Medical Insurance Coder/Biller – Certificate

The Medical Insurance Coder/Biller Certificate program prepares the student to work in a medical office, clinic, surgical center, emergency center or hospital. Emphasis is placed on medical terminology, use of electronic medical management systems, medical financial management, disease conditions, diagnostic and procedure coding, and medical office and hospital billing. This is a competency based program that allows for a variety of program completion options which may include credit for work experience or waiver by exam and therefore can be tailored to meet the needs of both the novice and experienced coder or biller to prepare for numerous industry credentials.


Program Requirements

Minimum credits 24
Minimum cumulative GPA 2.0
Minimum grade in all courses 2.0
Minimum grades in MIC141, MIC241, and MIC242 2.5
Minimum Jackson College credits 15

SEMESTER ONE

Take the following:

Course # Course Name Credits Prerequisites Notes
MED 125 Intro to Body Systems 3

This course provides an overview of the anatomy of each body system in relation to the field of medical assisting.

MIC 141 Principles of Medical Coding & Billing 3

Study principles and practices in health information management as it relates to documentation for medical billing. Introduction to ICD and CPT coding, private insurance, and government program claim processing, legal and health care finance issues, HIPAA and release of information guidelines are emphasized.

MOA 112 Medical Law and Ethics 3 CIS 095* and ENG 090*

Principles and concepts of medical law and bioethics, as well as an overview of health care financing through third party payers are the main focus of this course. Topics include: medical practice management, medical law, liability and malpractice prevention, health information management, HIPAA and confidentiality of patient information, employment practices, consent, billing collections, insurance and government healthcare programs, codes of ethics and contemporary bioethical issues.

MOA 120 Medical Terminology 3 ENG 085*

A programmed learning word building system approach is used to teach basic medical terminology word roots, prefixes, suffixes, language origins, plural formation and grammar rules are studied. Emphasis is placed on word building, definitions, spelling, usage, pronunciation and acceptable medical abbreviations.

SEMESTER TWO

Take the following:

Course # Course Name Credits Prerequisites Notes
MIC 241 Physician Office Medical Coding 6

This online course teaches fundamental medical coding skills for professional services (physicians, mid-level providers, etc) and prepares the student to take AAPC’s CPC exam. The course covers CPT, HCPCS and ICD-10-CM coding. Assures a broad knowledge in reviewing and assigning the correct procedure and diagnosis codes for professional (physician) services.

MIC 242 Advanced Medical Billing 3 ACC 216 or ACC 231 and MIC 141

Designed to teach advanced skills in medical insurance billing. Correct preparation of major carrier claims including use of modifiers and rebilling skills emphasized.

MIC 255 Coder/Biller Capstone 3 MIC 211 and Instructor Permission

A student may choose to take the capstone instead of the practicum. In the capstone, you will not be performing hours at an external site, but rather perform extensive coding and billing exercises to prepare for the CPC exam, build a portfolio, and prepare for employment. Expect to spend approximately 10 hours a week minimum, outside of class time working on assigned items.