Medical Billing and Coding Specialist

Your pathway to caring for others

Medical Billing and Coding Specialist

High-Demand & Diverse Career Track

Medical Billing and Coding Specialist

Your pathway to caring for others

The Pharmacy Technician program prepares students for the role of support personnel in the hospital, clinical, home health care agencies, mail-order and retail pharmacies. Working under the direction of a licensed pharmacist, Pharmacy Technicians provide assistance to the pharmacist in a variety of tasks involving the packaging, distribution, compounding, labeling, and recording of drugs.

The Medical Billing and Coding Specialist program prepares students for billing/coding careers in medical offices, hospitals, clinics, health maintenance organizations (HMOs), extended care facilities, insurance companies, and health data organizations.

Program Catalog Information
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Program Options

Medical coding specialists develop skills and knowledge to transform written descriptions of diseases, injuries, conditions, and medical procedures into alpha-numeric  classifications. Currently, reimbursement for health care services is dependent on the assignment of universally recognized codes to describe diagnoses, services, and procedures.  The codes are used to provide information for reimbursement of insurance claims, indexing statistics, research, and tracking patient care.  In addition to coding, professional reimbursement specialists must learn the medical billing process to conform to individual insurance requirements, electronic billing procedures, and responsibilities associated with electronic data management.

Learn medical terminology, medical pathology, anatomy and physiology, basic pharmacology, medical law and ethics, and medical finance practices.  Students will also study word processing, spreadsheet applications, and learn how to use electronic medical records system while using ICD-10-CM, CPT and HCPCS guidelines to complete ambulatory and hospital billing. This high-demand occupation provides many opportunities for people who like attention to detail and take pride in their work.  Jobs in this growing field offer variety, challenge, and the personal reward of helping others.

The estimated program length is based on full-time enrollment.  It is the student’s responsibility to discuss sequencing and work out their individual schedule with a counselor or program advisor.  Any developmental coursework a student may be required to complete may increase the program length.  The certificate is not intended for university transfer. Students wishing to enter the program must complete all prerequisite courses with a C or better prior to Fall entry.

Degrees/Certificates Credits Estimated Program Length Admission Dates
Medical Billing and Coding 69 4–5 Quarters Fall Quarter

Certificate Options

Medical Billing and Coding Specialist Certificate
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Program Courses and Costs

Course List
AHE 101 - Healthcare Interactions: D

AHE 101 - Healthcare Interactions: D

(3)
Self-awareness training. Receiving, organizing, prioritizing and transmitting effective and therapeutic communications with patients who have a variety of diagnoses. Development of team member and leadership skills. Discussion of death, dying and the grieving process of a variety of different cultures. See Allied Health department to apply and for permission code. Concurrent enrollment required in CSS 103.

AHE 102 - Basic Medical Terminology

AHE 102 - Basic Medical Terminology

(5)
Learning word parts of medical terms; word building and definitions; medical terms as related to each system of the human body. Correct spelling of medical terms and medical conditions is emphasized. Influence of different cultures on medical terms. None.

AHE 103 - Law, Ethics, and Professionalism in Healthcare

AHE 103 - Law, Ethics, and Professionalism in Healthcare

(5)
Legal and working relationships between medical personnel and patients; professional liability; intentional and unintentional torts; contracts; law of agency; informed consent; professional practice requirements; medical ethics; public duties and responsibilities; licenses and accreditation; workplace legalities; influence of cultural mores. Professionalism and image, goal setting, time management, and relationships between healthcare teams. Prerequisite: AHE 101, or concurrent enrollment, or department chair permission.

AHE 105 - Electronic Medical Documents and Administrative Procedures

AHE 105 - Electronic Medical Documents and Administrative Procedures

(6)
Learn about Electronic Medical Records (EMR), bookkeeping and basic accounting in todays medical office. Covers appointment scheduling, telephone practices, processing mail, downloading/uploading electronic medical records information, inventory, office insurance, ordering and maintenance of office equipment and supplies; banking, payroll, credit and collection; organizing a procedure manual, time-management techniques, and cultural differences concerning perception of time and expectation. Prerequisite: AHE 101, or concurrent enrollment; 30 wpm typing speed strongly recommended.

AHE 106 - Anatomy & Physiology

AHE 106 - Anatomy & Physiology

(6)
Study of the structure and function of the multiple systems of the human body. Study how the body systems are interdependent in maintaining homeostasis. Develop an understanding of how cultural influences may alter the external appearances and internal functioning of different populations. Significant virtual laboratory component required. Prerequisite: AHE 102 (or AHE 160 and 161) or equivalent with minimum C grade or department chair permission.

AHE 109 - Medical Disease & Pathology

AHE 109 - Medical Disease & Pathology

(4)
Overview of the many diseases and conditions affecting the human body. Includes discussions of how cultural perceptions and influences affect medical disease and pathology. Disease prevention and lifestyle for health. Prerequisite: AHE 106 or equivalent with minimum C grade and department chair permission.

