Medical Insurance, Billing, and Coding Program

Medical records and health information professionals assemble patients’ health information and ensure that patients’ initial medical charts are complete; all forms are completed, properly identified, and signed; and all necessary information is input into the database. They regularly communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.

Some medical records and health information professionals specialize in coding medical information for insurance purposes. These coders and specialists assign a code to each diagnosis and procedure to ensure medical necessity is met. They accurately locate documentation in the patient record to support the coding and billing process and submit the claim for reimbursement based on payer policies and procedures. These professionals coach the healthcare provider on the best documentation practices to support quality coding and optimal reimbursement. Through their work creating detailed billing records and efficiently coded invoices, these specialists ensure that the business side of healthcare does not impact the vital medical care that patients may need.

*Source: Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2016-17 Edition, Medical Records and Health Information Technicians, on the Internet at http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm (visited May 19, 2017).

Who Employs Medical Insurance, Billing, and Coding Professionals?

• Healthcare Clinics

• Hospitals

• Inpatient and Outpatient Facilities

• Insurance Companies

• Long-Term Care Facilities

• Physicians’ Offices

• Private Industry

• Rehabilitation Centers

Medical Insurance, Billing, and Coding Program

Partial List of Classes Offered in the Medical Insurance, Billing, and Coding Program:

• Basic Pharmacology and Pathophysiology

• Clinical Documentation and Compliance

• Medical Coding – CPT

• Medical Coding – Hospital Coding

• Medical Coding – ICD

• Medical Insurance, Billing, and Coding Capstone

Employment Outlook*:

Employment of health information technicians is projected to grow 15 percent

through 2024, much faster than the average for all occupations.

*Source: Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2016-17 Edition, Medical Records and Health Information Technicians, on the Internet at http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm (visited May 19, 2017).

Medical Insurance, Billing, and Coding Program

Certification Opportunities:

Graduates of the program are eligible to sit for the Certified Coding Associate

(CCA) examination administered by the American Health Information

Management Association (AHIMA) or the Certified Professional Coder (CPC)

examination administered by AAPC.

Benefits of the Medical Insurance, Billing, and Coding Program:

• You will benefit from a program that strategically balances

academic preparation, professional training, and hands-on

experience.

• You will be able to sit for multiple national billing and coding exams.

• You will learn the most up-to-date HIPAA (Health Insurance

Portability and Accountability Act) and insurance bylaws, rules,

and regulations and will gain valuable, practical experience

through a program-related, faculty-monitored internship or job-

related assignment.

• You will learn from a supportive faculty selected on the basis of

academic excellence and relevant professional experience in the

medical insurance field.

Degree: Associate in Applied Science, Health Services Administration

Medical Insurance, Billing, and Coding

60 semester credits required for graduation

Medical Insurance, Billing, and Coding Program