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Medical Billing and Coding
Qualify for National Certifications
When you take part in Cal State East Bay s Medical Billing and Coding Certificate Program, you ll acquire skills to solve insurance billing problems, manually file claims, complete common insurance forms, trace delinquent claims, and use generic forms to streamline billing procedures.
High-quality Instruction in a Convenient Location
Taught by nationally certified coders, you ll receive hands-on instruction that is applicable in all areas of the medical billing and coding field. The program is held at CSUEB s downtown Oakland Center, making classes easily accessible by car or public transportation.
When I first started the Medical Billing and Coding program, I was one of the few students who did not have a medical background. My instructor gave me hope and confidence. She was always resourceful and ready to help whether there were questions related to coding or regarding job search.
Find out more about the career options that await you.
Join a Booming Field
Medical Billing and Coding is one of the fastest growing careers in the health care industry. The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing 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.
As a medical biller and coding professional, you ll keep records, calculate patient charges, and review files. Typical duties include reviewing records, calculating charges for a patient s procedure and service, and preparing itemized statements and submitting claims to third party payers.
You ll be responsible for the collection of physician charges and patient data to ensure that claims are submitted to insurance carriers accurately and in the most efficient and expeditious manner. Additionally, as a medical coder you ll determine codes for physician procedures and diagnosis – using ICD-10 and CPT-4 coding protocols – for third party billing purposes.
How can a certificate in medical billing and coding impact your career? Find out directly from CSUEB graduates.
Become a Medical Billing and Coding Expert
By earning your certificate from an accredited university, you ll exhibit the finest level of knowledge and professionalism in medical billing and coding, making you a valued employee in the marketplace.
In fact, Cal State East Bay graduates have obtained positions as medical billers and coders in hospitals, medical clinics, physician’s offices, insurance companies, and more. Others have gone on to take national certification exams, including the American Academy of Professional Coders (AAPC) Exam, the Certified Professional Coder Exam (CPC or CPC-H Apprentice), the American Health Information Management Association’s Certified Coding Associate (CCA) Exam, and other national certification exams.
As a Cal State East Bay graduate, you will acquire:
The skills needed to complete common insurance forms and solve insurance problems.
Next, find out what you ll learn in the program.
Hands-on Instruction and Applicable Methods
As a student in CSUEB s Medical Billing and Coding program, you ll receive real-world experience by learning how to find service codes using professional coding manuals (CPT and ICD-10) and gaining applicable knowledge in the following areas:
CPT (introduction, guidelines, evaluation, and management)
What You’ll Learn
- Your career as an insurance coding specialist
- Documentation guidelines and legal issues affecting insurance claims and medical records
- Basics of health insurance and procedural coding
- Introduction to the CPT Manual
- Evaluation and management services
- 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, 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 and third party reimbursement, medicare, Blue Cross and Blue Shield plans, Medicaid and other state programs, CHAMPUS and CHAMPVA, worker s compensation, disability income insurance, and disability benefit programs