Medical Billing and Coding
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 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 following completion of the prerequisites.
This program requires textbooks which should be purchased directly from AAPC to assure the most current versions which are incorporated in the the certification examination. All students must obtain required course materials and online Blackboard access directly from AAPC immediately upon registering for the CCM courses. Failure to obtain the listed materials will limit your ability to participate in this course. Contact Justin White at AAPC to place your order - Justin.White@AAPC.com or (801) 800-8797.
The following 4 courses are prerequisites required before taking any further course. Students may opt to "test out" of Medical Terminology for Healthcare Professionals and Anatomy for Healthcare Professionals by achieving a passing grade on the exam. Equivalent applicable work experience may considered via opt out testing or at the discretion of the Instructor.
|Course Code||Course Title||CEUs|
|AHP-256E||Medical Terminology for Healthcare Professionals||2.4|
|AHP-199E||ICD-10-CM Introduction and Applications||1.6|
|AHP-301E||Anatomy for Healthcare Professionals||2.4|
|AHP-352E||CPT & HCPCS Coding Course||2|
Courses not offered one semester will be offered in the following semester. This certificate may require 2 semesters to complete.
|Course Code||Course Title||CEUs|
|AHP-331E||Evaluation and Management||1.6|
|AHP-341E||ICD-10-CM/CPT 4 Coding - Practical Application||4.2|
|AHP-243E||Navigating the Medical Record||0.8|
|AHP-267E||Physician's Practice Management and Regulatory Issues||1.8|
|AHP-312E||Workplace Simulation Training||1.6|
To prepare for the Coding Exam, you might wish to take the following course:
|Course Code||Course Title||CEUs|
|AHP-329E||AAPC CPC National Coding Certification Preparation Review Course (Optional)||0|
For information on current course offerings and how to register, go to www.ccm.edu/workforce/
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."
Courses listed in the sequence to complete the certificate program.
Medical Terminology for Healthcare Professionals
Medical Terminology for Healthcare Professionals is needed before taking the other prerequisite courses. This course focuses on 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. *Textbook required. AHP-256E.
ICD-10-CM Introduction and Applications
This course reviews the background of the ICD system, as well as ICD-10-CM diagnosis coding. Learn about assignment, review and clarification of coding conventions.*Textbook required. Obtain required textbook in advance through AAPC. Online AAPC Blackboard access is required. AHP-199E.
Anatomy for Healthcare Professionals
This class introduces 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 a medical record. The medical coder will gain an understanding of the anatomy organs referenced in medical procedures and diagnosing coding. *Textbook required. AHP-301E.
CPT & HCPCS Coding Course
This course includes overviews of the Healthcare Common Procedure Coding System (HCPCS) Level II and Category III codes. Practical application of the Current Procedural Terminology (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. *Textbook required. Obtain required textbook in advance through AAPC. Online AAPC Blackboard access is required. AHP-352E.
Evaluation and Management
Evaluation and Management coding is the key to appropriately maximizing reimbursement for physician visits. Learn the basics of the specific codes by location and type of visit. 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 in the patient chart. AHP-331E.
ICD-10-CM/CPT 4 Coding - Practical Application
PREREQUISITE: Knowledge of medical terminology and anatomy, basic knowledge of ICD and CPT coding.Gain practical application of ICD-10-CM diagnostic coding utilizing official coding guidelines and conventions. In-depth instruction on CPT procedural coding covers anesthesia, pathology, laboratory, medicine and surgery. This course lays the foundation to prepare for the American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) national certification. *Textbook required. Obtain required textbook in advance through AAPC. Online AAPC Blackboard access is required. AHP-341E.
Learn about insurance billing procedures, claims processing, the reimbursement process, appealing claims, collecting patient payments and legislation/changes in government and commercial insurance. Career roles and responsibilities, the claims process and revenue-cycle management will be covered in this class. Additionally, the course will touch on other healthcare payers such as Medicare, Medicaid, Tricare, workers compensation and disability insurances. AHP-343E.
Navigating the Medical Record
PREREQUISITE: 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-243E.
Physician's Practice Management and Regulatory Issues
Learn how to apply billing and coding skills to a variety of positions and duties within a medical practice, as well as about 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's office is covered. No text required. AHP-267E.
Workplace Simulation Training
Learn 3-M Encoding Software, the leading program used by hospitals, and get valuable, hands-on experience. 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 in the workplace. AHP-312E.
AAPC CPC National Coding Certification Preparation Review Course (Optional)
Completion of ICD-10-CM/CPT 4 Coding - Practical Application. This course is a review to prepare students to sit for the AAPC CPC exam. 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. A student must have extensive coding experience in the classroom or through employment. Certification will increase chances of employment opportunities within a competitive space. AHP-329E.