Administrative medical assistants are skilled multi-taskers who direct the flow of patients through an office. Effective patient flow allows the practice to operate efficiently, increase revenue, and provide a positive experience for the patient.
This course offers valuable training in medical office management and legal, ethical, and regulatory concepts that are central to this field, including HIPAA compliance and third-party guidelines for filing insurance claims. You will gain hands-on, practical experience in medical billing and coding and work with the main coding manual ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II. You will learn how to code diagnoses, services, and procedures for all systems of the body.
Upon completion of this course, you’ll be well prepared to find your place in this rewarding healthcare career. You will also be able to sit for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC), and the Certified Medical Administrative Assistant (CMAA) exam, offered by National Healthcareer Association (NHA). This course includes vouchers which covers the fee for both exams.
This course will also prepare you to sit for the Certified Billing and Coding Specialist (CBCS) exam and the Certified Coding Associate (CCA) exam.
Medical Terminology is the language of medicine. You will study word parts and the structures and functions of the human body. You will also study disorders and medical procedures common to each body system, including musculoskeletal, cardiovascular, respiratory, digestive, nervous, endocrine, integumentary, genitourinary, lymphatic, and immune.
You'll also have the option to complete the all-new Career Roadmap lesson for Medical Billing and Coding. This lesson will help you find, land, and keep a job in your new field. These job-finding and job-landing skills will serve you now and throughout the rest of your career.
Certified Medical Administrative Assistant
I. Becoming an Administrative Medical
Assistant
A. Qualities of
a Medical Assistant
B. Job Duties
C. Certification
D. Scope of
Practice
E. Ambulatory
Healthcare Settings
F. The
Healthcare Team
II. Managing Stress and Improving
Communication
A. Stress and Burnout
B. Types of
Communication
C. Barriers to
Effective Communication
D. Patient
Interview Techniques
E. The Stages
of Grief
III. Law, Ethics and Healthcare
A. Health
Insurance Portability and Accountability Act (HIPAA)
B. Americans
with Disabilities Act (ADA)
C. Occupational
Safety and Health Administration (OSHA)
D. Informed
Consent
E. Advance
Directives
F. Ethical
Guidelines for Healthcare Providers
G. Medical
Identify Theft
IV. Improving Your Medical Office
A. The Reception Area
B. The Medical
Receptionist
C. Safety Issues
D. Opening and
Closing the Facility
V. Computers in the Ambulatory Care Setting
A. Use of
Computers in the Medical Office
B. Electronic
Medical Record (EMR) and Electronic Health Record (EHR)
C.
Safeguarding Protected Health Information (PHI)
D. Cloud Computing
E. Mobile
Health (mHealth)
VI. Telecommunications and Patient Scheduling
A. Telephone
Techniques
B. Faxing
C. Emails
D. Patient
Portal
E. Patient
Scheduling Methods
F. Cancellations and
No Shows
G. Dealing with
Irate Patients
MIDTERM
VII. Medical Terminology: Word Parts,
Plurals,
Abbreviations
A. Importance
of Medical Terminology
B.
Understanding Word Parts: Roots, Prefixes, Suffixes
C.
Abbreviations and Acronyms in Medical Records
D. Plural
Endings
VIII. Managing Medical Records
A. Purposes of
Medical Records
B. Electronic,
Paper and Hybrid Medical Records
C. Categories
of Medical Records
D. Flow Sheets
E. SOAP Notes
F. Filing Paper
Records
G. Release of
Information (ROI)
H. Personal
Health Record (PHR)
IX. Written Communication
A. Components
of a Business Letter
B. Proofreading
C. Meeting
Agendas
D. Business
Emails
X. Working with Medical Documents
A. Purposes of
Medical Records
B. Types of
Medical Record
C. Medical
Transcriptionist/Medical Scribe
D. Electronic Signatures
XI. Medical Billing and Coding: An
Overview
A. Health
Insurance Terms
B. Private and
Government-Sponsored Insurers
C. Code
Sets: ICD-10-CM/PCS, CPT, HCPCS Level II
D. CMS-1500 and
UB-04
E. Electronic
Claims
F.
Pre-authorizations
G. Medical
Necessity
H. Explanation
of Benefits (EOBs)
I.
Fair Debt Collection Practices Act
J.
