Medical Billing and Coding Specialist Certification
The program teaches how to assemble all data concerning the medical billing process, including code assignments,
charge entry, claims transmission and payment posting. You will also learn theory and practice of medical records
and obtain a complete knowledge base of CPT®, HCPCS Level II, ICD-9-CM and ICD-10-CM/PCS codes. Once you have
completed the program your Undergraduate Certification will be a stand-alone educational credential and will also
be an earned academic credit towards other NAHCE degree programs or specializations.
Medical billing and coding Specialist provide an essential service to a physician’s offices,
hospital outpatient facilities and ambulatory surgical centers (ASC)s. Every time a patient receives
professional health care the service provider must document the services and translate them into a
billing claim. Medical billing and coding Specialist abstracting the information from documentation and
use classification software to assign the appropriate clinical codes and ensure the practice receives
reimbursement for the work the health care provider performs. Medical billing and coding Specialist are
often responsible for organizing and managing health information databases and registries for
collection, storage, analysis, retrieval, and to assure the accuracy, security and confidentiality of
the patients health information.
|Quick Facts: Medical Billing and Coding Specialist and Health Information
|2012 Median Pay
||$34,160 per year
|The top 10% earn
||$53,160 per year
|The lower 10% earn
||$21,160 per year
|Number of Jobs, 2012
|Job Outlook, 2012-22
||22% (Much faster than average)
|Number of Jobs, 2022
Medical Billing and Coding Specialist Online Program
The NAHCE Online Medical Billing and Coding Specialist learning platform is packed full of media-based
activities and exercises including educational videos and simulations, collaborative class discussions and
interactive activities with the same personalized attention and student-teacher interaction support as a tradition
classroom-based education. It is the most intuitive user experience available today for any learning system and you
can conveniently utilize it at your leisure 24 hours a day.
�Immediate feedback and student instructor
interaction with online assignments, quizzes and practice test and progress reports.
�Students can access all their Associate Degree
Medical Billing and Coding course materials, including the media-rich online textbook from any mobile
phone or home computer.
�Preparation for Billing and Coding Certifications
and guidance to students by highlighting crucial content for the NHA, AHIMA and AAPC Certification
�NAHCE Online Associate Degree Medical Billing and
Coding Learning Platform with Ebook w/ Text Hard Copy.
�Throughout each chapter, Coding Examples walk
through clinical scenarios and describe how to select codes to describe the cases, including such
complex factors as modifiers and components of E/M. To take learning to the next level, exercises at
the end of each section and chapter provide opportunities to practice coding each type of diagnosis
�Skills can't be learned in a vacuum.
Throughout each chapter, From the Perspective of... features emphasize the links between topics
covered and real-world coding careers. These features also highlight the point-of-view of health care
providers and payers, supplying a well-rounded, complete picture of medical coding.
�Approach the transition to ICD-10 with confidence.
Each diagnosis-coding chapter in Medical Coding Fundamentals includes options to assign ICD-10-CM
codes in addition to ICD-9-CM.
Billing and Coding Specialist Certification Required Courses:
NAHCE will accept transfer credit for traditional course work you have successfully completed as documented on
an official transcript. Courses must be similar in nature to our academic programs to receive transfer credit.
(6 Credits) This course is designed to provide an overview of the coding systems
and resources used to report inpatient and outpatient diagnoses, procedures, and services to health
plans. Accurate coding is crucial to the successful operation of any health care facility or providers
office, given that reported codes determine the amount of reimbursement received. The student will be
provided ample opportunity to investigate coding resources in assigning codes for optimal reimbursement.
You’ll learn the CPT manual and Level II National Codes (HCPCS), CPT codes, how to use both the
ICD-9-CM and the CPT manuals to describe diagnoses and procedures and the coding issues related to the
complex cardiovascular system, specialty practice coding and how to provide accurate and consistent codes
for services provided in a hospital setting.You’ll explore the ICD-9 and learn the new ICD-10 system.
- The Index and Tabular List of the ICD-9 to locate diagnosis codes.
- The major components of the ICD-10 system.
- Components of government and private health-care payer systems.
- HIPAA regulations.
- The use and application of V-codes.
