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medical insurance & coding administration
Program Hours: 1128
Completion Time: 4 Quarters
Day Classes: 12 Months
Night Classes: 18 Months

The Medical Insurance & Coding Administration program prepares students as multi-skilled healthcare professionals who provide quality services that meet the medical, administrative, legal, ethical, regulatory, and institutional requirements of the healthcare delivery system. Working in such settings as hospitals, clinics, nursing homes, rehabilitation centers, physicians’ offices, and other healthcare related facilities, graduates are prepared to function as integral members of the heathcare team and to code, process, store, and retrieve medical information.

The Medical Insurance & Coding Administration program provides students with the most up-to-date HIPAA and insurance bylaws, rules, and regulations.


Sample Program Sequence

Course Requirements
Quarter
Credits

First Quarter
HEA101 Introduction to Healthcare 4
MED101 Medical Terminology I 3
GEN131 Anatomy and Physiology I 4
CIS101 Computer Fundamentals 2
GEN105 Group Dynamics 3

Second Quarter
MED140 Medical Insurance Procedures 4
MED102 Medical Terminology II 3
MED105 Medical Law and Ethics 1
GEN132 Anatomy and Physiology II 4
BUS115 Business Communication 3

Third Quarter
MED142 Medical Coding 6
MED144 Medical Reimbursement and Appeals 2
MED146 Computerized Insurance Billing 1
CIS121 Spreadsheets 2
BUS190 Professional Career Development 1

Fourth Quarter
MED192 Medical Insurance & Coding
Administration Internship 5
GEN110 Psychology 4
GEN111 Oral Communication 3
55 credit hours required for graduation

In the final quarter most courses are offered during the late afternoon or evening so as not to interfere with internships.

Partial Listing of Courses

Introduction to Healthcare Students study the American healthcare system in terms of the elements constituting its structure and operations, the forces responsible for shaping it, and the policies influencing its current and future performance.

Medical Terminology I and II Provides a solid foundation and understanding of the medical language used by healthcare professionals.

Medical Coding Students learn to transform verbal descriptions of medical services rendered into numeric designations (coding) by using standard procedures codes (CPT-4) and diagnosis codes (ICD-9). Students also are introduced to HCPCS codes and appropriate descriptions. Diagnosis descriptions covering numerical ICD-9 codes, V-Codes and E-Codes also are explored

Medical Law and Ethics Provides an understanding of the legal, moral, and ethical issues involved in the healthcare environment, including laws and standards that protect the healthcare professional and the patient.

Computerized Insurance Billing Using electronic practice management software, students learn to submit claims electronically.

Medical Insurance Procedures This course emphasizes the role of the medical biller in the office. It stresses professionalism, various office procedures, and provides an in-depth survey of health insurance practices including managed care (HMOs and PPOs), government insurance (Medicare and Medicaid), and hospital insurance billing.

Medical Reimbursement and Appeals Students learn to interpret documents that accompany insurance payments; manage and organize financial records; follow up on claims, adjust claims, and deal with denials and rejections; understand billing and collection guidelines, special collection issues, and the cash flow cycle.

Internship Work-experience program in a supervised healthcare environment which provides students with hands-on experience.