Medical Billing and Coding Career Prep Complete

755 Hours / 12 Months / Self-Paced

Course Overview:

With the Medical Billing Career Prep program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical billing specialist. In this program, you will gain hands-on, practical experience working with the main coding manuals in the field, the ICD-10-CM and the CPT. In addition; you will be introduced to ICD-10-CM. You will also master the legal, ethical, and regulatory concepts that are central to this field. Upon completion of this program, you will be ready to begin your career in an entry-level position.   Students will also be prepared to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA) or the Billing Coding Specialist certification exam offered by American Medical Certification Association.

Learn and recognize word roots, prefixes, and suffixes used in medical language today. Learn how to combine words to create meaningful medical conditions as well as comprehend their definition and know the correct spelling. In this medical terminology course you will learn medical terms related to all major body systems. Medical terms are introduced in the context of human anatomy and physiology to help you understand exactly what they mean. You will practice defining and understanding medical terms using case studies, vignettes, and activities.

Medical Coding is one of the fastest growing careers in the health care industry today. The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement. This Medical Coding course is practical and shows you exactly how to code using all of today's coding systems by providing an in-depth introduction to essential coding concepts. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, this course offers complete coverage of the ICD-10-CM diagnosis coding system.

About ProTrain:

ProTrain is committed to offering world class interactive online courses that provide training and learning support for the student in a number of ways during their experience. The ProTrain course structure has been developed to provide activities to guide students throughout the entire process of learning. Learning activities include hands-on assignments that allow students to use what they are learning to allow better transferable skills within their work environments; and collaborative assignments, like wikis and discussion groups that allow them to share what they have learned with others in the same course.

While a student learns, they are not alone. Each student will receive guidance and support from his or her assigned Training Assessment Manager (TAM) and Student Services Specialist (SSS) representative. In addition, we will offer live monthly webinars and feedback sessions for various subject categories. Throughout the entire course, students are monitored by the SSS representative using progress reporting from the ProTrain Registration System (PRS).

ProTrain will provide Students who successfully complete their online certification programs and pass their industry level certification exams the access to the new ProTrain Education-2-Employment Career Tracker system. The Career Tracker will allow our students who pass exams to load their own resumes at no additional cost, and letting industry employers find their talent through the same database.

Course Outline:

Medical Billing Career Prep
  • Lesson 1: Role of the Insurance Billing Specialist
  • Lesson 2: Compliance, Privacy, Fraud and Abuse in Insurance Billing
  • Lesson 3: Basics of Health Insurance
  • Lesson 4: Medical Documentation and the Electronic Health Record
  • Lesson 5: Diagnostic Coding
  • Lesson 6: Procedural Coding
  • Lesson 7: The Paper Claim CMS-1500 (02-12)
  • Lesson 8: The Electronic Claim
  • Lesson 9: Receiving Payments and Insurance Problem Solving
  • Lesson 10: Office and Insurance Collection Strategies
  • Lesson 11: The Blue Plans, Private Insurance, and Managed Care Plans
  • Lesson 12: Medicare
  • Lesson 13: Medicaid and Other State Programs
  • Lesson 14: TRICARE and Veteran's Health Care
  • Lesson 15: Worker's Compensation
  • Lesson 16: Disability Income Insurance and Disability Benefit Programs
  • Lesson 17: Hospital Billing
  • Lesson 18: Seeking a Job and Attaining Professional Advancement
Medical Terminology Career Prep
  • Lesson 1: Introduction to Medical Terminology, The Human Body in Health and Disease, Word Part Review
  • Lesson 2: Skeletal & Muscular System
  • Lesson 3: Cardiovascular System
  • Lesson 4: Lymphatic and Immune System
  • Lesson 5: Respiratory System
  • Lesson 6: Digestive System
  • Lesson 7: Urinary System
  • Lesson 8: Nervous System and Special Senses: Eyes and Ears
  • Lesson 9: Integumentary System
  • Lesson 10: Endocrine System
  • Lesson 11: Reproductive System
  • Lesson 12: Diagnostic Procedures, Nuclear Medicine, and Pharmacology
Medical Coding Career Prep
  • Lesson 1: Reimbursement, HIPAA and Compliance
  • Lesson 2: An Overview of ICD-10-CM
  • Lesson 3: ICD-10-CM Outpatient Coding and Reporting Guidelines
  • Lesson 4: Using ICD-10-CM
  • Lesson 5: Chapter Specific Guidelines (ICD-10-CM Chapters 1-10)
  • Lesson 6: Chapter Specific Guidelines (ICD-10-CM Chapters 11-14)
  • Lesson 7: Chapter Specific Guidelines (ICD-10-CM Chapters 15-21)
  • Lesson 8: An Overview of ICD-9-CM
  • Lesson 9: ICD-9-CM Outpatient Coding and Reporting Guidelines
  • Lesson 10: Using ICD-9-CM
  • Lesson 11: Chapter Specific Guidelines (ICD-9-CM Chapters 1-8)
  • Lesson 12: Chapter Specific Guidelines (ICD-9-CM Chapters 9-17)
  • Lesson 13: Introduction to CPT and the Level II National Codes (HCPCS)
  • Lesson 14: Modifiers
  • Lesson 15: Evaluation and Management (E/M) Services
  • Lesson 16: Anesthesia
  • Lesson 17: Surgery Guidelines and General Surgery
  • Lesson 18: Integumentary System
  • Lesson 19: Musculoskeletal System
  • Lesson 20: Respiratory System
  • Lesson 21: Cardiovascular System
  • Lesson 22: Hemic, Lymphatic, Mediastinum, and Diaphragm
  • Lesson 23: Digestive System
  • Lesson 24: Urinary and Male Genital Systems
  • Lesson 25: Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery
  • Lesson 26: Endocrine and Nervous Systems
  • Lesson 27: Eye, Ocular Adnexa, Auditory, and Operating Microscope
  • Lesson 28: Radiology
  • Lesson 29: Pathology/Laboratory
  • Lesson 30: Medicine
  • Lesson 31: Inpatient Coding

All necessary course materials are included.

Certification(s):

This course prepares students to take the Certified Billing and Coding Specialist (CBCS) national certification exam offered by National Healthcareer Association (NHA) or the Billing Coding Specialist certification exam offered by American Medical Certification Association.


System Requirements:

Internet Connectivity Requirements:
  • Cable and DSL internet connections are recommended.
Hardware Requirements:
  • Minimum Pentium 400 Mhz CPU or G3 Macintosh. 1 GHz or greater CPU recommended.
  • 256MB RAM minimum. 1 GB RAM recommended.
  • 800x600 video resolution minimum. 1025x768 recommended.
  • Speakers/Headphones to listen to Dialogue steaming audio sessions.
  • A microphone to speak in Dialogue streaming audio sessions.
Operating System Requirements:
  • Windows Vista, 7, 8, 8.1, 9, 10
  • Mac OSX 10 or higher.
  • OpenSUSE Linux 9.2 or higher.
Web Browser Requirements:
  • Google Chrome is recommended.
  • Firefox 13.x or greater.
  • Internet Explorer 6.x or greater.
  • Safari 3.2.2 or greater.
Software Requirements:
  • Adobe Flash Player 6 or greater.
  • Oracle Java 7 or greater.
  • Adobe Reader 7 or greater.
Web Browser Settings:
  • Accept Cookies
  • Disable Pop-up Blocker.


** Outlines are subject to change, as courses and materials are updated. Software is not included with the purchase of the course, unless otherwise specified. Students are responsible for the purchase and installation of the necessary course software. **