Module 1: Introduction & Healthcare Systems
Topics:
Overview of U.S. healthcare system
Role of a medical billing specialist
HIPAA and patient confidentiality
Understanding workflows in healthcare
Knowledge of legal and ethical responsibilities
Online quizzes on healthcare systems
HIPAA compliance scenario exercise
Module 2: Medical Terminology & Anatomy
Basic medical terminology
Anatomy and physiology related to billing
Common abbreviations and disease codes
Reading physician notes
Recognizing terminology for accurate coding
Terminology flashcards
Case studies for practice
Module 3: ICD-10, CPT & HCPCS Coding
ICD-10 diagnosis codes
CPT procedure codes
HCPCS Level II (supplies, services)
Claim compliance rules
Assigning correct codes
Avoiding claim denials
Coding practice worksheets
Mock claim submissions
Module 4: EHR, Practice Management & Insurance
Introduction to Electronic Health Records (EHR)
Practice management software
Patient registration and data entry
Understanding insurance types (Medicare, Medicaid, Private)
Navigate EHR software
Verify patient insurance and eligibility
Simulated EHR exercises
Insurance verification case studies
Module 5: Billing Process & Claim Management
Creating, submitting, and following up on claims
Posting payments
Handling denials and appeals
End-to-end claim processing
Problem-solving denied claims
Mock billing exercises
Payment posting practice
Module 6: Compliance, Ethics, Career Prep & Final Assessment
HIPAA compliance & fraud prevention
Audit readiness
Professional skills & resume preparation
Ethical billing practices
Job readiness for clinics or billing companies
Final coding and billing project
Resume & cover letter workshop
Online exam for certification read
A registration fee of $75 is required for each course.