How to get medical coding certification online

The Medical Coding Specialist Certificate is designed to prepare students for employment as medical coders. Medical coders are health information professionals who specialize in analyzing health record documentation and determining diagnoses and procedures required for reporting purposes. Medical codes determined by medical coders are used primarily for reimbursement purposes; however, medical codes are also used for public health, research, operational and organizational planning, and benchmarking purposes in healthcare.

The work of medical coders requires knowledge of biomedical sciences, healthcare delivery, health information technology, and health record documentation. Therefore, the rigor of this certificate provides students challenging curricula in these domains.

Medical coders traditionally work in hospitals, ambulatory healthcare facilities, and physician offices to code records for reimbursement purposes. However, some medical coding professionals use their knowledge and expertise for non-traditional employment opportunities with third-party payers, medical software vendors, and the government (among others).

The healthcare industry depends on highly skilled and knowledgeable professionals in all areas of practice. Therefore, individuals considering a career in medical coding should recognize the importance of earning medical coding credentials after completion of this certificate program. Credentialing in healthcare is often required for employment, demonstrates professional competence, and illustrates commitment to one's profession. Successful completion of this program prepares students to sit for either the Certified Coding Associate (CCA) credentialing examination offered by the American Health Information Management Association and/or the Certified Professional Coder (CPC) and/or Certified Professional Coder-Hospital Outpatient (CPC-H) credentialing examination offered by the American Academy of Professional Coders.

(Major Code 4660; State CIP Code 51.0713)

Medical Information and Revenue Management Program web page

First Semester

BIOL 144 Human Anatomy and Physiology* 5
HC 130 Medical Terminology for Healthcare Professions 3
HCIS 255 Technology Concepts in Healthcare 2
MATH 116 Intermediate Algebra* (or higher) (Note: Students planning to pursue undergraduate degrees in health information management or healthcare administration should take MATH 171 College Algebra.) 3
MIRM 140 Fundamentals of Health Records 2
Total Hours 15

Second Semester

ENGL 121 Composition I* 3
HCIS 271 The Culture of Healthcare 2
MIRM 141 Computer Systems for Health Information Management Professionals* 3
MIRM 142 Legal and Ethical Issues in Healthcare 3
MIRM 143 Coding Classification Systems I* 3
Total Hours 14

Third Semester

BIOL 227 Human Pathophysiology* 4
MIRM 144 Coding Classification Systems II* (Note: Students are recommended to concurrently enroll in BIOL 227) 3
MIRM 145 Reimbursement Methodologies* 3
MIRM 147 Introduction to Pharmacology* 2
Total Hours 12

Fourth Semester

MIRM 146 Coding Classification Systems III* 3
MIRM 148 Medical Coding Internship* (Note: Students must complete all other required certificate coursework with a "C" or higher grade to enroll in this course.) 1
Total Hours 4
Total Program Hours: 45

Note: MIRM 198 is recommended for those interested in the credential examinations.

MIRM 198 Medical Coding Credential Exam Preparation* 2

Become a Certified Medical Billing and Coding Specialist

Medical billing and coding is a rising star in the healthcare field today. This 100% online course will prepare you to start a career in this high-demand occupation and earn the medical billing and coding professional certification that best aligns with your interest and career goals. You’ll learn how to use the Healthcare Common procedure Coding System (HCPCS) and the CPT Category II and ICD-10 codes. Additionally, you’ll gain hands-on practice using medical billing and coding software. Upon course completion, you’ll receive a voucher for the certification exam of your choice: CPC, CCA or CBCS.

Registration and Enrollment

This course is 100% online. Start anytime.

Job Outlook for Medical Billing and Coding Specialists

  • According to the Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average annual salary of $40,350 and work in one of the fastest growing professions.
  • The BLS also estimates that at least 27,000 new jobs will be needed in this profession by 2026.

Medical Billing and Coding FAQs

WHAT DOES A MEDICAL BILLER AND CODER DO?

Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient’s diagnosis and then request payment from the patient’s insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.

IS THERE A DIFFERENCE BETWEEN A MEDICAL BILLING AND A MEDICAL CODING?

Yes. Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. Medical billers are responsible for creating a claim based on the codes a medical coder provides. Many professionals in this area do both medical billing and medical coding.

WHAT ARE THE REQUIREMENTS FOR A MEDICAL BILLING AND CODING CAREER?

Entry-level positions typically require completion of a certificate or an associate degree program in medical billing and coding. Additionally, medical billing and coding professionals must understand the Health Insurance Portability and Accountability Act (HIPAA).

