This certificate program will prepare the student for an entry-level position as a medical coder and other medical billing positions. This program focuses on medical coding and billing for outpatient facilities, medical clinics and physician offices. Students will learn medical terminology, pathophysiology, medical legal and ethical aspects, electronic health records (EHR), medical insurance and reimbursement requirements. Students will learn how to accurately assign codes using the International Classifications of Diseases (ICD-10-CM), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) manuals. This program begins every spring and courses are taken in progression-spring, then summer, and then fall.
Career Opportunities
A Health Information Medical Coder is an individual who analyzes medical records and assigns codes to index diagnoses and produces to support clinical care; assists medical research in hospitals, physicianโs offices, clinics and other health care facilities; and provides information for reimbursement purposes. Codes are used by institutions for quality assurance activities and case mix management. A Health Information Medical Coder is an important member of the health care team and contributes in varied health care settings, both inpatient and outpatient. Per December 2019 LMI data, there are approximately 3,710 annual openings in the Bay Region and 1,019 annual opening in the East Bay Sub-region. Careers include Medical Records and Health Information Technicians, Medical Secretaries and Data Entry Keyers.
Program Learning Outcomes
- Analyze medical terminology, diseases/disorders, diagnostic modalities, and treatment in medical record documentation to effectively convert written words into Current Procedural Terminology (CPT), International Classification of Diseases (ICD10-CM) and Healthcare Common Procedure Coding System (HCPCS) codes;
- Evaluate law and ethics as it relates to the business of medicine and the medical coding profession;
- Interpret and apply coding guidelines and requirements to demonstrate correct coding using Current Procedural Terminology (CPT), International Classification of Diseases (ICD10-CM) and Healthcare Common Procedure Coding System (HCPCS) manuals;
- Use critical thinking to translate the highest level of specificity when selecting Current Procedural Terminology (CPT), International Classification of Diseases (ICD) and Healthcare Common Procedure Coding System (HCPCS) codes;
- Identify correct billing procedures/processes for medical insurance and third-party reimbursements;
- Identify coding errors and apply appropriate corrections prior to reporting to third-party payers for healthcare services.