{"@id":"https://credentialengineregistry.org/resources/ce-4436e41b-eadd-47c4-9c7d-2d0cdd198bc0","@type":"ceterms:Certification","@context":"https://credreg.net/ctdl/schema/context/json","ceterms:ctid":"ce-4436e41b-eadd-47c4-9c7d-2d0cdd198bc0","ceterms:name":{"en-US":"Medical Billing \u0026 Coding Certification w Externship"},"ceterms:ownedBy":["https://credentialengineregistry.org/resources/ce-ffa1609c-c722-464a-befe-68997e12499e"],"ceterms:requires":[{"@type":"ceterms:ConditionProfile","ceterms:description":{"en-US":"The Medical Billing \u0026 Coding Program\r\nThis billing and coding course offers the skills needed to perform complex coding and billing procedures. The\r\ncourse covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery,\r\nradiology and laboratory), the ICD-10 for both diagnosis and procedure coding and basic claims processes for\r\ninsurance reimbursements. This billing and coding program delivers the skills students need to solve insurance\r\nbilling and coding problems. It details proper assignment of codes and the process to file claims for\r\nreimbursement. This course covers the following key areas and topics:\r\n-An overview of healthcare and the insurance industry\r\n-The organization and use of the ICD-10-CM, CPT, and HCPCS manuals to identify correct codes\r\n-Detailed review and practice using the alphabetic index and tabular list of the ICD-10-CM\r\n-Basic claims processes for medical insurance and third-party reimbursements\r\n-Completing common insurance forms, tracing delinquent claims, and appealing denied claims"},"ceterms:targetLearningOpportunity":["https://credentialengineregistry.org/resources/ce-dd4a5232-2038-4389-b692-25d8a153f79b"]}],"ceterms:offeredBy":["https://credentialengineregistry.org/resources/ce-ffa1609c-c722-464a-befe-68997e12499e"],"ceterms:inLanguage":["en-US"],"ceterms:description":{"en-US":"The Medical Billing \u0026 Coding Program\r\nThis billing and coding course offers the skills needed to perform complex coding and billing procedures. The\r\ncourse covers: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery,\r\nradiology and laboratory), the ICD-10 for both diagnosis and procedure coding and basic claims processes for\r\ninsurance reimbursements. This billing and coding program delivers the skills students need to solve insurance\r\nbilling and coding problems. It details proper assignment of codes and the process to file claims for\r\nreimbursement. This course covers the following key areas and topics:\r\n-An overview of healthcare and the insurance industry\r\n-The organization and use of the ICD-10-CM, CPT, and HCPCS manuals to identify correct codes\r\n-Detailed review and practice using the alphabetic index and tabular list of the ICD-10-CM\r\n-Basic claims processes for medical insurance and third-party reimbursements\r\n-Completing common insurance forms, tracing delinquent claims, and appealing denied claims"},"ceterms:subjectWebpage":"https://www.govst.edu","ceterms:credentialStatusType":{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://credreg.net/ctdl/terms/CredentialStatus","ceterms:targetNode":"credentialStat:Active","ceterms:frameworkName":{"en-US":"Credential Status"},"ceterms:targetNodeName":{"en-US":"Active"},"ceterms:targetNodeDescription":{"en-US":"Awards of the credential are ongoing."}},"ceterms:instructionalProgramType":[{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://nces.ed.gov/ipeds/cipcode/Default.aspx?y=56","ceterms:targetNode":"https://nces.ed.gov/ipeds/cipcode/cipdetail.aspx?y=56\u0026cip=51.0713","ceterms:codedNotation":"51.0713","ceterms:frameworkName":{"en-US":"Classification of Instructional Programs"},"ceterms:targetNodeName":{"en-US":"Medical Insurance Coding Specialist/Coder."},"ceterms:targetNodeDescription":{"en-US":"A program that prepares individuals to perform specialized data entry, classification, and record-keeping procedures related to medical diagnostic, treatment, billing, and insurance documentation.  Includes instruction in medical records and insurance software applications, basic anatomy and physiology, medical terminology, fundamentals of medical science and treatment procedures, data classification and coding, data entry skills, and regulations relating to Medicare and insurance documentation."}}]}