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 2 semesters 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 textbook information, go to https://bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets.
4 PREREQUISITE COURSES
- Medical Terminology for Healthcare Professionals
- Anatomy for Healthcare 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 require 2 semesters to complete.
- Navigating the Medical Record
- ICD-10-CM CPT 4 Coding - Practical Application
- Physician's Practice Management and Regulatory Issues
- Evaluation and Management
- Medical Billing
- Workplace Simulation Training
- AAPC CPC National Coding Certification Preparation Review Course & Coding Exam (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.
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. REQUIRED TEXT: For required textbook information, go to bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets. AHP-256.
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 textbook information, go to https://bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets. AHP-199.
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 textbook information, go to bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets. AHP-301.
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 textbook information, go to https://bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets. AHP-228.
ICD-10-CM/CPT 4 Coding - Practical Application
Prerequisite: Knowledge of medical terminology and anatomy, basic knowledge of CPT and ICD coding. This course enhances your basic knowledge of coding taking the next step 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 ICD-10-CM diagnostic coding utilizing official coding guidelines and conventions. This also includes in depth instruction on CPT procedural coding covering anesthesia, pathology, laboratory, medicine and surgery. Practice knowledge of coding using workbook examples, operative reports and group discussions. This course will lay the foundation to prepare the student for the American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) national certification. AHP-341.
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. AHP-243.
Evaluation and Management
Evaluation and Management coding is the key to appropriately maximizing reimbursement for physician visits. In this course, the student will learn the basics of the specific codes by location and type of visit. Also, code levels for history, physical examination, and medical decision making based on acuity of diagnosis will be reviewed and discussed. The goal of this course is to ensure that the Evaluation and Management (E&M) code levels are chosen in compliance with the documentation given in the patient chart. REQUIRED TEXT: For required textbook information, go to bookstore.ccm.edu/college. Students must obtain the textbook on their own and have it for the first day of class. Books may not be stocked by the CCM bookstore; instead they may be available at retail outlets. AHP-331.
Physician's Practice Management and Regulatory Issues
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.
AAPC CPC National Coding Certification Preparation Review Course & Coding Exam (optional)
Prerequisite: Complete all other courses for the CCM Medical Billing & Coding Certificate This course is designed to prepare students to sit for the 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. Students are required to register and pay the AAPC examination fee separately. Exam fees are not included in the course fees Students must register for the exam 4 weeks in advance of the exam date For more information on the exam and registration, please contact: Justin White @AAPC: 801-236-2200 EXT 292 firstname.lastname@example.org. AHP-329.
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. Additionally, the course will touch on the "other" healthcare payers: Medicare, Medicaid, Tricare, Workers Compensation and Disability Insurances. AHP-343.
Workplace Simulation Training
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. Using nearly 100 medical records, you will learn to properly code the medical bill on the actual software used today. Make the typical mistakes in a classroom setting and learn to avoid them so you won't make them on the job. AHP-312.
Healthcare Professional Externship (Optional)
Prerequisite: Completed the Medical Billing and Coding program. Though not required for the certificate, an externship can be a great introduction to an employer. Externship opportunities will be presented based upon: 1) the student's demonstrated professionalism, 2) obtaining two 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), 3) successful completion of four classroom sessions on professional development and related topics and 5) completion of Externship paperwork. Students are required to attend four classroom sessions on professional development, including targeted job search techniques, résumés, cover letters, interview preparation, networking skills, interactive exercises, and additional soft skills training and community resources. CCM will identify a local healthcare organization for a volunteer work experience (100+ hours) under the supervision of a seasoned professional. Externship schedules are determined between the student, site supervisor and CCM Externship Coordinator. AHP-309.