Medical Billing and Coding - HLTH-X822
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.