Medical Coding Training
Medical Coding training, whether online or in a traditional classroom setting, is very similar because the courses are designed to prepare the students for job placement within the industry and the courses also prepare the students for certification exams. There are many courses that applicants have to take in order to have all the knowledge needed to become a medical billing and coding specialist. Most of the medical billing and coding programs have the same mission when it comes to providing applicants with the knowledge they need to become part of the industry. The main types of courses that will be taken will consist of at least the following competence areas:
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
In order to be a medical billing and coding specialist, one must understand the medical terminology that is used in the healthcare industry. With medical coding training, the applicant will be taught all the terms that are most commonly used within the profession so they will have the knowledge to be able to perform all tasks given to them within their profession.
Anatomy and Physiology
Anatomy and Physiology consists of the knowledge of the human body and all of its components including organs such as the heart, brain, and intestines and the specific systems of the body (nervous, endocrine, lymphatic, integumentary, digestive, muscular, respiratory, reproductive, skeletal, cardiovascular, and urinary). A medical billing and coding specialist needs to know all the parts of the body in order to understand any medical terminology.
For example, if a physician wants to charge the patient for a specific test, the medical billing and coding specialist needs to be able to know what part of the body the physician is referring to and understand what of procedure it is in order to charge correctly and make sure all the paper work is correct. If the medical billing and coding specialist does not know what type of test the physician is referring to due to lack of knowledge of medical terminology and human anatomy, then the medical billing and coding specialist could charge for the wrong test or procedure for the wrong part of the body.
Pharmacology is the study of drug reaction between the chemicals in medication and a living organism. In a medical billing and coding specialist’s profession, the living organism would be a human. Pharmacology is important because a medical billing and coding specialist should know what type of medication the physician wants to be billed to the patient or the medical insurance companies and the specialist should be familiar with all types of medication.
According to the Department of Health and Human Services, the Health Insurance Portability and Accountability Act (HIPPA) was started to establish standard requirements throughout the United States on electronic health care transactions. Because of this, medical billing and coding specialist have to make sure that all the rules within this act are followed because they are standard procedure for the entire healthcare industry.