National Allied Health Professions Week

Medical Reimbursement Specialist

(HEA7270/HEA7313)


General Information:

The HEA7270 Medical Reimbursement Specialist course can be completed in one to two semesters depending on previous classes potential student has taken.

Prerequisite for class:

  • HEA 7254 (Exploring Medical Language)
  • HEA 7625 (Medical Keyboarding) or Demonstrate the ability to type 35 wpm or more with 95 % accuracy

Departmental permission is required in order to enroll in this course.

You are eligible to sit for the Certified Professional Coder (CPC) exam once successfully completing the course (American Academy of Professional Coders  www.aapc.com)

The Medical Reimbursement Specialist students will learn basic outpatient coding, Medicare, Medicaid, insurance terminology, and billing and reimbursement skills.

HEA7313 is the Advanced Coding class. It is a continuation of basic and immediate coding. Tis course is optional. Prerequisite for HEA7313 is successful completion of HEA7270.

What does a Medical Reimbursement Specialist do?

  • Review medical records and determine what services were provided so that codes can be determined for correct billing
  • Analyze records for correct documentation so proper billing and coding will occur
  • Analyze bills for correct coding
  • Create bills for healthcare providers and facilities

 

A Medical Reimbursement Specialist must be:

  • Detail oriented
  • Well versed in Medical Terminology in order understand the various codes used

 

According the Bureau of Labor and Statistics website (www.bls.gov), the job outlook for 2010-2020 is anticipated to increase by 21 % (much faster than average for all occupations).

 

 

Please note- Per CMS website (http://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/icd10)

ICD-9 codes will be used for billing and coding until September 30, 2014. As of October 1, 2014, ICD-10 codes will used for all billing and coding.

 

 

Additional information can be found at:

http://www.cpcc.edu/nursing_human_services/health/medical-reimbursement

http://www.asahp.org

www.aapc.com

http://www.bls.gov/ooh/Healthcare/Medical-records-and-health-information-technicians.htm

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