India

Administrative Medical Specialist with Medical Billing and Coding

Through this program, you will gain a wide range of medical office management skills that healthcare professionals need for the efficient operation of their medical practices or other ambulatory care settings
Temecula, CA P.O. Box 760,, Temecula, CA 92593
(951) 9723600

Course at a Glance

Mode of learning : Online - Instructor Lead(LVC)

Domain / Subject : Medical/Healthcare/Pharma

Function : General

Duration : 300 Hours

Difficulty : Medium

Administrative Medical Specialist with Medical Billing and Coding

The Administrative Medical Specialist with Medical Billing and Coding is a nationally-recognized online program that will prepare you for the rewarding field of healthcare. Through this program, you will gain a wide range of medical office management skills that healthcare professionals need for the efficient operation of their medical practices or other ambulatory care settings. 
You will learn to function as an important member of the healthcare team by providing key skills such as patient registration and scheduling, medical records management, diagnostic and procedural coding (including ICD-10-CM), insurance claim filing, and daily financial practices.
Upon completion of this program, you will be ready to take the Certified Medical Administrative Assistant (CMAA) and the Certified Billing and Coding Specialist (CBCS) national certification exams offered by National Healthcareer Association (NHA) and will receive the study guide materials, access to practice exams, and registration fees for both. You will also be prepared to sit for a national medical coding certification exam, such as the Certified Professional Coder (CPC), offered by the American Academy of Professional Coders (AAPC).

Objectives
After successful completion of Administrative Medical Specialist, you will be able to function as an important member of the healthcare team in the area of office administration. You will also learn how to do the following:

  • Communicate in the healthcare industry, including therapeutic and multicultural communication
  • Reduce occupational hazards in the workplace, including blood-borne pathogens.
  • Safeguard patient confidentiality in the computerized medical office, discover the importance of the medical record, and learn the ambulatory use of the electronic medical record (EMR)  
  • Screen and take appropriate messages and fax confidential information
  • Use different types of patient scheduling systems
  • Recognize the contents of the medical record, including SOAP notes, consultations, discharge summaries and operative reports and distinguish what makes them accurate and complete
  • Learn the aspects of payables and receivables and become familiar with bookkeeping and practice management software

After successful completion of Medical Billing and Coding, you will be able to do the following:

  • Adhere to legal concepts, such as advance directive, living will, power of attorney, and guardianship
  • Explain the HIPAA Privacy Rule
  • Safeguard and disclose protected health information (PHI)
  • Recognize the implications of health insurance fraud and abuse
  • Discover the five models of managed care organizations.
  • Assign accurate codes from the ICD-9-CM, CPT, and HCPCS Level II coding manuals
  • Assign accurate codes from the ICD-10-CM Official Draft Code Set
  • Develop an insurance claim
  • Use the electronic data interchange (EDI)
  • Recognize health insurances delivered by private companies and government-sponsored program

Details
Administrative Medical Specialists possess a broad scope of knowledge and skills that make them ideal professionals for any ambulatory care setting, including medical practices, urgent care centers, ambulatory surgery centers, hospital clinics, same-day surgery centers and dialysis clinics. Employment is also available in medical laboratories, insurance companies, government agencies, and educational institutions. 
Administrative Medical Specialists are in high demand. Employment opportunities for Administrative Medical Specialists are projected to grow much faster than average. Job growth will result from the increase in medical needs of an aging population, increase in the number of Americans qualifying for health insurance, greater volume and complexity of medical records, and managed care’s preference for ambulatory care.
This program offers valuable training in medical office management and legal, ethical and regulatory concepts that are central to this field, including HIPAA compliance and third-party guidelines for filing insurance claims. You will gain hands-on, practical experience in medical billing and coding and work with the main coding manuals: ICD-9-CM, ICD-10-CM, CPT, and HCPCS Level II. You will learn how to code diagnoses, services, and procedures for all systems of the body. 

All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace. Upon registering, you’re given an initial twelve (12) months to complete this program. Should you need more time beyond the twelve (12) months, an extension of six (6) months is available at no additional cost.

Requirements
This program can be taken from either a Mac or a PC. It is compatible with the Windows XP and later operating systems and IE 7 and later browsers. There are no specific computer requirements other than an Internet connection, e-mail account, Microsoft Word (for assignment submissions), and Windows Media Player (which is available as a free download). We recommend that you use the latest version of Internet Explorer in place of other Web browsers.

ed2go will provide the required textbooks for this program:

  • Delmar’s Administrative Medical Assistant, 5th edition
  • A Guide to Health Insurance Billing, 4th edition
  • 2013 Coding Workbook for the Physician’s Office
  • 2014 CPT Standard Edition
  • 2014 HCPCS Level II
  • ICD-10-CM:  The Complete Official Draft Code Set
  • Official CPC Certification Study Guide, 4th edition
  • ICD-9-CM Expert for Physician’s, Volumes 1 & 2 – 2014
  • Merriam-Webster's Medical Desk Dictionary

Prerequisites

It is recommended that you have knowledge of medical terminology, including anatomy and physiology. In order to sit for national certification exams, candidates must have a high school diploma or equivalent.  Therefore, it is recommended you have this before enrolling for this program.

Course Contents

Administrative Medical Specialist

  • The Medical Assisting Profession and the Healthcare Team
  • Coping Skills and Therapeutic Communication
  • Legal and Ethical Consideration
  • The Facility Environment
  • Computers in the Ambulatory Care Setting and Telecommunications
  • Patient Scheduling
  • Medical Records Management
  • Written Communications
  • Medical Documents
  • Daily Financial Practices

Medical Billing and Coding

  • The Insurance Billing Specialist and Legal Aspects of Insurance Billing
  • Introduction to Health Insurance
  • ICD-9-CM
  • ICD-10-CM
  • CPT and HCPCS Level II
  • Abstracting Information from Medical Documents
  • New Patients, Insurance Claims and EOBs
  • Submitting Electronic Claims and CMS 1500
  • Blue Cross/Blue Shield
  • Medicare
  • Other Healthcare Programs

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