HEALTHCARE

A Medical Coder and Biller manages patient records, assigns diagnosis and treatment codes, processes insurance claims, handles billing, collects payments, and maintains financial records. They support healthcare providers and patients in medical and financial workflows, ensuring accuracy and compliance with regulations and evolving coding standards. Medical Billers also proactively resolve discrepancies to optimize reimbursement processes, enhance efficiency, and reduce claim denials, improving the overall financial stability of healthcare operations.

NOW ENROLLING NEAR PITTSBURGH, PA

What Could I Earn?

National median annual pay (2024) for medical coders and billers in the top industries in which they worked were as follows

How Do I Become A Medical Coder & Biller?

Becoming a Medical Coder & Biller requires a combination of education, hands-on experience, and technical skill. These can typically be acquired through a trade school or vocational program, community college, or 4-year university, depending on the breadth of knowledge and experience required. A short curriculum may read as follows:

Anatomy, Physiology & Pathology

Students will gain a comprehensive understanding of human anatomy, physiology, and pathology. They will learn medical terminology and explore body systems, disease processes, and treatment methods. Topics include the cardiovascular, nervous, respiratory, digestive, endocrine, and reproductive systems, as well as oncology, psychiatry, and radiology. This knowledge is crucial for accurate medical documentation and coding.

Medical Claims & Insurance Billing

Students will understand the medical billing process, working with insurance claims, third-party payers, and government programs like Medicare, Medicaid, TRICARE, and workers’ compensation. They will learn claim form completion (CMS-1500, UB-04), accounts receivable management, and claims denial resolution to optimize reimbursement and avoid fraudulent claims.

Medical Coding & Information Management

Students will develop proficiency in CPT, HCPCS, and ICD-10 coding systems, learning how to apply medical codes for billing and reimbursement. They will gain hands-on experience using computerized coding software and electronic health records (EHR). Emphasis is placed on compliance, accuracy, and proper coding for various medical procedures and diagnoses.

ICD-10-CM/PCS Coding

Students will learn ICD-10-CM and ICD-10-PCS coding, focusing on diagnostic and procedural coding for different medical conditions and treatments. Topics include diseases of all major organ systems, injuries, external causes, pregnancy, and surgical procedures. They will develop skills in code selection, documentation analysis, and reimbursement methodologies for healthcare facilities.

Math & Computer Applications

Students will develop math skills for medical billing, including insurance claims and reimbursements. They will gain proficiency in Microsoft Word, Outlook, and data management while enhancing resume writing, job search, and interview skills to prepare for a career in medical coding and billing.

Externship, Internship & Early Experience

Students will gain hands-on experience in medical records, coding, billing, and claims processing in a real-world healthcare setting. This externship reinforces classroom training, providing exposure to health information management, compliance standards, and professional communication. It prepares students for entry-level roles in medical coding and billing.

Students learn human anatomy, physiology, and pathology, covering body systems, diseases, and treatments. Training includes medical terminology for accurate documentation and coding.

Students gain proficiency in CPT, HCPCS, and ICD-10 coding for billing and reimbursement. Training covers compliance, accuracy, and hands-on experience with coding software.

Students learn ICD-10-CM and ICD-10-PCS coding for diagnoses and procedures. Training covers code selection, documentation analysis, and reimbursement methodologies.

Students learn medical billing, insurance claims, and government programs like Medicare and Medicaid. Training covers claim forms, accounts receivable, and denial resolution.

Students develop math skills for medical billing and insurance claims. Training includes Microsoft Word, Outlook, resume writing, job search strategies, and interview prep.

Students gain real-world experience in coding, billing, and medical records. This externship builds skills in compliance, health information management, and professional communication.

What Could I Earn?

National median annual pay (2024) for medical coders and billers in the top industries in which they worked were as follows

$53,320

Management of companies and enterprises

$52,350

Hospitals; state, local, and private

$50,120

Administrative and support services

$47,500

Professional, scientific, and technical services

$43,710

Offices of physicians