Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

The Administrative Medical Specialist with Medical Billing and Coding (AMS/MBC) combines online classroom learning with a hands-on practicum that will give you the skills you need to find the job you are looking for as an Administrative Medical Specialist (AMS), Medical Billing Specialist, Medical Coder, and/or Medical Office Manager.

In addition to the extensive Medical Billing and Coding instruction, you will learn all the tasks and skills for an Administrative Medical Specialist, including those in the “front office” and the Business Office. These include, but are not limited to:

• Scheduling appointments
• Medical records / patient chart creation and maintenance
• Patient and staff communication and interpersonal relationships
• Accounts receivable, including charge and payment entry;
• Bookkeeping (daily, monthly, and annual responsibilities)
• Diagnostic and procedural coding
• Medical insurance billing and reimbursement
• Hands-on training with medical office simulation software (MOSS)
• Policy and procedure manual development
• Compliance and regulatory considerations

Upon completion of the course, you will receive a Certificate of Completion. You will also be eligible to register, prepare, and take the National Healthcareer Association (NHA)'s dual-certification examination – the CMAA/CMBC (Certified Medical Administrative Assistant/Certified Medical Biller and Coder).

You'll learn much more about the certification, and the details for registering and enrolling in the certification prep course offered by NHA when you complete your AMS/MBC coursework.

The Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology program will give students both the complete AMS/MBC program plus a 60 hour Medical Terminology course!

The Medical Terminology course provides 60 hours of terminology training in the following modules.

• Learning Medical Terminology
• The Body as a Whole
• The Integumentary System
• The Musculoskeletal System
• The Respiratory System
• The Cardiovascular System
• The Digestive System
• The Urinary System
• The Nervous System
• The Endocrine System
• The Sensory System
• The Hematic, Lymphatic, and Immune Systems
• The Female Reproductive System
• The Male Reproductive System

Upon registering, you are given an initial six months to complete the program. Should you need more time, you may request a six-month extension at no additional charge.

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

Upon successful completion of the Administrative Medical Specialist with Medical Billing and Coding program, students will:

• Display a working knowledge of medical terminology.
• Be proficient in skills such as communication, telephone techniques, organization and time management.
• Have knowledge of medical practice settings and specialties, as well as the differences in Traditional and Managed Healthcare
• Understand the differences among Commercial, HMO/PPO, Federal and State insurance plans, including eligibility and coverage, preauthorization, certification, and referrals, as well as reimbursement methodologies.
• Explain the legal and ethical responsibilities of an administrative medical specialist, including the HIPAA mandates, the rules for maintaining privacy of medical records and protected health information, and the types of consents and disclosures that are required in a medical office environment.
• Perform tasks associated with a typical patient encounter including reception, appointment scheduling, chart preparation and maintenance, and charge ticket processing at check-out.
• Perform tasks associated with billing and reimbursement, including insurance and patient billing, payment processing, and claims review, correction, and appeals.
• Perform traditional business office tasks for Accounts Receivable, Accounts Payable, and bookkeeping maintenance.
• Demonstrate a proficiency in diagnostic and procedural coding using the ICD-9, CPT, and HCPCS coding manuals.
• Perform data entry tasks, run office reports, and process insurance claims using Medical Office Simulation Software (MOSS©).
• Be prepared to take advanced education courses, including advanced coding, healthcare administration, and health information management.

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

1. Module I:Introduction to Healthcare
   1. Program Introduction and Overview
   2. Medical Assisting as a Profession
   3. Healthcare: Past, Present, and Future
   4. Communication Skills
   5. Introduction to Medical Office Simulation Software (MOSS)
       
2. Module II: Law, Ethics, and HIPAA
   1. Health Insurance Portability and Accountability Act (HIPAA)
   2. Law and Ethics
       
3. Module III: The Patient Encounter
   1. Telephone Procedures
   2. Appointment Scheduling
   3. MOSS Appointment Scheduling
   4. Filing Procedures
   5. Medical Records Management
   6. The Receptionist and Facility Environment
   7. MOSS Patient Registration
   8. Drugs and Medications
   9. MOSS Procedure and Payment Posting
       
4. Module IV: Billing and Reimbursement
   1. Medical Insurance Overview
   2. Billing and Reimbursement
   3. CMS-1500 Claim Form (Provider)
   4. MOSS Insurance Processing
   5. Insurance Carriers
      1. Blue Cross/Blue Shield
      2. Medicare
      3. Medicaid
      4. TRICARE
      5. Worker's Compensation
   6. Reimbursement and Follow-up
       
