Medical Billing and Coding Career Prep Complete

755 Hours / 12 Months / Self-Paced
Retail Cost: $3,999.00

Course Overview:

With the Medical Billing program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical billing specialist. In this program, you will gain hands-on, practical experience working with the main coding manuals in the field, the ICD-9-CM and the CPT. In addition, you will be introduced to the new ICD-10-CM diagnosis coding system. You will also master the legal, ethical, and regulatory concepts that are central to this field.

Learn and recognize word roots, prefixes, and suffixes used in medical language today. Learn how to combine words to create meaningful medical conditions as well as comprehend their definition and know the correct spelling. In this medical terminology course you will learn medical terms related to all major body systems. Medical terms are introduced in the context of human anatomy and physiology to help you understand exactly what they mean. You will practice defining and understanding medical terms using case studies, vignettes, and activities.

Medical 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 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. This Medical Coding course is practical and shows you exactly how to code using all of today's coding systems by providing an in-depth introduction to essential coding concepts. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, this course offers complete coverage of the ICD-10-CM diagnosis coding system.

About ProTrain:

ProTrain is committed to offering world class interactive online courses that provide training and learning support for the student in a number of ways during their experience. The ProTrain course structure has been developed to provide activities to guide students throughout the entire process of learning. Learning activities include hands-on assignments that allow students to use what they are learning to allow better transferable skills within their work environments; and collaborative assignments, like wikis and discussion groups that allow them to share what they have learned with others in the same course.

While a student learns, they are not alone. Each student will receive guidance and support from his or her assigned Training Assessment Manager (TAM) and Student Services Specialist (SSS) representative. In addition, we will offer live monthly webinars and feedback sessions for various subject categories. Throughout the entire course, students are monitored by the SSS representative using progress reporting from the ProTrain Registration System (PRS).

ProTrain will provide Students who successfully complete their online certification programs and pass their industry level certification exams the access to the new ProTrain Education-2-Employment Career Tracker system. The Career Tracker will allow our students who pass exams to load their own resumes at no additional cost, and letting industry employers find their talent through the same database.

Curriculum Developer Biography:

Dana Bernard is a Registered Nurse, credentialed teacher and master's prepared business professional. She has 30 years of curriculum development and training experience in the healthcare, business and educations arenas. Dana's training sessions are based on cutting edge content designed to help people make their greatest contribution.

Course Outline:

Medical Billing
  1. Role of the Insurance Specialist
  2. Compliance, Privacy, Fraud and Abuse in Insurance Billing
  3. Basics of Health Insurance
  4. Medical Documentation and the Electronic Health Record
  5. Diagnostic Coding
  6. Procedural Coding
  7. The Paper Claim CMS-1500
  8. The Electronic Claim
  9. Receiving Payments and Insurance Problem Solving
  10. Office and Insurance Collection Strategies
  11. The Blue Plans, Private Insurance, and Managed Care Plans
  12. Medicare
  13. Medicaid and Other State Programs
  14. TRICARE and Veterans’ Healthcare
  15. Worker’s Compensation
  16. Disability Income Insurance and Disability Benefit Programs
  17. Hospital Billing
  18. Seeking a Job and Attaining Professional Advancement
Medical Terminology
  1. Introduction to Medical Terminology, The Human Body in Health and Disease, Word Part Review
  2. Skeletal & Muscular System
  3. Cardiovascular System
  4. Lymphatic and Immune System
  5. Respiratory System
  6. Digestive System
  7. Urinary System
  8. Nervous System and Special Senses: Eyes and Ears
  9. Integumentary System
  10. Endocrine System
  11. Reproductive System
  12. Diagnostic Procedures, Nuclear Medicine, and Pharmacology
Medical Coding
  1. Lesson 1: Reimbursement, HIPAA and Compliance
  2. Lesson 2: An Overview of ICD-10-CM
  3. Lesson 3: ICD-10-CM Outpatient Coding and Reporting Guidelines
  4. Lesson 4: Using ICD-10-CM
  5. Lesson 5: Chapter Specific Guidelines (ICD-10-CM Chapters 1-10)
  6. Lesson 6: Chapter Specific Guidelines (ICD-10-CM Chapters 11-14)
  7. Lesson 7: Chapter Specific Guidelines (ICD-10-CM Chapters 15-21)
  8. Lesson 8: An Overview of ICD-9-CM
  9. Lesson 9: ICD-9-CM Outpatient Coding and Reporting Guidelines
  10. Lesson 10: Using ICD-9-CM
  11. Lesson 11: Chapter Specific Guidelines (ICD-9-CM Chapters 1-8)
  12. Lesson 12: Chapter Specific Guidelines (ICD-9-CM Chapters 9-17)
  13. Lesson 13: Introduction to CPT and the Level II National Codes (HCPCS)
  14. Lesson 14: Modifiers
  15. Lesson 15: Evaluation and Management (E/M) Services
  16. Lesson 16: Anesthesia
  17. Lesson 17: Surgery Guidelines and General Surgery
  18. Lesson 18: Integumentary System
  19. Lesson 19: Musculoskeletal System
  20. Lesson 20: Respiratory System
  21. Lesson 21: Cardiovascular System
  22. Lesson 22: Hemic, Lymphatic, Mediastinum, and Diaphragm
  23. Lesson 23: Digestive System
  24. Lesson 24: Urinary and Male Genital Systems
  25. Lesson 25: Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery
  26. Lesson 26: Endocrine and Nervous Systems
  27. Lesson 27: Eye, Ocular Adnexa, Auditory, and Operating Microscope
  28. Lesson 28: Radiology
  29. Lesson 29: Pathology/Laboratory
  30. Lesson 30: Medicine
  31. Lesson 31: Inpatient Coding


All necessary materials are included.


This course prepares students for the NHA Certified Billing and Coding Specialist (CBCS) certification exam.

System Requirements:

Internet Connectivity Requirements:
  • Cable and DSL internet connections are recommended.

Hardware Requirements:
  • Minimum Pentium 400 Mhz CPU or G3 Macintosh. 1 GHz or greater CPU recommended.
  • 256MB RAM minimum. 1 GB RAM recommended.
  • 800x600 video resolution minimum. 1025x768 recommended.
  • Speakers/Headphones to listen to Dialogue steaming audio sessions.
  • A microphone to speak in Dialogue streaming audio sessions.
Operating System Requirements:
  • Windows Vista, 7, 8, 8.1, 9, 10
  • Mac OSX 10 or higher.
  • OpenSUSE Linux 9.2 or higher.
Web Browser Requirements:
  • Google Chrome is recommended.
  • Firefox 13.x or greater.
  • Internet Explorer 6.x or greater.
  • Safari 3.2.2 or greater.
Software Requirements:
  • Adobe Flash Player 6 or greater.
  • Oracle Java 7 or greater.
  • Adobe Reader 7 or greater.
Web Browser Settings:
  • Accept Cookies
  • Disable Pop-up Blocker.

**Outlines are subject to change, as courses and materials are updated.**