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 hands-on practical experience in medical billing, coding, and administrative functions through a 40-hour practicum experience.
Prepare for Certification
Upon completion of the program, you may be eligible to sit for the following certification exams‡:
- Certified Billing and Coding Specialist (CBCS) certification exam sponsored by the National Healthcareer Association (NHA)
- Certified Coding Associate (CCA) certification exam sponsored by the American Health Information Management Association (AHIMA)
- Certified Coding Specialist–Physician-based (CCS-P®) and Certified Coding Specialist (CCS®) exams offered by the American Health Information Management Association (AHIMA)
- 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.
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
Curriculum: All Tracks
- Certificate Requirements
Total Certificate Requirements Credits: 44
Total Program Credits: 44
- 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.
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).
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.
- 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.
- HS 140: PHARMACOLOGY Change
This course is a systematic study of basic pharmacology principles with emphasis on the skills and information needed to succeed in a working environment. Topics covered include drug classes, dosage calculations and measurement conversions, drug administration routes, and proper medication documentation procedures.
- 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.
- 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.
- 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.
- 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.
- 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 practical experience in medical billing, coding, and administrative functions in both an online virtual lab setting and in a health care facility.
Last term or permission of the Dean
- HI 215: REIMBURSEMENT METHODOLOGIES Change
Can I Afford This?
Kaplan University is committed to helping you find more ways to save on college tuition. Our Tuition Cap, 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.
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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 be eligible to sit for or pass those exams. In some cases, work experience, additional coursework beyond the Kaplan University program, fieldwork, and/or background checks may be necessary to be eligible to take or to successfully pass the exams. Students should research the requirements in the state in which they intend to seek employment.