Medical Insurance, Billing, and Coding

Keeping a healthy bottom line for healthcare organizations.

Managing vast amounts of medical insurance and billing information is critical to the success of any healthcare organization. Berkeley College offers degree and certificate programs to prepare students with the important business and technology skills needed for positions in medical insurance, billing, and coding. Courses provide students with the required knowledge and skills to become nationally certified.

Graduates of the Medical Insurance Billing and Coding (MIBC) certificate program are required to participate in the Certified Professional Biller examination (CPB) through the AAPC or the Certified Billing and Coding Specialist examination (CBCS) through the National Healthcareer Association (NHA)— both are nationally accepted standards of achievement in the administrative part of the field. The certificate program focuses primarily on medical billing pursuits such as an introduction to coding, reimbursement, legal and ethical requirements, and the medical billing cycle in the professional or outpatient setting. For more information, visit http://www.nhanow.com/certifications/billing-coding and https://www.aapc.com/certification/medical-billing-certification.aspx.

Graduates of the Medical Insurance Billing and Coding (MIBC) degree program are required to participate in the Certified Coding Associate examination (CCA) through the American Health Information Management Association (AHIMA) or the Certified Professional Coder examination (CPC) through AAPC — both are nationally accepted standards of achievement in the coding field. (If you have already completed the MIBC Certificate program at the college, Berkeley will apply all 11 courses from the MIBC certificate to the Medical Insurance Billing and Coding degree program.) The degree program covers both facility (inpatient) and professional (outpatient) coding. Both the AAPC and AHIMA recommend an Associate’s degree prior to sitting for the CCA and CPC certification examinations. For certain medical billing and coding jobs, an Associate’s degree is highly desirable, and may be required. For more information, visit http://www.ahima.org/certification and https://www.aapc.com/certification/cpc/.

Although certification is not required to work in most states, employers prefer to hire certified Medical Insurance, Billing, and Coding graduates. 

Faculty members in this program are selected for both academic excellence and relevant professional experience. They combine firsthand knowledge with teaching experience to help prepare students to enter this in-demand field.

Benefit from:

  • Curricula that focus on the structure and dynamics of the healthcare industry
  • An emphasis on technology and specialized software to collect, process, and use information essential to the healthcare industry and its clients
  • Training in communications between healthcare providers and private and governmental funding agencies
  • Valuable, practical experience through program-related, faculty-monitored internships or job-related assignments if enrolled in the Associate’s degree program
  • A seamless transition between the Certificate and Associate's degree programs
  • Our affiliation with CommandCare LLC, which provides an additional level of access to opportunities within the healthcare field

Associate in Applied Science Degree (A.A.S.)
Health Services Administration - Medical Insurance, Billing, and Coding

 This program is offered:
brooklyn new york city white plains dover newark woodbridge woodland park online

A.A.S., Health Services Administration - Medical Insurance, Billing, and Coding 2016-2017 Course Requirements

Health Services Administration - Medical Insurance, Billing, and Coding
Associate in Applied Science Degree (A.A.S.)

 

Course Requirements

MAJOR CORE COURSES

Semester credits


3 Credit Hours

Provides students with a comprehensive introduction to the American healthcare system. This course explains the structures and operations of healthcare organizations, explores the forces responsible for shaping the system, and considers the policies influencing the system’s current and future performance. 

 


3 Credit Hours

Provides a solid foundation and understanding of the medical language used by healthcare professionals through the introduction, reinforcement, and combination of medical word parts including prefixes, suffixes, and combining forms. Emphasis is placed on word building, analysis of word parts, spelling, special endings, plural forms, correct pronunciation of terminology related to procedures, and diseases of the various body systems. Commonly used abbreviations and symbols will also be introduced.

 


3 Credit Hours

An introduction to the principles of law as applied to the healthcare field. Students learn ethical standards and issues as related to healthcare.

 


3 Credit Hours

Provides the student with an overview of the health information management (HIM) segment of the healthcare industry. This course addresses job responsibilities, legal and ethical standards, clinical data management, technology, and the wide variety of responsibilities of management.

Prerequisite: HEA1101

 


3 Credit Hours

Familiarizes students with computerized billing and electronic health records using practice management software. Students learn to enter and edit patient personal history information, enter charges and post payments to financial accounts, and print statements. The importance of accuracy is stressed throughout this course.