5. Module V: Diagnostic Coding
   1. Diagnosis Coding Overview
   2. Abstracting From the Medical Document
   3. ICD9 Conventions, Layout, and Guidelines
   4. Steps for Diagnostic Coding
   5. ICD9 Guidelines by Body System
       
6. Module VI: Procedural Coding
   1. CPT Overview
   2. Evaluation and Management Coding
   3. Anesthesia Coding
   4. Surgery Coding (by Body and Organ System)
   5. Laboratory and Pathology Coding
   6. Radiology Coding
   7. Medicine Coding
   8. HCPCS Level II Coding
       
7. Module VII: Business Office Management
   1. Daily Financial Practices
   2. Accounting Practices
   3. Medical Office Simulation Software (MOSS)
   4. Office Manager
   5. Human Resources Management
       
8. Module VIII: Completion and Certification Preparation
   1. Instructions for Completing the Program
   2. Employment Strategies
   3. Certification
   4. Steps to Access the National Healthcareer Association
   5. Certification Preparation Module
   6. Certification Handbook and Study Guide
   7. Certification Exam
       
9. Module IX: Medical Terminology
   1. Learning Medical Terminology
   2. The Body as a Whole
   3. The Integumentary System
   4. The Musculoskeletal System
   5. The Respiratory System
   6. The Cardiovascular System
   7. The Digestive System
   8. The Urinary System
   9. The Nervous System
   10. The Endocrine System
   11. The Sensory System
   12. The Hematic, Lymphatic, and Immune Systems
   13. The Female Reproductive System
   14. The Male Reproductive System
        

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

Students should be proficient in keyboarding, have a basic understanding of a word-processing computer program (Microsoft Word recommended), and have a command of English grammar and punctuation. No healthcare work experience is required.

This course is for you if you’re interested in learning job skills for becoming a medical office assistant or a medical coder.

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

The Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology course must have:

• IBM Compatible (PC) computer running Windows 98 or any later version up to Windows XP and Windows Vista
• CD ROM drive (for installing the Medical Office Simulation Software (MOSS©).
• Students need to have access to a word-processing program, preferably Microsoft Word
• Students must have Internet access. While the program will work from a dial-up connection, high-speed Internet access (like DSL or Cable) is recommended.
• Sound card or integrated sound support
• Headset or Speakers

Important Note: A Macintosh computer will not work for this course.

In partnership with the National Healthcareer Association (NHA), you may register for the Medical Administrative Assistant/Medical Billing and Coding (CMAA/CBCS) exam after you have completed your program. Your registration fees are included with the cost of your program.

The following materials will be provided upon registration:

• Administrative Medical Assisting- Text & Workbook (Fordney)
• Medical Language for Modern Health Care
• Getting Started in the Computerized Medical Office: Fundamentals & Practice with Medical Office Simulation Software (MOSS©) (Correa)
• Understanding Health Insurance: A Guide to Insurance Billing (Green, Rowell, Williamson)
• Current Year's CPT Coding Manual
• Current Year's ICD-9-CM Coding Manual
• Current Year's HCPCS Coding Manual
• Merriam-Webster's Medical Desk Dictionary

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

Felisha Bochantin has been in the medical coding industry since 1994. She currently holds a bachelor's degree in Health Care Administration. Felisha is a Certified Professional Medical Coder, Certified Professional Medical Coder- Hospitals and a Certified Professional Medical Coding Curriculum Instructor, and is a member of the AAPC and AHIMA. She has an extensive background in teaching a variety of medical billing and coding core courses as well as general education courses. Her experience includes: administrative billing, correct coding and compliance auditing for inpatient, and outpatient and physician offices. Felisha has instructed and designed core curriculum for medical coding certification programs. In addition to her adjunct teaching schedule, she is employed full time by a large health care payer.

LaTisha Cottingham has over 18 years of experience in the healthcare industry. She has four years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as the lead instructor for the Allied Health Department for a local career institute. LaTisha’s field of expertise is in the area of physician-based inpatient coding and Emergency Department coding. The certifications that she holds are: a Registered Health Information Technician (RHIT), a Certified Professional Coder (CPC), and a Certified Clinical Medical Assistant (CCMA). LaTisha is a member of the American Academy of Professional Coders (AAPC) and the National Healthcare Association (NHA) where she is a test proctor.

Carline Dalgleish has been employed in the business office management profession since 1970. She began in the Medical Records department of the Army/Air Force Hospital in Nuremberg, Germany and has, over the years, performed accounts receivable and business office management services for physicians, clinics, and hospitals, as well as the Healthcare Financing Administration (now CMS). She has real-time experience in administrative and financial departments, as well as management experience in business office administration, regulatory compliance, information technology and services. In addition, she has created the curriculum for, and instructed, administrative medical billing, diagnostic and procedural coding, accounts receivable, accounts payable educational programs and other allied health, business and professional development courses.