AHE 110 - Introduction to Medical Coding and Insurance

AHE 110 - Introduction to Medical Coding and Insurance

(5)
Use of the Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) manuals to properly code and process government and private insurance forms. Other procedure/diagnosis coding systems include: Diagnosis Related Groups (DRGs), Healthcare Common Procedure Coding System (HCPCS), Resource Based Relative Value Scale (RBRVS); and managed care referrals and pre-certifications. Prerequisite: AHE 102 (or AHE 160 and 161) and OFTEC 162 with minimum C grade, or department chair permission.

AHE 112 - Basic Pharmacology

AHE 112 - Basic Pharmacology

(5)
Introduction to drugs: sources, schedules, forms, uses and actions, side effects, adverse effects and classifications. Contributions of different cultures to drug therapy. Information regarding medication orders and prescriptions. Prerequisite: AHE 101, or concurrent enrollment, or dept. chair permission

AHE 118 - Drug Dosage Calculations

AHE 118 - Drug Dosage Calculations

(5)
Application of arithmetic skills and metric system to the calculating of ratios and percentages related to drug dosages. Prerequisite: MATH 96 (or college level math) with a C grade or better.

AHE 122 - Ambulatory Care Coding Procedures

AHE 122 - Ambulatory Care Coding Procedures

(6)
Application of professional skills in abstracting medical records and assigning appropriate ICD-10-CM, CPT-4 and HCPCS codes for data retrieval and claims processing in ambulatory healthcare settings. Prerequisite: AHE 106 and 110 with minimum C grade or department chair permission.

AHE 123 - Hospital Care Coding Procedures

AHE 123 - Hospital Care Coding Procedures

(5)
Application of professional skills in evaluating medical records for accuracy and completeness in the hospital health care setting. Covers assignment of correct code numbers to diagnoses and procedures for data retrieval and UB-04 claim form submission. Prerequisite: AHE 122 with minimum C grade or department chair permission.

AHE 200 - First Aid and Emergency Procedures

AHE 200 - First Aid and Emergency Procedures

(3)
Prepares students to recognize, respond, and manage First Aid, and CPR emergencies. Covers disaster preparedness training. First Aid, AHA Basic Life Support (BLS), and 7 hour HIV/AIDS prevention certificates are awarded after successful completion of this course. Prerequisite: AHE 101, or concurrent enrollment, or department chair permission.

CMST& 120 - Interpersonal Communication: D

CMST& 120 - Interpersonal Communication: D

(5)
Uses theory and practice to develop self-awareness, confidence, and skill in communicating effectively, building healthy relationships with others, and managing conflict. Explores the impact of self-concept, perception, language, emotions, and nonverbal behavior on communication. Prerequisite: Grade of 2.0 or higher in ENGL 097, or AESL 098, or appropriate test score.

CSS 103 - First Quarter Experience

CSS 103 - First Quarter Experience

(2)
An orientation to college life and specific resources to succeed in attaining educational goals. Topics include: identifying interests and occupational choices, engaging in “college knowledge” and planning for financing college costs and a degree timeline.

ENGL& 101 - English Composition I

ENGL& 101 - English Composition I

(5)
The study of fundamental writing skills and varied writing strategies leading to the planning, organizing, writing, and revising of academic essays. Prerequisite: Appropriate placement or grade of 2.0 or higher in ENGL 99.

CSS 103 - First Quarter Experience

OBT 162 - Microsoft Office Basics

(3)
Introduction to the Microsoft Office suite of software for PCs: Word, Excel, PowerPoint, and Access. Provides familiarity with the programs; for more training see OFTEC 122, 132, and 134. Prerequisite: Basic computer skills and the ability to type by touch are strongly recommended.

Course List

 

Program Costs

Program cost information available for Certificate Options only
Medical Assistant

Certification/Licensure Options

Program graduates are eligible to take the American Association of Professional Coders national examination to become Certified Professional Coder Associates (CPC-A). AAPC credentialed coders have proven mastery of all code sets, evaluation and management principles, and documentation guidelines. Employers prefer to hire certified workers who have passed the national exam.

American Association of Professional Coders
www.aapc.com

Program Entry Requirements

Apply to the Admissions Office for an application to Skagit Valley College (SVC). Make an appointment to take your Accuplacer test. It is strongly recommended that candidates be a high school graduate or have passed the General Education Equivalency (GED) exam to enroll in the program. Students may enter any academic quarter to begin prerequisites, and attend classes on a part-time or full-time basis. Students may enroll in any class if they meet the course prerequisites. Some courses may only be offered once or twice a year. Students may be required to take a keyboarding test for entrance into some classes. It is recommended that you have a good working knowledge of computers, are detail-oriented and analytical, have excellent organizational skills and a penchant for accuracy. You should also be able to work independently with little supervision.

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