Medical Billing and Coding Certificate Program

Medical Billing and Coding Certificate

Due in part to an aging population and an increase in insurance claims, employment of health information technicians, a category that includes medical coders, is expected to increase much faster than the average for all occupations through 2024.* This trend has created new opportunities within the industry, and not all of today's health care jobs require patient contact. Medical billing and coding is an administrative support specialty that is expected to increase in need as patient records are being increasingly scrutinized by health insurance companies, regulators, courts, and consumers.* At Kaplan University, you could develop the skills required to seek entry-level employment in this field.

Medical Billing and Coding Certificate Program Highlights

The Medical Billing and Coding Certificate program can provide you with the knowledge and technical skills required by employers in health care services. Coursework provides instruction in topics such as:

  • Anatomy, physiology, and pharmacology
  • Data information processing
  • Medical billing, coding, and terminology
  • Insurance billing
  • Medical terminology and medical office management

Prior to graduation, you will gain additional hours of practical experience in medical billing, coding, and administrative functions in a virtual lab setting.

Prepare for Certification

Upon completion of the program, you may be eligible to take the Certified Billing and Coding Specialist (CBCS) certification exam sponsored by the National Healthcareer Association (NHA), the Certified Coding Associate (CCA) certification exam sponsored by the American Health Information Management Association (AHIMA), and the Insurance and Coding Specialist (NCICS) certification exam sponsored by the National Center for Competency Testing (NCCT). You may be eligible for additional certifications once you attain professional experience.

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Higher Education at the Highest Standards

Kaplan University is accredited by The Higher Learning Commission (HLC) and committed to the highest standards. Our specific programs hold additional industry-relevant approvals and accreditations.

What are the Career Opportunities?

Upon successful completion of the program, you will be awarded a Medical Billing and Coding Certificate and can pursue entry-level employment with a variety of employers in the health care industry, such as:

  • Doctors' offices, clinics, and hospitals
  • Home health agencies and nursing homes
  • Insurance and medical billing companies
  • Medical group practices

How Do I Get Started?

Kaplan University offers multiple start dates, giving you greater flexibility with your education, life, and work schedules. Certain start dates may not be available at all ground locations; speak with an advisor for additional information.

07

Dec

Online Start Date

December 07, 2016

04

Jan

Online and Campus Start Date

January 04, 2017

01

Feb

Online Start Date

February 01, 2017

01

Mar

Online and Campus Start Date

March 01, 2017

22

Mar

Online and Campus Start Date

March 22, 2017

19

Apr

Online Start Date

April 19, 2017

17

May

Online and Campus Start Date

May 17, 2017

07

Jun

Online and Campus Start Date

June 07, 2017

05

Jul

Online Start Date

July 05, 2017

02

Aug

Online and Campus Start Date

August 02, 2017

23

Aug

Online and Campus Start Date

August 23, 2017

20

Sep

Online Start Date

September 20, 2017

18

Oct

Online and Campus Start Date

October 18, 2017

08

Nov

Online and Campus Start Date

November 08, 2017

06

Dec

Online Start Date

December 06, 2017

Curriculum: All Tracks

  • Certificate Requirements

    Total Certificate Requirements Credits: 39

    Total Program Credits: 39

    • HI 215: REIMBURSEMENT METHODOLOGIES Change

      This course will show students the reimbursement side of health care and the importance of correct coding and billing practices to both the facility and the patient. Students will gain insight into the various types of health insurance plans, and also study compliance as it relates to reimbursement. 

      Credits:

      3

      Prerequisites Required:

      None | Corequisite: HI 255

    • HI 253: MEDICAL CODING I Change

      This course surveys the basics of medical coding for inpatient and outpatient health care settings. Specifically, the format, conventions, and general guidelines for the ICD-10-CM, ICD-10-PCS, HCPCS Level I/II, and CPT code sets are examined. You learn to apply appropriate diagnosis and procedure codes upon reviewing key health record information. Additionally, the course provides an introduction to clinical documentation improvement (CDI), compliance audits, and health information systems (i.e., CAC, encoders).

