Medical Billing and Coding
Medical Billing and Coding is one of the fastest-growing careers in the health care industry today. The need for professionals that understand how to code health care services and procedures for third-party insurance reimbursement continues to grow substantially.
Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices, and other health care providers all depend on medical billing and coding for insurance carrier reimbursement.
This non-academic online instructor-led program teaches the skills needed to solve insurance billing problems, file claims (using the CPT and ICD-10-CM manual), complete common insurance forms, overview trace delinquent claims, examine the process to appeal denied claims, and use generic forms to streamline billing procedures.
This course prepares students to sit for National Medical Coding Certification exams. Please review specific qualification requirements per association/academy.
Details:
• Basics of health insurance and procedural coding
• Documentation guidelines and legal issues affecting insurance claims and medical records
• Introduction to the CPT and ICD-10-CM Manuals and coding systems
• Anesthesia/Surgery, Radiology, and Pathology/Laboratory Medicine
• Diagnosis Coding
• CPT Modifiers, E and V Codes, and Late Effects
• Introduction to International Classification of Diseases, Clinical Modifications, and Coding Guidelines
• The Health Insurance Claim Form (CMS 1500)
• HIPAA and Electronic Data Interchange (EDI)
• Tracing Delinquent Claims and Insurance Problem Solving
• Managed Care Systems, Special Plans, Third-Party Reimbursement, Medicare, Blue Cross Blue Shield Plans, Medicaid and Other State Programs, CHAMPUS and CHAMPVA, Worker’s Compensation, Disability Income Insurance, and Disability Benefit Programs
Individuals seeking to enter into an entry-level medical billing and coding position, or seeking to be nationally certified in medical billing and coding.
Note: PEWD program participants should be 18 years or older.
Recommended level of education: High School diploma or GED/high school equivalency.
Note: PEWD program participants should be 18 years or older.
The potential certifications listed below are for reference purposes only and are not included in the course fee. The instructor can provide feedback on which certification is best for a program participant to pursue.
Certified Professional Coder (CPC; CPC-H)
www.aapc.com
American Academy of Professional Coders (AAPC)
Certified Coding Associate (CCA)
www.ahima.org
American Health Information Management Association (AHIMA)
Certified Billing and Coding Specialist (CBCS)
www.nhanow.com
National Healthcareer Association (NHA)
*Please review eligibility criteria in the respective website.
Exam information is for reference purposes only and is not included in the course fee.
Ms. Linda Cantu
Note: If you are applying for the Continuing Education Private Loan to cover the registration fee for a non-credit continuing education program, then please use the UTRGV Continuing Education School Code: 003599. The loan amount you note in the application cannot exceed the open enrollment fee noted on our website. Books will NOT be included in the loan amount. The minimum for the loans must be $500.00. Some service charges may apply.
*The only loan provider PEWD accepts is Sallie Mae*
Please email pewd@utrgv.edu once you have been approved so we may certify your loan.
Submit a required written request via email three business days before the program start date. Weekends are not considered. Partial refunds are not allowed.
Online Course Information
Registration Deadline:
February 21, 2025
Dates:
February 25 - May 13, 2025
Days/Time:
Tuesdays & Thursdays: 6:00 p.m - 9:30 p.m
Program Modality:
Online (Instructor Led via Zoom)
Location:
Online
Instructor:
Ms. Linda Cantu
Cost:
$ 2,099
Refund Deadline:
February 19, 2025
Notes:
Students requiring accommodation should contact our office pewd@utrgv.edu to learn about the process.
Brownsville Course Information
Days:
Lecture: Tuesdays and Thursdays
Dates:
September 30 - December 21, 2021
Times:
Lecture: 6:00 p.m. - 9:30 p.m.
Format:
Hybrid - Live via Zoom
Location:
Lecture: Online via Zoom*
Labs: Edinburg CESS Building * (review "notes" section below for further details)
Instructor:
TBD
Cost:
$ 1,899
Notes:
* Lecture components of this class will occur online via Zoom on Tuesdays and Thursdays.
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