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Medical Billing (Effective 8/29/2023)

Locations: Ontario

Overview

Classification Of Instructional Programs (CIP): 51.0714 (Medical Insurance Specialist/Medical Biller)

Standard Occupational Classification (SOC) Code: 43-9041(Insurance Claims and Policy Processing Clerks), 43-3021 (Billing and Posting Clerks), 43-6013 (Medical Secretaries and Administrative Assistants)

Quarter Credits: 43

In Class Clock Hours: 660

Outside Hours: N/A

Total Hours: 660

Method of Delivery: Blended

Number of Weeks: 29*

*Weeks May Be Extended Depending On Holiday Schedules

Career Training Objective

The Medical Billing program is designed to provide students with the knowledge and skills necessary to work successfully as an entry level medical biller in a medical office, clinic, health maintenance organization (HMO), other health care setting, insurance company, or independent billing company.

In this program, students will develop their knowledge and skills within a fully online model of education. Preparing students for the real-life experience of health care data delivery systems, students will engage in on-line learning, as well as lab and computer software applications. Students will become familiar with, and able to use industry related reference materials such as the Current Procedural Terminology (CPT), International Classification of Diseases (ICD-CM), Procedural Coding System (PCS), and Health Care Procedures Coding Systems (HCPCS). 

The Medical Billing program is divided into six, 80-hour modules. The six modules satisfy both industry-related prerequisites and execution of billing applications. The Medical Billing externship provides a unique opportunity to gain valuable experience in the field and alongside working professionals. This experience is designed to help students prepare for a successful transition into their career as a medical biller.

Completion of the program is acknowledged by the awarding of a diploma.

Instructional Equipment

  • Billing and Coding References: ICD-10 CM, ICD-10-PCS, CPT, and HCPCS
  • Medical Office Software
  • Word Processing Software
  • Medical Claims Software
  • Textbook and E-Text Materials
  • On-line Course Material

Additional Resources

Students in the Medical Billing program will have access to online digital literacy modules via the Northstar platform. This interactive online platform provides students with supplemental resources to support their educational goals in a fully online program.

 

Program Outline

Program Location: Ontario

Required Courses

Course Number

Title

Clock Hours

Clinical Hours

Quarter Credits

MB100 Medical Billing Procedures 80 0 6.0
MB200 Claims Processing 80 0 6.0
MB300 Hospital Billing 80 0 6.0
MB400 Reimbursement and Denial Management 80 0 6.0
MB500 Managed Care and Private Health Plans 80 0 6.0
MB600 State and Government Health Plans 80 0 6.0
EXTMB Externship § 180 160 7.0
 

Totals

660

160

43.0

Course Number: MB100

Title Medical Billing Procedures
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: MB200

Title Claims Processing
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: MB300

Title Hospital Billing
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: MB400

Title Reimbursement and Denial Management
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: MB500

Title Managed Care and Private Health Plans
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: MB600

Title State and Government Health Plans
Clock Hours80
Clinical Hours0
Quarter Credits6.0

Course Number: EXTMB

Title Externship §
Clock Hours180
Clinical Hours160
Quarter Credits7.0

TOTALS

Clock Hours

660

Clinical Hours

160

Quarter Credits

43.0

Courses offered online.
§ Courses offered on ground.

TOTAL CREDIT HOURS: 43.0

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