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Course Description

Explore the Emergent Field of Medical Billing and Coding

This course provides foundational knowledge and practical skills in medical billing, coding, and reimbursement processes across healthcare settings. Students learn to interpret medical documentation, apply ICD-10-CM, CPT, and HCPCS Level II codes, navigate insurance claim workflows, and understand regulatory and compliance requirements. Emphasis is placed on accuracy, ethical billing practices, and real-world application through case studies and hands-on coding exercises.

Learner Outcomes

  • Apply ICD-10-CM, CPT, and HCPCS Level II coding guidelines to clinical documentation
  • Interpret medical records to determine accurate diagnoses, procedures, and services
  • Prepare and submit clean insurance claims using industry-standard billing processes
  • Identify common billing errors, compliance risks, and fraud indicators
  • Explain reimbursement methodologies for Medicare, Medi-Cal, and commercial payers
  • Demonstrate professional communication and documentation practices in the revenue cycle

Course Details

Number of Units: 2.0 graduate-level extension credit(s) in semester hours

Who Should Attend: Anyone interested in entering the medical field as an administrative medical professional. The course will cover patient insurance plan coverage, provider insurance plan reimbursements, patient rights to privacy, HIPAA, medical billing terminology and an introduction to diagnosis and procedural coding. These skills will assist in obtaining an entry level front offive or medical billing position in a physician's office.

Course Materials: Text, AMA CPT Book, ICD-10 Code Book, HCPCS Book - 2026 Physician Bundle by Author(s) AAPC available at Amazon.com or through Optum or eBay.

Technical Requirements

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Enroll Now - Select a section to enroll in

Type
self-paced
Dates
Start Now, you have 180 days to complete this course once enrolled.
Course Format
Course Fee(s)
HLTH PD - $399 credit (2 units) $399.00
Available for Extension Credit
2 units
Instructor(s)
  • RoseAnna Alcala
Reading List / Textbook

This course requires renting/or purchasing your textbook directly from Evolve to ensure you receive your student resource access code, we have included their direct links below. Purchasing from other retailers will not include the access code.

eBook version (includes access code for student resources) $103.49 * https://evolve.elsevier.com/cs/product/9780323810753?role=student

Print version (Includes access code for student resources). $129.59 https://evolve.elsevier.com/cs/product/9780323795357?role=student

*If choosing to rent the textbook and student resource, your access to the material will begin on the date of purchase, and end upon the length of rental. Students are advised not to purchase their rental until they are ready to begin their course.

Section Notes

Once you have enrolled in your course, log in to your account to access the course Welcome Letter, which includes directions on how to access the New Student Orientation and your online course.

Please pay special attention to the textbook requirements for this course, more information can be found at the bottom of your Welcome Letter. 

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