Medical Billing and Coding
You do not need to enroll in the certificate program to benefit from these courses.
Information Session: Careers in Medical Billing and Coding
Where to find employers, salaries, training that is needed, how to get started. Sessions are offered in September and January. See our current schedule at www.ccm.edu/businesscommunity for details.
Pre-registration is not required.
Certificate in Medical Billing and Coding Specialist
CCM is pleased to partner with the American Academy of Professional Coders (AAPC) to prepare candidates for the Certified Professional Coder (CPC) certification. These coding courses introduce the classification system used by health care facilities, physicians and insurance companies. Coding patient records for diagnoses and procedures has become an integral part of the health care reimbursement system. You may apply for entry level administrative, coding and billing positions upon completion of these courses. Student membership in AAPC is recommended as part of the program and required by the AAPC to take the CPC exam at after completing the program.
This certificate requires 5 months to complete and is offered twice each year. The 4 prerequisite courses are offered each semester. Once those courses have been completed, a student may take the other courses in any order; however, it is recommended that they be taken in the order presented here. Students are highly encouraged to include the Medical Billing Externship in their course of study; though it is not required as part of the certificate process.
Certification and Certificates
CCM is one of a very few colleges in NJ that have aligned themselves with the American Academy of Professional Coders - seen as the nation's leading professional association and medical coding certification organization. Upon completion of this curriculum, students will qualify to complete the AAPC certification exam and may eliminate or reduce the need for "apprenticeship" work experience before obtaining their national certification. Eligibility does require a passing grade in each of the courses within the certificate program.
Additionally, students may request and receive a CCM Certificate of Completion for any course or the entire program (once all courses are satisfactorily completed). See "Certificates and Transcripts/."
For required text book information, go to https://bookstore.ccm.edu/ and click on “Textbook Lookup.” Students must obtain the text on their own and have it for the first day of class.
4 PREREQUISITE COURSES
- Medical Terminology for Allied Health Professionals
- Anatomy for Allied Health Professionals
- ICD - 10 - CM Introduction and Applications
- CPT & HCPCS Coding Course
(The above 4 courses are prerequisites required before taking any further course. Equivalent applicable work experience may substitute after satisfactory completion of the final exams and at the discretion of the Instructor.)
Courses not offered one semester will be offered in the following semester. This certificate may requires 6 months to complete.
- ICD-10-CM: Beyond the Basics
- ICD-CPT Coding - Practical applications
- Navigating the Medical Record
- Medical Billing 1
- Medical Billing 2
- Physician's Practice Management
- Workplace Simulation Training Encoding Software
- AAPC National Coding Certification Preparation (optional)
- Healthcare Professional Externship (optional)
To register, go to webadvisor.ccm.edu/ and click on "Continuing Education (Non-Credit)." Have your credit card, social security number, and 5 digit Course Code number ready.
Ms. JoAnn Baker, CCS, CPC-I, CPC-H, CPC, CHCC, CPP Instructor
One of the first individuals in NJ certified to teach ICD-10 coding, JoAnn comes to CCM with many years experience. She has been a corporate trainer in medical coding and works for a leading coding software provider. She started teaching for CCM in 2009.
Ms. Diane Fulton, BA, CPPM, CPP Instructor
Diane is currently the Assistant Vice President of Insurance and Practice Development at Diopsys, Inc. She entered the field of health care reimbursement over 30 years ago gaining expertise in practice management, medical coding, billing and collections. Trained by attorneys as a patient and provider advocate, she expanded her knowledge base by working with a variety of medical providers including hospitals, home-care, pharmacy, and various physician disciplines which encompassed neonatology, internal medicine, radiology, cardiology and pathology. She is on the Board Directors of the Children’s Emergency Medical Fund and holds a BA in Business Administration and Spanish with a minor in Biology from Rutgers College.
Mr. Claude Garbarino, BA, CCS, CPP Lead Instructor
Claude attended Fordham University located in Bronx, NY where he earned a B.S. in Psychology with a minor in Philosophy. He later moved to New Jersey and pursued a career in medical coding and billing. He has been employed by both the Atlantic Health System and Saint Clare’s Health System as a Medical Coding Supervisor and Medicare/Medicaid Billing Supervisor and has various experience in multiple medical billing venues including hospitals, medical practices and third party billing companies. Most recently and in semi-retirement, he has maintained his own home-based consulting business and is also the Medical Billing and Coding Externship Coordinator at CCM. As one of the first instructors for CCM's Medical Billing and Coding Program, he has been teaching in this program for more than 20 years.
Ms. Kathy Shera, CPC, CPB, CPP Instructor
Kathy is a graduate of CCM's Medical Billing and Coding program who has now worked in the field for over 15 years. She began teaching for CCM in 2011. She began her career in healthcare by first becoming a Pharmacy Technician. After 7 years as a Pharmacy Technician for multiple pharmacies throughout NJ, she completed her Medical Practice Management Certificate and became a Medical Billing Representative. Kathy is a past president of the AAPC NJ chapter.
Dr. Michelle Sykes, MD, CPP Instructor
Dr. Sykes has practiced medicine for many years and also has experience in the non-profit sector, where she was the Director of the Black Infant Mortality Reduction Resource Center. She now teaches at several colleges throughout the area and has experience in course curriculum development, electronic medical records, and board/advisory experience.
Courses listed in the sequence to complete the certificate program.
Medical Terminology for Healthcare Professionals
This course focuses on the basic foundation of medical word building including prefixes, suffixes, word roots and combining forms used to learn the basic principles of medical terminology. An overview of body systems and their diseases are covered as well as an introduction to abbreviations and laboratory terms. This course concentrates on the meaning of medical terms and is best supported by a course in Anatomy and Physiology. The certificate of completion is awarded upon successful completion of the course and passing an exam. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-256.
