Medical Billing and Coding Online

To help you learn more about the medical billing industry, and determine if it is the right career path for you, MedicalBillingandCodingOnline.com provides free online courses that will introduce you to the field. After completing the courses, you will understand the process of medical billing and coding certification. You will also discover what you need to know in order to pass the certification exams in each field.

Our program is divided into 15 courses, giving you the comprehensive knowledge you’ll need to get ahead in any online school.

Whether you are exploring the medical billing and coding field for the first time, or you are looking to brush up before taking your certification exam, these free online courses are valuable resources.

Medical billing and coding specialists create invoices for all medical costs provided by healthcare providers and then submit the claims to patients’ insurance companies. They are also responsible for collecting patients’ portions of healthcare costs. Connecting health care providers and medical insurance companies, the medical claims process is a critical piece of the US healthcare industry.

The medical billing and coding profession requires an understanding of medical billing processes, laws and procedures that govern insurance companies, and differences between various types of insurance plans (HMOs, PPOs, and Point-of-Service plans). It also requires extensive knowledge of governmental programs such as Medicaid and Medicare that serve individuals with low-incomes, the elderly, and people with disabilities.

Medical billing can be a complex process. A medical billing specialist’s job is to outline a patient’s payment responsibility, determine a patient’s insurance coverage, decide which services can be billed to the insurance company, prepare billing paperwork, and collect payments from both patients and insurance companies. A medical billing specialist takes into account all of the factors that differ across insurance plans, such as payment rates, co-pays, coverage amounts, and deductibles when requesting payment. They also have to work with insurance companies when coverage is denied.

Medical coding specialists work with medical billing specialists to determine what services were delivered by the healthcare provider. From there, they assign a standardized code to each service. They use several systems of medical coding, including systems developed by the World Health Organization (WHO) and the American Medical Association (AMA). Both of these systems are used by insurance companies and medical providers to document different types of treatment, provide analytical data, and standardize billing practices.

MedicalBillingandCodingOnline.com also provides insider information about the job market. In addition, you’ll find information about: medical billing and coding scholarships, potential salary figures as a medical billing and coding specialist, types of billing and coding software, organizations that hire medical billing and coding specialists, and schools with accredited medical billing and coding programs.

FAQ

Q: What is it like to have a career as a medical billing or medical coding specialist?
A: We address what it’s like to work day-to-day in this profession, as well as the requirements of the job, and recommendations for starting your own business on our Career page.

Q: Are there laws that regulate the medical billing profession?
A: Medical billing specialists must ensure that their practices operate in compliance with the Health Insurance Portability and Accountability Act (HIPAA), as well as with other requirements set by the Office of Inspector General (OIG). You can learn more details about these legal responsibilities on our Guidelines page.

Q: Where do I learn about all of the specialized vocabulary used in the medical billing field?
A: You can check out our Terminology page to help you prepare to become a medical billing specialist.

Q: There are a lot of different kinds of insurance companies, and different types of insurance coverage. How can I tell them apart?
A: On our Health Insurance Providers page, we explain all of the critical differences between types of plans, including the distinctions between governmental and commercial insurance providers.

Q: What is the ICD?
A: The International Classification of Diseases (ICD) is a system developed by the World Health Organization (WHO) to provide universal codes for treatment. Medical providers and insurance companies both rely on these codes to communicate the type of treatment performed and to determine if a treatment qualifies for insurance coverage. You can learn about the system on our Medical Coding Process page. In addition, because more organizations are beginning to use the revised ICD-10, you’ll want to learn how the new version compares to the older ICD-9 by checking out our Medical Coding Crosswalk page.

Q: What are CPT codes?
A: The American Medical Association (AMA) has a series of diagnostic and treatment codes called the Current Procedural Terminology (CPT) that provide communication between agencies at the local, state, regional and national levels. These codes are used for financial, analytical, and administrative purposes along with the ICD codes.

Q: There’s a lot to learn! What are the common errors that occur during medical billing, and how do I avoid them?
A: We address common errors and ways to prevent them on our Medical Billing Errors page.

Q: What does the job market look like for medical billing and medical coding specialists? What kind of salary can I expect from jobs in these fields?
A: The national median salary for a medical billing specialist is $35,000 a year; while medical coding specialists have a stronger salary outlook, with a median income of $47,000 for certified professionals. Managerial positions for both fields have even higher salary potentials. The future job market for these positions is strong, with 22% growth in the general field predicted over the next decade.

Q: Do all medical billing and coding specialists work for health care providers?
A: Medical billers and coders can work in the office of a health care provider, or at a hospital. In addition, because the job involves mostly clerical work, you can start your own business and work from home. You can learn more about your options on our Career page.

Q: What sort of degree do I need to go into medical billing and coding?
A: No degree is required, although many professionals receive an associate’s degree in the field. You may need to obtain professional certification depending on the specific job and the employer. With a degree in business, or health administration, you will have additional career options and better salary potential.

Table of Contents
Ch. 04

Course 4: Medical Billing Guidelines

This course allows you to review guidelines for the Health Insurance Portability and Accountability Act (HIPAA) and Office of Inspector General (OIG) compliance. You’ll also explore implications of the Healthcare Reform Act.

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Ch. 07

Course 7: Health Insurance Providers

This course is a comprehensive guide to the wide spectrum of government and commercial insurance providers you will be working with. You’ll explore valuable information on how to process claims for different insurers.

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Ch. 10

Course 10: ICD-9-CM and ICD-10-CM Codes

This course serves as a reference guide for the International Classification of Diseases (ICD), including both ICD-9 and ICD-10 code sets. Discover the differences between them and how the change in ICD is affecting the industry.

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Medical Billing and Coding Online