In the early 90's, Ms. Dalgleish moved full-time into curriculum development, teaching and management of business and allied health education programs, with special emphasis on business office administration and management.

Ms. Dalgleish is a Certified Medical Assistant-Administrative, a formerly licensed vocational/practical nurse LVN/LPN), and holds a Bachelor's degree in Business Information Systems, and a Master's Degree in Leadership and Healthcare Administration.

She is a member of AAHAM, AHIMA, PAHCOM, AAMA, AAPC, CCST, AAMT and AMTIE, as well as the National Dean's Scholars List. She currently owns and operates COUGAR-Ed.net, which specializes in curriculum development and delivery of continuing education products, seminars and services.

In addition to her work with ed2go, Carline is adjunct faculty at University of Phoenix, and is a contributing author to several allied health textbooks.

LaTrisha Howard has over 10 years experience in the healthcare industry. Ms. Howard has expertise in coding Inpatient, Outpatient, and ER medical records. In addition to Ms. Howard’s experience in coding, she has experience in chart auditing and physician education.

She is currently working as an ER Coder/Auditor for a physician billing and consulting service, and currently holds the CCS and CPC certification, as well as being a member of AHIMA and AAPC.

Mrs. Shonda Miles is a Certified Professional Coder, Certified Professional Medical Auditor, and holds an Executive Masters of Business Administration, Master’s Degree in Business Administration with a concentration in Human Resources and a Bachelor’s degree in Business Administration (Management).

Shonda Miles has over 6 ½ years in the healthcare industry. Mrs. Miles has expertise in coding and chart auditing Inpatient, Outpatient, and ER medical records. She is a member of AAPC, NAMAS and ACHE. She is currently employed with a university hospital as a Compliance Auditor.

Shonda Miles currently teaches in the Administrative Medical Specialist and Medical Billing and Coding Programs. She resides in Shreveport, LA with her husband, Dameon and three sons.

April Raines currently teaches in the Administrative Medical Specialist and Medical Billing & Coding Programs. She resides in Albany, Georgia with her husband, Gabriel, and two sons, Justin and Jordan.

April attended Albany State University where she earned a BS in Allied Health Sciences and Healthcare Administration. She later received an MBA in Healthcare Management from American Intercontinental University.

During her role as Business Office Manager at the Phoebe Cancer Center, she received her Certification from the Healthcare Financial Management Association in Patient Accounting. Her professional experience includes management of Patient Access, Medical Records, and Patient Accounting/Business Office functions.

April is a member and Co-Chair of the Georgia Society of Clinical Oncology Administrators’ Association, National Association of Healthcare Executives, and Oncology Nursing Society.

In addition to her service at the Phoebe Cancer Center and ed2go, April is also adjunct faculty at University of Phoenix and Anthem College. In her free time, April enjoys reading, shopping, traveling, and spending time with family and friends

Marguerite Spence has served as a Health Information Specialist since 1997. She is currently a corporate compliance auditor at a medical center in New York. Ms. Spence simultaneously operates a consulting company where she hires consultants for professional training of medical staff and offers a workshop regarding guidelines and regulations for documentation and coding. Ms. Spence also teaches CPC prep classes at the City University of New York.

Ms. Spence is a certified professional coder. She is a member of AAPC and AMBA.

Ms. Spence is admired by students, doctors, and administrators for her knowledge, skills, and training methods. She is also the proud mother of a Magna Cum Laude graduate of Morgan State University.

Lydia S. Stewart, RN, BSN received her Bachelor of Science Degree in Nursing from McNeese State University in Lake Charles, La. Lydia currently serves as the Revenue Cycle Manager at a large regional medical center in Northeast Louisiana. Lydia has been a Registered Nurse for 23 years, 15 of those years specializing in Critical Care Nursing and supervision.

Lydia has mentored hundreds of nurses throughout the course of her nursing career. She is responsible for Medical Audits, Charge Capture, and governmental compliance audits and reviews. She performs revenue cycle fundamental and charging education to department directors and hospital staff. Lydia collaborates with the business office to rectify billing edit issues. She performs managed care reviews for accurate payment. Lydia also serves as an independent chargemaster and reimbursement consultant to area outpatient service centers. Lydia is a member of the Louisiana Medical Auditor Association and HFMA.

Lydia enjoys reading, spending time with family, elderly parents and brilliant Boxers Venus and Pluto. She resides in Monroe, La. with her husband and son.

Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology