Medical Billing & Coding — Associate

What you'll learn

Course modules

1. 01

   How healthcare billing actually works — follow the money

   Why a clean claim gets paid and a sloppy one gets $0, the provider→payer→patient money trail, the three code sets, the coder vs biller split, the revenue cycle at a glance, and the one rule that governs everything — with a worked claim and EOB.

   ~180min
2. 02

   Medical terminology you'll actually use

   Build any clinical term from roots, prefixes, and suffixes; place diagnoses by body system; recognize specialties and route correctly; read chart abbreviations safely — with decode drills and worked routing.

   ~210min
3. 03

   Reading the chart & abstracting for codes

   The structure of a clinical note (SOAP), the MEAT test for what's codeable, primary vs secondary conditions, the outpatient uncertainty rule, the non-leading provider query, and a full abstraction routine — with two worked notes.

   ~210min
4. 04

   ICD-10-CM diagnosis coding

   Code structure and the placeholder X, the 7th character, the mandatory Index-then-Tabular method, the conventions (Excludes1/2, code first, use additional code, 'with'), sequencing, and specificity — with multiple fully worked examples and drills.

   ~360min
5. 05

   CPT procedure coding & E/M leveling

   CPT categories and sections, the structure of a CPT code, Evaluation & Management leveling by MDM or time, new vs established patients, the modifiers you'll use constantly (-25, -59, -LT/-RT, -50, -26/-TC), and worked examples of leveling and modifier use.

   ~360min
6. 06

   HCPCS Level II & medical necessity

   HCPCS Level II codes for drugs/supplies/DME, when a claim needs both code sets, the diagnosis-to-procedure link that establishes medical necessity, LCD/NCD coverage policies and the ABN, with worked multi-code claims and drills.

   ~210min
7. 07

   The revenue cycle: from claim to payment

   The end-to-end revenue cycle, CMS-1500 vs UB-04, clearinghouses and clean claims, adjudication, the cost-sharing terms, and a fully worked ERA/EOB posting that shows exactly what to write off and what to bill the patient — with drills.

   ~240min
8. 08

   Denials, HIPAA, compliance & getting hired

   Denial vs rejection, reading CARC/RARC and working the appeal, fraud vs abuse (upcoding, unbundling), HIPAA and PHI for coders, and the concrete credential-plus-portfolio path to remote work — with worked denials and drills, leading into the capstone.

   ~210min