- The components of the CPT manual.
- The components of the Level II HCPCS manual.
- HCPCS codes.
- CPT modifiers to services and procedures.
- Key components for Evaluation and Management coding.
- Types of anesthesia.
- Anesthesia codes.
- Surgery guidelines.
- Coding for procedures found in the Female Genital and Maternity Care and Delivery subsection.
- Differentiate between inpatient and outpatient reporting guidelines.
- Coding for burn, excision, repair, and breast procedures.
- Coding for Pathology and Laboratory procedures.
- Coding for fractures, casts, strapping, and endoscopic procedures.
- Coding for cardiovascular procedures found in the Surgery section, Medicine section, and Radiology
- The Index and Tabular List to code radiological procedures.
- Code procedures and services located in the Medicine subsection.
- Inpatient diagnosis and procedure reporting using the ICD-9.
- The transition to the ICD-10-PCS system.
(6 Credits) This course is designed to further develop skills in utilizing coding
systems and resources to identify the accurate code for inpatient and outpatient diagnoses, procedures,
and services from the patient record. The student will be provided case studies requiring investigation
of coding resources to assign codes for optimal reimbursement. You will learn about general coding
guidelines for inpatient and outpatient procedures and physician office coding using ICD-9-CM, HCPCS
Level I, and HCPCS Level II procedure coding. This course will also focuses on the impact of revisions to
coding guidelines and payer requirements.
- Diagnoses and procedures contained on medical reports.
- Procedures using ICD-9-CM and the Healthcare Common Procedure Coding System (HCPCS).
- Principles to code services, conditions, and procedures using ICD-9-CM and the Healthcare Common
Procedure Coding System (HCPCS).
- Coding principles and guidelines of ICD-9-CM and HCPCS.
- Sequencing of codes for reporting and billing.
- ICD-9-CM and HCPCS guidelines and coding conventions.
- HCPCS procedural coding for different settings.
Medical Billing and Coding Specialist Certification
NAHCE Diploma tells your employer that you have receive the highest standards of education and credentials
recognition and have met the educational requirements of the certifying bodies in your field. Our graduates receive
the highest levels of continuing education and credentials recognition required to pursue jobs in the high
demanding field of Billing and Coding. After program completion your Certification will be a stand-alone
educational credential. It will also be an earned academic credit towards other Certification or degree
Certified Billing and Coding Specialist CBCS National Certification
Our advanced Medical Billing and Coding Specialist Program meets the educational requirements of the certifying
bodies in your field. After successful completion of the Billing and Coding Specialist program you will receive the
NAHCE's Billing and Coding Specialist Certification and be eligible to sit for the Billing and Coding NHA,
AHIMA and AAPC Exams for National Certification.
NAHCE is a training provider and agent for the NHA National Certification Exams accredited by the
National Commission for Certifying Agencies (NCCA) and issues certifications through
National Healthcareers Association, Inc.
In order to qualify as a candidate for NAHCE Sponsored Certification Testing an individual must
obtain one of the following:
- NAHCE Medical Billing and Coding Specialist Certification
- Be confirmed as a graduate of a recognized Electronic Health Records Program or School.
- Confirmed employment by a medical facility as an electronic Health Records for a minimum of 2
Medical Billing and Coding Careers
Health Information Technicians held about 186,300 jobs in 2012. The demand for health services is expected to
increase as the population ages. An aging population will need more medical tests, treatments, and procedures. This
will mean more claims for reimbursement from insurance companies. Additional records, coupled with widespread use
of electronic health records (EHRs) by all types of health care providers, could lead to an increased need for
technicians to organize and manage the associated information in all areas of the health care industry. Prospects
will be best for those with a associate degree in health information. As EHR systems continue to become more
common, Medical Billing and Coding Specialists with computer skills will be needed to use them. Most Medical
Billing and Coding Specialists work in hospitals or physicians’ offices. Others work in nursing care facilities
or for government entities. Technicians typically work at desks or in offices and may spend many hours in front of
The median annual wage for Health Information Technicians was $34,160 in May 2012. The median wage is the wage
at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent
earned less than $22,250, and the top 10 percent earned more than $56,200.