Anatomy for Healthcare Professionals
An introductory class designed to introduce the medical coder to the gross anatomy of the 11 functional organ systems of the human body. The medical coder develops skills to apply anatomy fundamentals to medical record. The medical coder will gain an understanding of the anatomy organs referenced in medical procedures and diagnosing coding. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-301.
ICD-10-CM Introduction and Applications
This course reviews the background of the ICD system, and its roots in the mid-1600s. ICD-10-CM diagnosis coding is the focus of this course, and includes steps for coding assignment, review and clarification of coding conventions, and hands-on coding exercises. This course will make the eventual transition to ICD-10-CM easier and less stressful to medical coding professionals. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-199.
CPT & HCPCS Coding Course
This course, in addition to a main focus on CPT coding, includes overviews of HCPCS Level II codes, as well as Category III codes. Practical application of the CPT coding system is part of every class. The importance and relevance of physician documentation is discussed, as well as the interpretation of this documentation in the assignment of CPT procedure codes. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-228.
ICD-10-CM: Beyond the Basics
Prerequisite: ICD-10-CM Introduction and Application course or experience in diagnosis coding. A continuation of the ICD-10-CM Introduction and Application course, we focus finding and using the proper ICD-10-CM diagnosis codes. Understand the increase number of digits to each code and the levels of specificity that allows. Learn about the most common codes, how and why to use them as a foundation for learning the coding system. This course will give the student confidence needed to assign this code set. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-327.
ICD-CPT Coding - Practical Application
Prerequisite: Knowledge of medical terminology and anatomy, a working knowledge of CPT and ICD coding. This course enhances your basic knowledge of coding by "putting the ICD & CPT puzzle pieces together" using both CPT and ICD scenarios. The beginner coder learns the concept of coding a diagnostic statement in an outpatient setting covering a wide variety of patient services. Gain practical application of diagnostic coding utilizing official coding guidelines and conventions, including CPT procedural coding covering anesthesia, pathology, laboratory, medicine and surgery. Practice knowledge of coding using workbook examples, operative reports and group discussions. Class instruction includes assigned problems, quizzes, and hands-on group activities using practical coding scenarios, puzzles or games. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-280.
Navigating the Medical Record
Prerequisites: ICD-10-CM Introduction and Applications and CPT-4 Coding. This hands-on workshop is for new medical coders ready to review and code hospital medical records. Participants practice the knowledge learned in the ICD-10-CM and CPT-4 coding courses and code actual hospital charts. Books from the ICD-10-CM Procedures and CPT-4 Coding courses are used in this class. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-243.
Medical Billing I
The knowledge and skills needed for a career as a medical billing specialist has substantially increased. Learn how the escalating costs of medical care, the effect of technology, and the rapid increase of managed care plans have affected insurance billing procedures and claims processing. Class covers a comprehensive description of the reimbursement process, including tips for how to appeal claims, collect patient payments and keep up with legislation/changes in government and commercial insurance. Career roles and responsibilities, the claims process, and revenue-cycle management will specifically be covered in this class. REQUIRED TEXT: For required text book information, go to https://bookstore.ccm.edu/college. AHP-254.
Medical Billing 2
Picking up where Medical Billing 1 left off, this course will focus mainly on healthcare payers: Medicare, Medicaid, Tricare, Workers Compensation and Disability Insurances. REQUIRED TEXT: For required text book information, go to www.ccm.bkstr.com and click on "Books". AHP-328.
Physician's Practice Management
Learn how to apply billing and coding skills to variety of positions and duties within a medical practice. Access resources to help you stay current in the ever changing, rapidly paced environment of a physician's office. This course concentrates on teaching the essential functions and flow of front office management, human resource management, patient services, managing medical records, and financial management. Special focus on the emerging use of electronic medical records in a Physician office is covered. No text required. AHP-267.
Workplace Simulation Training Encoding Software
Obtaining real-world, hands-on experience is critical for anyone entering the workforce today. This course will provide exactly that with 3-M Encoding Software, the leading program used by hospitals, AND the AAPC provided Practicode Software. Students will work with more than 600 realistic, redacted medical records and have to enter the codes. Either the instructor or the software will prompt you to correct errors as you learn coding. Completing this course and all the available records qualifies as 2 years of experience towards the CPC certification. Some internet-based work will be required outside of class time. AHP-312.
AAPC CPC National Coding Certification Preparation (Optional)
Prerequisite: Complete all other courses for the CCM Medical Billing & Coding Certificate. This course is designed to prepare students to sit for the American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) examination. Instruction will include review requirements for exam, overview of examination details, techniques to improve speed, test taking tips, in-class practice exam and individual assessment of coding skills to determine exam readiness. Student must have extensive coding experience either in classroom or from employment. Certification will increase chances of employment opportunities within a competitive space. REQUIRED TEXT: For required text book information, go to www.ccm.bkstr.com and click on "Books". Students must obtain the text on their own and have it for the first day of class. AHP-329.
Healthcare Professional Externship (Optional)
Prerequisite: Completed the Medical Billing and Coding program. Though not required for the certificate, an externship can be a great foot in the door to an employer. Externships may be selectively offered based on: 1) the student's demonstrated professionalism, 2) obtaining 2 letters of recommendation, at least one from an instructor in your program (the other may be from an instructor or a professional in your field who can attest to your ability and professional ethics). CCM will identify a local healthcare organization for a volunteer work experience (185+ hours) under the supervision of a seasoned professional. All sites will be within a 25 mile radius of CCM's Randolph Campus. Externship schedules are determined between the student, site supervisor and CCM Externship Coordinator. Students are required to attend 3 classroom sessions on job search preparation. AHP-309.