Prerequisite: HEA1101

 


3 Credit Hours

Allows students to work in a position related to their course of study. Students integrate the skills and knowledge learned through their academic experiences and participate in focused online discussions and special online projects.

Prerequisites: Departmental permission

 


2 Credit Hours

Introduces the development of medical nomenclature and classification systems. Topics include coding of diseases and procedures, an overview of coding systems, and basic coding rules and conventions.

Prerequisite: HEA2200

Prerequisite or Corequisite: SCI2100 or SCI1120

 


2 Credit Hours

Teaches procedural coding, the assignment of DRGs, the relationship between coding to reimbursement, and selected nomenclature and classification systems.

Prerequisite: HEA2200

Prerequisite or Corequisite: SCI2100 or SCI1120

 


2 Credit Hours

Introduces the student to the new coding system used by hospitals for coding inpatient procedures. Students will learn how to analyze, assign, and sequence coding procedures in the ICD-10-PCS coding system and/or ICD-9-CM volume 3 procedure codes.

Prerequisites: HEA2200, MBC1100

Prerequisite or Corequisite: SCI2100 or SCI1120

 


2 Credit Hours

Prepares students to be skilled health professionals in the business areas of health facilities. Students learn to interpret insurance payment documents, organize financial records, follow up on claims, handle denials and rejections, understand billing and collection guidelines, and monitor the cash flow cycle.

Prerequisite: HEA1101

 


2 Credit Hours

Provides in-depth coverage of ICD, CPT, and HCPCS coding rubrics, conventions, principles, and updates as they apply to the coding of complex case studies. Students will assign codes and prospective payment categories using the required manuals.

Prerequisite: HEA2200, SCI2100, or SCI1120

Prerequisite or Corequisite: MBC2200

 


5 Credit Hours

Focuses on the integration of knowledge, skills, and techniques learned throughout the Medical Insurance, Billing, and Coding program. This course reinforces the knowledge and skills needed to sit for a national certification exam.

Prerequisites: MBC1110, MBC2220, and departmental permission

 

 


3 Credit Hours

This course explores the causes, diagnosis, and treatment of common diseases as well as the basic principles of pharmacology. Focus is placed on the description of conditions and diseases of the organ systems, including etiology, signs and symptoms, methods of diagnosis, and treatment. The classification, actions, side effects, adverse reactions, sources, and forms of medications will also be explored.

Prerequisite: HEA2200

 




BUSINESS CORE COURSES



3 Credit Hours

Provides an introduction to computer technology with an emphasis on applications. Students learn to use software, such as Microsoft Windows, Word, PowerPoint, and Excel. This course provides an orientation to Berkeley College’s computer framework including Blackboard, content collection, and portfolio development.

 





LIBERAL ARTS AND SCIENCE CORE COURSES



3 Credit Hours

An introduction to expository writing through a comprehensive survey of forms of composition. Students are taught to use words with precision and strengthen their understanding and application of grammatical and rhetorical principles. Students are encouraged to appreciate and incorporate the principles of academic and professional writing.

 


3 Credit Hours

Further develops the writing, reading, and interpretive abilities introduced in ENG1105 through critical engagement with literary texts from a myriad of genres. 

Prerequisite: ENG1105

 


3 Credit Hours

Supports students in the development of oral communication skills. This course emphasizes the identification of good and poor speech habits, techniques for improving speech, oral interpretation, effective speech planning and delivery, and interpersonal communication.

Prerequisite or Corequisite: ENG2205

 


3 Credit Hours

Study of the structure, function, and pathology (disease) of the human body. Students are introduced to various body systems including the musculoskeletal, digestive, nervous, and integumentary, as well as the special senses.

 


3 Credit Hours

Study of the structure, function, and pathology (disease) of the human body. Students are introduced to various body systems including the cardiovascular, respiratory, urinary, endocrine, lymphatic, and reproductive systems.

Prerequisite: SCI1100

 


3 Credit Hours

Students will develop the interpersonal skills known to be key ingredients for successful everyday interactions with a focus on the challenges of workplace relationships involving coworkers, supervisors, and customers/clients. Some major skill areas covered in the course include making a good impression with your employer, managing conflict with difficult coworkers, working on a team with diverse groups of people, providing exceptional service for customers/clients, and managing on-the-job stressors.

