Last updated 6/4/2015
Certificate Code 5584
Kathryn Phillis, 309-796-5323, firstname.lastname@example.org
The Medical Coding Specialist Certificate is to prepare students for employment in the health care information management area. This certificate enables the student to be employed by coding departments, physicians’ offices, health care clinics, emergency care clinics, chiropractic offices, psychiatric clinics, health insurance companies and HMO offices. The opportunity for Internet coding work is possible after experience is gained.
The Medical Coding Specialist job entails the translation of diagnoses, procedures, services and supplies into numeric/alpha-numerical components for statistical reporting and reimbursement. The Medical Coding Specialist can expect team working experience with medical billing specialists and medical transcriptionists and others on the health care team; this person will need special training in medical terminology, anatomy and physiology as well as a thorough understanding of CPT-4 procedure and ICD-9/10 diagnosis coding; also necessary knowledge includes an in-depth understanding of third-party reimbursement and overage policies, the review and the abstract of in-patient and out-patient medical records, the ability to utilize new coding standards, HIPAA regulations, the ability to resolve insurance carrier rejects and denials related to coding and coverage issues.
To deliver these special skills in this program, this curriculum provides both classroom instruction and hands-on experience in the form of an internship. The internship will be for one semester- minimum 15 hours a week, for a total of 240 hours.
Medical Coding Specialist Certificate
Certificate Code 5584
Course of Study Outline – Suggested Courses (Credit Hours)
BE 100 — Orientation to Work Environment (2)
BE 141 — Computerized Keyboarding I (3)
BIOL 150 — Medical Terminology (3)
HIM 156 — Introduction to Health Insurance (3)
HIM 257 — Procedures and Diagnosis Coding I (3)
HIM 200 — Advanced Medical Terminology (3)
HIM 251 — Medical Office Procedures (3)
HIM 258 — Procedures & Diagnosis Coding II (3)
HIM 254 — Law, Liability and Medical Ethics (3)
HIM 261 — Seminar (1)
HIM 265 — Internship (3)
Minimum total hours required for Certificate (33)
Gainful employment is one important measure that students and parents should pay attention to as they examine colleges and programs. All non-degree programs must be designed to lead to gainful employment in a recognized occupation in order to be deemed eligible for federal student aid. These programs are generally less than 2 years in length and result in a certificate.