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Medical Insurance Billing Proficiency Certificate

Description:

Medical Insurance Billing Specialists are professionals that prepare, submit and/or process insurance claims for doctor's offices, hospitals, extended care facilities, diagnostic centers, insurance companies and other health-related facilities. Professional settings that offer career opportunities to the Medical Insurance Billing Specialist include outpatient clinics, physicians' offices, medical laboratories, insurance companies, skilled nursing facilities, home health care agencies and independent billing agencies.

Students who complete the proficiency certificate for Medical Insurance Billing will be able to use these courses to continue their education and obtain an associate's degree in Health Care Studies.

Student Learning Outcomes:

Upon successful completion of the Medical Insurance Billing proficiency certificate, students will be able to:

  • Use the correct terminology for diseases, symptoms, diagnostic studies and treatments.
  • Explain the purpose of CPT and ICD codes for reimbursement.
  • Assign CPT and ICD codes according to official guidelines.
  • Describe the importance of effective revenue cycle management in a provider's fiscal stability.
  • Define fraud and abuse issues in health care.

Entrance Requirements:

This certificate is open to interested students. New students are normally required to take the College's placement test at their time of entry. Students who are identified as needing developmental course work must satisfactory complete the appropriate English and mathematics course as part of the certificate.

Medical Insurance Billing Proficiency Certificate Course Sequence

Course Number Course Title Prerequisites Credits
AH 103 Medical Terminology   3
ENGL 101 English Composition I   3
BIOL 108* Essentials of Human Anatomy and Physiology   4
AH 120 Reimbursement Methodologies in Health Care   3
AH 190 Human Disease and Treatment AH 103 and  BIOL 108 or BIOL 109 3
AH 201 Basic ICD and CPT coding AH 103, AH 120, AH 190, BIOL 108 or BIOL 109/110 with a grade of "C" or better in each course. 4
Total Credits: 20

*BIOL 108, a one-semester course in Anatomy and Physiology, is the minimum requirement for this Certificate. However, students who have completed the two-semester Anatomy and Physiology sequence (BIOL 109-BIOL 110) may substitute BIOL 109-110 in place of BIOL 108, provided that they have completed both BIOL 109 and BIOL 110.

Successful Completion:

Successful completion of the program requires a "C" grade or better in each of the courses listed above. In order to receive a "C" grade or better and thus demonstrate competency, students must complete assignments, exams and participate in class activities.

For More Information Contact:

The Division of Math, Science and Health Careers, Room W2-7, 1700 Spring Garden Street, Philadelphia, PA 19130, Telephone (215) 751-8430 or e-mail health@ccp.edu

Gainful Employment Information

Gainful employment information is intended to provide students with better information about the effectiveness of college programs in preparing students for careers. Information provided includes estimated program costs and time needed to complete the program, financing options and related careers.

Review the Gainful Employment Information