HOW LONG DOES IT TAKE TO BECOME A MEDICAL BILLER AND CODER?

In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year, while earning an associate degree can take up to three years.

WHAT IS THE DIFFERENCE BETWEEN CERTIFICATION EXAMS (CPC, CCA, and CBCS)?

The Certified Professional Coder (CPC) exam is administered by the American Academy of Professional Coders (AAPC). It is a common advanced credential for medical coders in physician office settings. The Certified Coding Associate (CCA) exam is an entry-level certification provided through the American Health Information Management Association (AHIMA) that indicates proficiency in medical coding in hospital and office settings. CBCS stands for Certified Billing and Coding Specialist, and it is a designation earned from the nationally recognized National Healthcareer Association (NHA) to work in various medical facilities including hospitals, surgery centers, physician offices, nursing homes, mental health facilities, home healthcare agencies, and dental offices.

IS MEDICAL BILLING AND CODING A GOOD CAREER?

U.S. News & World Report ranked medical records technician (professionals that perform medical billing, medical coding or both) as #9 on its list of “25 Best Jobs that Don’t Require a College Degree,” #12 in “Best Health Care Support Jobs” and on the “The 100 Best Jobs” list.

Course Objectives

  • Be fully prepared to pass one of the following professional certifications that best aligns with your interest and career goals:
    • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
    • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
    • Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
  • Learn how the CPT Category II codes and ICD-10 codes work and how to assign them in common medical billing and coding procedures
  • Gain hands-on billing experience with medical billing and coding software
  • Externship Starter Kit to help you gain valuable experience in the field
  • Medical Biller standalone option for those who aren’t interested in Medical Coding

Enroll Now

Prerequisites and Requirements

There are no prerequisites to take this course.

Curriculum

  1. Medical Terminology
  2. Introduction to Medical Terminology
  3. The Musculoskeletal System
  4. The Cardiovascular System
  5. The Lymphatic and Immune Systems
  6. The Respiratory System
  7. The Digestive System
  8. The Urinary System
  9. The Nervous System
  10. The Special Senses the Eyes and Ears
  11. The Integumentary System
  12. The Endocrine System
  13. The Reproductive System
  14. Diagnostic Procedures, Nuclear Medicine, Pharmacology
  15. Medical Billing and Coding
  16. Introduction to Medical Billing and Coding
  17. Introduction to Health Insurance
  18. Managed Healthcare
  19. Revenue Cycle Management
  20. Legal Aspects of Health Insurance and Reimbursement
  21. ICD-10-CM Coding
  22. CPT Coding
  23. HCPCS Level II Coding
  24. ICD-10-PCS Coding
  25. Pharmacology for Coders
  26. Midterm
  27. Clinical Documentation Improvement (CDI)
  28. Insurance Claims
  29. Commercial Insurance
  30. Blue Cross Blue Shield
  31. Medicare
  32. Medicaid, CHIP, TRICARE, Workers’ Compensation
  33. Certification
  34. How to Find a Job in Medical Billing and Coding
  35. Final

Instructors

Nancy Smith

Nancy Smith has over 30 years of experience in the healthcare industry. Her clinical experience includes working as a medical assistant for a network of rural health clinics, and as a medical coder, insurance claims specialist, and medical records auditor. Nancy holds a bachelor’s degree in vocational education and has developed and taught medical assistant programs.

LaTisha Cottingham

LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as an HIM Analyst for a long-term care establishment that is based out of Alabama.

Which certificate is best for medical coding?

The Certified Professional Coder (CPC) certification may be an ideal path for those interested in working in an outpatient setting, such as a physician's office or outpatient clinic. The CPC exam is the most popular medical coding certification exam in the field of medical coding.

Can I learn medical coding in 3 months?

Becoming certified as a medical coder can take as little as four months or as long as fifteen months. These courses prepare you for taking the tests needed for the following credentials: Certified Professional Coder issued by the American Academy of Professional Coders.

How long does it take to get certified as a coder?

In most cases, it takes between one and three years to become a medical biller and coder. Earning a medical billing and coding certification can take up to one year, while earning an associate degree can take up to three years.

Can I learn medical coding on my own?

Absolutely not. Self-taught medical coding is easier for those already working in the health care field that has a good basis of medical terminology and other insurance concepts. It would be extremely difficult for someone who has absolutely no background in healthcare or any exposure to medical coding.