CPT, and HCPCS. They will also learn about medical billing processes, claim submission, reimbursement methodologies, insurance guidelines, and compliance with healthcare regulations.

Through a combination of theoretical classroom instruction, practical hands-on exercises, and real-world case studies, students will develop proficiency in coding and billing practices. They will gain experience working with billing software systems, conducting coding audits, and managing the revenue cycle.

Upon successful completion of the program, graduates will be well-prepared to pursue entry-level positions in medical coding and billing in a variety of healthcare settings, such as hospitals, clinics, insurance companies, and billing companies. They will possess the necessary skills to ensure accurate and timely reimbursement for healthcare services while adhering to industry standards and guidelines.

The Certificate Program in Medical Coder and Biller offered by Nucleus Training Institute provides students with a solid foundation in medical coding and billing, enabling them to embark on a successful career in this growing field of healthcare.

Unlock Your Potential in Medical Coding and Billing with Nucleus Training Institute

Objective

The Medical Coder and Biller Program is designed to equip students with the skills and knowledge necessary to accurately assign medical codes and process medical billing in healthcare facilities. Students will learn about medical coding systems, documentation requirements, reimbursement methodologies, and regulatory guidelines in order to ensure compliance and optimize revenue generation.

Understand the role and responsibilities of a medical coder and biller in a healthcare setting.
Demonstrate proficiency in medical coding using industry-standard coding systems (such as ICD-10-CM, CPT, and HCPCS).
Apply coding guidelines and conventions to accurately assign codes for diagnoses, procedures, and services.
Interpret medical documentation and extract relevant information for coding purposes.
Comply with regulatory guidelines (e.g., HIPAA) and ethical standards in coding and billing practices.
Utilize coding software and tools effectively to support accurate coding and billing processes.
Process insurance claims and understand reimbursement methodologies.
Identify and resolve coding and billing errors, including conducting coding audits.
Stay updated with changes in coding and billing regulations and adapt coding practices accordingly.
Develop effective communication skills to collaborate with healthcare professionals and insurance providers.

Benefits of Program

Job Stability
Emotionally Rewarding
Enriching Work Experience
Opportunity to Specialize
Growing Job Market
Opportunity to Travel
Continued Education

Course Outline

Introduction to Medical Coding and Billing

High-quality CPR for adults, children, and infants
Role and responsibilities of a medical coder and biller
Overview of healthcare reimbursement systems
Regulatory guidelines and compliance (e.g., HIPAA, CMS guidelines)
Medical Terminology and Anatomy

Overview of coding systems (ICD-10-CM, CPT, HCPCS)

Structure and organization of code sets
Coding conventions, guidelines, and modifiers
ICD-10-CM Coding

Introduction to the ICD-10-CM coding system

Coding guidelines and conventions for accurate diagnosis coding
Assigning codes for different disease categories and conditions
CPT Coding

Introduction to the CPT coding system

Coding guidelines for procedural coding
Assigning codes for common medical procedures and services
HCPCS Level II Coding

Overview of HCPCS Level II coding system

Coding guidelines for supplies, equipment, and non-physician services
Assigning codes for durable medical equipment (DME), drugs, and other healthcare services
Medical Documentation and Recordkeeping

Importance of accurate and complete medical documentation

Interpreting medical reports and extracting relevant information
Understanding different types of medical records and their components
Coding Software and Tools

Introduction to coding software and electronic health record (EHR) systems

Utilizing coding software to support coding and billing processes
Efficient use of encoding and grouping systems
Insurance Claims Processing and Reimbursement

Overview of insurance claims processing and reimbursement methodologies

Understanding insurance forms and claim submission procedures
Reimbursement methodologies (e.g., fee-for-service, managed care, Medicare, Medicaid)
Auditing and Compliance

Conducting coding audits to identify errors and ensure compliance

Resolving coding and billing discrepancies and discrepancies
Monitoring and implementing coding compliance programs
Communication Skills for Medical Coders and Billers

Learning Model

Complete program is theory and mode of Delivery is Classroom

Eligibility

Professionals from Medical & Healthcare Back ground

What We Offer

98% Passing rate on AMCA Exams
Unlimited Mock Simulation exams
Diploma from American institute of Healthcare & Hospitals
AMCA Certificate
Flexible Class schedule

Dual American Credentials
MOFA & 03 USA Government attestation on the certificate
Experienced Trainers
Immigration assistance for UK, USA, Canada, Finland, Italy & European Countries