 


3 credits

Science/Humanities Elective






60 SEMESTER CREDIT HOURS REQUIRED FOR GRADUATION

Internship eligibility and employment opportunities in the healthcare field may be contingent upon the results of a medical examination, which may include drug and alcohol testing, as well as receipt of satisfactory references. Applicants for whom such requirements may be matters of concern are strongly advised to contact an Admissions counselor prior to enrolling in this program.

Any required traditional textbooks and/or some required supplies are included as part of the charge for tuition and fees and will be distributed to students. Please note, however, that students have the right to obtain traditional textbooks, and/or certain required items, from other sources. Students who demonstrate that they have obtained required item(s) from another source may return the items distributed by the College and receive a refund of the amount charged by the College for the specific item.

 





Medical Insurance, Billing, and Coding Certificate

 This program is offered:
dover woodland park

Medical Insurance, Billing, and Coding Certificate 2016-2017 Course Requirements

Medical Insurance, Billing, and Coding
Certificate Program

 

Course Requirements

MAJOR CORE COURSES

Semester credits


3 Credit Hours

Provides students with a comprehensive introduction to the American healthcare system. This course explains the structures and operations of healthcare organizations, explores the forces responsible for shaping the system, and considers the policies influencing the system’s current and future performance. 

 


3 Credit Hours

Provides a solid foundation and understanding of the medical language used by healthcare professionals through the introduction, reinforcement, and combination of medical word parts including prefixes, suffixes, and combining forms. Emphasis is placed on word building, analysis of word parts, spelling, special endings, plural forms, correct pronunciation of terminology related to procedures, and diseases of the various body systems. Commonly used abbreviations and symbols will also be introduced.

 


3 Credit Hours

An introduction to the principles of law as applied to the healthcare field. Students learn ethical standards and issues as related to healthcare.

 


3 Credit Hours

Provides the student with an overview of the health information management (HIM) segment of the healthcare industry. This course addresses job responsibilities, legal and ethical standards, clinical data management, technology, and the wide variety of responsibilities of management.

Prerequisite: HEA1101

 


3 Credit Hours

Familiarizes students with computerized billing and electronic health records using practice management software. Students learn to enter and edit patient personal history information, enter charges and post payments to financial accounts, and print statements. The importance of accuracy is stressed throughout this course.

Prerequisite: HEA1101

 


2 Credit Hours

Introduces the development of medical nomenclature and classification systems. Topics include coding of diseases and procedures, an overview of coding systems, and basic coding rules and conventions.

Prerequisite: HEA2200

Prerequisite or Corequisite: SCI2100 or SCI1120

 


2 Credit Hours

Teaches procedural coding, the assignment of DRGs, the relationship between coding to reimbursement, and selected nomenclature and classification systems.

Prerequisite: HEA2200

Prerequisite or Corequisite: SCI2100 or SCI1120

 


2 Credit Hours

Prepares students to be skilled health professionals in the business areas of health facilities. Students learn to interpret insurance payment documents, organize financial records, follow up on claims, handle denials and rejections, understand billing and collection guidelines, and monitor the cash flow cycle.

Prerequisite: HEA1101

 




BUSINESS CORE COURSES



3 Credit Hours

Provides an introduction to computer technology with an emphasis on applications. Students learn to use software, such as Microsoft Windows, Word, PowerPoint, and Excel. This course provides an orientation to Berkeley College’s computer framework including Blackboard, content collection, and portfolio development.

 




LIBERAL ARTS AND SCIENCES CORE COURSES



3 Credit Hours

An introduction to expository writing through a comprehensive survey of forms of composition. Students are taught to use words with precision and strengthen their understanding and application of grammatical and rhetorical principles. Students are encouraged to appreciate and incorporate the principles of academic and professional writing.

 


3 Credit Hours

Study of the structure and function of the human body. Students are introduced to the various body systems, including the integumentary, skeletal, muscular, nervous, special senses, endocrine, respiratory, digestive, urinary, reproductive, hematological/immunological, and cardiovascular. Course includes definitions, terminology, chemical basis of life, and energy, as well as microbiology.

 





30 SEMESTER CREDIT HOURS REQUIRED FOR GRADUATION

Any required traditional textbooks and/or some required supplies are included as part of the charge for tuition and fees and will be distributed to students. Please note, however, that students have the right to obtain traditional textbooks, and/or certain required items, from other sources. Students who demonstrate that they have obtained required item(s) from another source may return the items distributed by the College and receive a refund of the amount charged by the College for the specific item.

 




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