      Credits:

      5

      Prerequisites Required:

      Prequisite or corequisite: SC 131

    • HI 255: MEDICAL CODING II Change

      This course explores advanced topics vital to the ethical, legal, and compliant practice of medical coding within inpatient and outpatient settings. You will examine case scenarios throughout the course using a problem-based learning approach. The course offers virtual laboratories on health information systems and technologies critical to quality coding practices in today's digital world.

      Credits:

      5

      Prerequisites Required:

      HI 253

    • HS 111: MEDICAL TERMINOLOGY Change

      This course provides a logical understanding of the language of medicine. Basic prefixes, suffixes, word roots, and rules for taking a singular term and making it plural are studied, along with word analysis, word building, spelling, and pronunciation. These principles are applied to the study of the following systems: integumentary, skeletal, muscle/joints, blood and lymphatic, nervous, respiratory, and cardiovascular. Each body system is reviewed with anatomy and physiology; diagnostic, lab, and surgical procedures; and pharmacology for interest and knowledge.

      Credits:

      5

      Prerequisites Required:

      None

    • HS 200: DISEASES OF THE HUMAN BODY Change

      Studies include principles of vaccinations and disease prevention, chronic diseases, diagnosis and treatments, and the economic impact. You will also learn about infectious diseases, disease etiology, symptoms, diagnostic tests, therapeutic methods, and disease prognosis. In addition, genes, mutations, inheritance, genetic diseases, cancer, and cancer treatments will be reviewed.

      Credits:

      5

      Prerequisites Required:

      None

    • HS 215: MEDICAL INSURANCE AND BILLING Change

      This course provides an understanding of health care insurance billing and insurance concepts in practice today. It includes medical insurance billing theory and methodology, and covers specific reimbursement theories, health care concepts, and the practical application of third-party insurance rules.

      Credits:

      3

      Prerequisites Required:

      None

    • SC 121: HUMAN ANATOMY AND PHYSIOLOGY I Change

      In this course, students are taught the anatomy and physiology of the human body. Topics include the various body systems, structures, cells, and tissues and the principles of homeostasis. Students are introduced to the organization and structure of the human body. This course includes a lab component.

      Credits:

      5

      Prerequisites Required:

      None

    • SC 131: HUMAN ANATOMY AND PHYSIOLOGY II Change

      In this course, which is a continuation of SC 121: Human Anatomy and Physiology I, students are taught the anatomy and physiology of the human body. Topics include, but are not limited to, the cardiopulmonary, immune, gastrointestinal, urinary, and reproductive systems. These systems will be covered on a cellular, tissue, organ, and system level. This course includes a lab component.

      Credits:

      5

      Prerequisites Required:

      SC 121

    • HS 292: BILLING AND CODING PRACTICUM Change

      This course is designed to build on the concepts and skills of program courses, specifically medical billing and coding. You will gain additional hours of practical experience in medical billing, coding, and administrative functions in a virtual lab setting.

      Credits:

      3

      Prerequisites Required:

      Last term or permission of the Dean

Curriculum: Concentration

Can I Afford This?

Kaplan University is committed to helping you find more ways to save on college tuition. Our Tuition Cap, scholarships, grant, military reductions, and transfer and experiential learning credits are some of the ways we can help lower the cost of your tuition and help you graduate sooner.

Ways to Save

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Helpful Information

Whether you are on your way up the corporate ladder or just getting started, our degree programs and certificates could help you prepare to take your career to a higher level.

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*Source: U.S. Department of Labor, Bureau of Labor Statistics, Occupational Outlook Handbook, 2016-17 Edition, Medical Records and Health Information Technicians, on the Internet www.bls.gov/ooh/Healthcare/Medical-records-and-health-information-technicians.htm. National long-term projections may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.

Kaplan University cannot guarantee employment or career advancement.

Although certain programs at Kaplan University are designed to prepare students to take various certification or licensing exams, the University cannot guarantee the student will pass those exams. In some cases, field experience, additional coursework, and/or background checks may be necessary to take or to successfully pass the exams. Students should research the requirements in the state in which they intend to seek employment.