• Medical Billing Claims Analyst Certificate Curriculum


  • One-Year Certificate

    Catalog Year 2017-2018

    For program costs, completions and job placement information, please click here. Some material on the page clicked to may not be accessible. If your require assistance please contact the the faculty adviser listed above.

    Medical billing specialists are vital for the efficient management of all aspects of billing. A medical billing specialist’s responsibilities can include: expert management of healthcare billing-processing, adjusting and resubmitting of claims; adherence to current healthcare industry regulations and policies; and compliance with insurance procedures and allotted benefit coverage. Billing specialists understand the information on identification cards, distinguish between Medicare and Medicaid and understand Blue Cross/Blue Shield coverage and workers’ compensation benefits.

    A claims analyst uses the same skills as a billing specialist. The duties of a claims analyst may include: overseeing claims processing and payments to third-party providers, monitoring charges and verifying correct payment of claims, sending denial letters on claims and sending follow-up requests for information. The claims analyst reviews payment reports for accuracy and compliance.

    Medical billing specialists/claims analysts can work in hospitals, insurance companies, doctors’ offices, medical billing companies, nursing homes, medical group practices, home health agencies and medical clinics.

    Students who complete this shorter term Medical Billing/Claims Analyst program can go to work and return at any time to complete the Medical Office Specialist AAS degree.

    Program Outcomes

    At the completion of this program, students should be able to:

    • Differentiate the roles of the healthcare team, elements of successful leadership, and problem-solving strategies
    • Discuss and use medical terminology
    • Discuss verbal and nonverbal communication, including gender differences, cultural awareness and sensitivity, and the elements of speaking and listening
    • Discuss the knowledge and skills required of a medical billing specialist/claims analyst
    • Discuss the elements of billing and coding
    • Complete a professional resumé
    • Explain job searches and correct interview techniques
    • Use specialized computer programs (EMR), and the Microsoft Office suite

    Medical Office students are required to have a criminal background check (Health Professions CBC) and a current Tuberculin skin test (PPD) at the beginning of the MO110 Powerful Strategies for the Office Team class. Medical Office students must document completion of the three-dose Hepatitis B vaccine series and complete a Measles Immunization Clearance Certificate for School Attendance form prior to beginning the externship placement process. Some externship sites may require further immunizations. See program director for site specific requirements.

    Note: A minimum grade of “C” is required in all courses.

    First Quarter (Fall)
    Course Number
    Course Title
    Credits
    CIS120L Computer Concepts Lab I1
    1
    MO110 Powerful Strategies for the Office Team
    4
    MO114 Medical Terminology I1
    3
    MO140 Understanding Medical Insurance
    3
    MO230 Medical Coding I - ICD-10-CM
    3
    WR121 English Composition1,2
    4
    18
    Second Quarter (Winter)
    Course Number
    Course Title
    Credits
    BT220 Electronic Calculator and 10-Key Operations
    1
    MO115 Medical Terminology II
    3
    MO116 Medical Office Procedures
    4
    MO231 Medical Coding II - Procedural Coding
    4
    MO240 Medical Office Billing I
    3
    MO250 Medical Law and Ethics
    3
    18
    Third Quarter (Spring)
    Course Number
    Course Title
    Credits
    BT116 Communication Technologies
    3
    MO136 Healthcare Documentation
    3
    MO141 Patient Advocate for Medical Insurance
    3
    MO212 Diversity and Healthcare
    3
    MO214 Building a Professional Portfolio
    1
    MO232 Medical Coding III - Evaluation and Management
    3
    MO241 Medical Office Billing II
    3
    19
    Fourth Quarter (Summer)
    Course Number
    Course Title
    Credits
    MO242 Applied Billing and Coding
    3
    MTH065 Beginning Algebra II (or higher)1,2,3
    4
    PSY201 General Psychology4
    4
    WE280MOBH Cooperative Education Internship5
    8
    19
    Total Credits 74

    1 Classes may be taken the summer prior to beginning the program.
    2 See course descriptions for prerequisite.
    3 A College Placement Test (CPT) score does not fulfill this requirement. Students must successfully complete the required mathematics course (or higher.)
    4 WS101 as an alternate selection is highly recommended.
    5 Instructor and dean permission is required.