Advance Beneficiary Notice (ABN)
XII. Daily Financial Practices
A. Accounts
Receivable and Accounts Payable
B. Provider Fees
C. Improving
Patient Payments
D. Claims
Denial Strategies
E. Practice
Management Software
F. Managing
Patient Accounts
G. Petty Cash
XIII. The Administrative Medical Assistant as
Office
Manager
A. Qualities of
an Office Manager
B. Job Duties
C. Policy &
Procedure Manual
D. Staff
Meetings
E. Physician
Credentialing
F. Clinical
Documentation Improvement (CDI)
G. Practice
Websites
FINAL
Medical Billing and Coding
I. Introduction to Medical Billing and Coding
A. Personal Qualifications
B. Career Opportunities
C. Certifications
II. Healthcare Law
A. HIPAA Privacy Rule and Security
Rule
B. Protected Health Information
C. Fraud and Abuse
D. Stark Law
E. False Claims Act
III. Introduction to Health Insurance Terms
A. Health Insurance Terms
B. Managed Care
C. Healthcare Provider Terms
D. Third-Party Reimbursement
Methods
IV. Pharmacology for Coders
A. Definition of Pharmacology
B. Generic and Brand Names
C. Drug Classifications
D. Therapeutic Uses of Medications
E. Routes of Administration
F. Formularies
G. Medication Lists
V. ICD-10-CM
A. Overview of ICD-10-CM
B. Format of ICD-10-CM
C. ICD-10-CM Coding Guidelines
D. ICD-10-CM Coding Conventions
E. Steps for Assigning
ICD-10-CM
Codes
VI. CPT and HCPCS Level II Coding
A. Healthcare Common Procedure
Coding System
B. Organization of the CPT Code
Book
C. CPT Coding Conventions
D. Organization of the HCPCS Level
II Code Book
E. Steps for Assigning CPT and
HCPCS Level II Codes
VII. Abstracting Information from Medical
Documents
A. Coding from SOAP Notes
B. Coding from a Consultation
Report
C. Coding from Operative Reports
D. Coding from Emergency Room
Records
E. Coding from Procedure Reports
VIII. New Patients, Insurance Claims and EOBs
A. Electronic, Paper and Hybrid
Medical Records
B. Practice Management Software
C. Patient Portal
D. Developing an Insurance Claim
E. New Patient Procedures
F. Medical Necessity
G. Explanation of Benefits (EOB)
H. Collection Practices
IX. Submitting Electronic Claims and CMS 1500
A. Electronic Data Interchange
(EDI)
B. Electronic Claims Submission
C. 1500 Claim Form
D. National Uniform Claim Committee
X. Blue Cross/Blue Shield
A. Participating and
Nonparticipating Providers
B. Allowable Fee
C. Usual, Customary and Reasonable
(UCR)
D. Blue Shield Claims Submission
XI. Medicare
A. Medicare Parts A, B, C and D
B. Participating and
Nonparticipating Providers
C. Advance Beneficiary Notice (ABN)
D. Supplemental Insurance
E. NCCI
F. Medicare Claims Submission
XII. Other Healthcare Programs
A. Medicaid
B. TRICARE
C. CHAMPVA
D. Workers’ Compensation
E. Claims Submission
XIII. ICD-10-PCS (Optional Lesson)
A. Overview of ICD-10-PCS
B. ICD-10-PCS Code Structure
C. Index and Table Conventions
D. Code Components
E. Definitions Used in ICD-10-PCS
XIV. Survey of Hospital Billing
A. Hospital Revenue Cycle
B. Chargemaster
C. Master Patient Index
D. Prospective Payment Systems
E. Principal Diagnosis
F. Present On Admission
XV. Career Roadmap
for Medical Billing and Coding – Find a Job Fast
A. Introduction (
Watch
Intro Video)
B. Succeeding in the Gig Economy
C. Your Skills and Talents
D. Your Résumé and Cover Letter
E. Using Email and Social Media
F. Connecting with Others
G. Acing the Interview
H. Negotiating Your Salary
I. After You Land the Job
J. Review and Reflect
Medical Terminology
- Introduction to Medical Terminology
- The Musculoskeletal System
- The Cardiovascular System
- The Lymphatic and Immune Systems
- The Respiratory System
- The Digestive System
- The Urinary System
- The Nervous System
- The Special Senses the Eyes and Ears
- The Integumentary System
- The Endocrine System
- The Reproductive System
- Diagnostic Procedures, Nuclear Medicine, Pharmacology
Nancy Smith has almost 30 years of experience in healthcare education. After graduating from college with a degree in vocational education, she taught administrative medical programs in vocational schools and community colleges. In addition, she has professional experience as a medical coder, insurance claims specialist, medical records auditor, and medical office manager. She is a member of AHIMA and has a CCS-P coding certification. She currently does coding for ambulatory surgery center and resides in Pittsburgh, Pennsylvania.
LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as an HIM Analyst for a Long-Term Care establishment that is based out of Alabama. Previously she was 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 as follows: a Registered Health Information Technician (RHIT), a Certified Professional Coder (CPC), and a Certified Clinical Medical Assistant (CCMA). In preparation for ICD-10-CM, LaTisha received her ICD-10-CM/PCS Trainer Certification from American Health Information Association (AHIMA), where she is currently a member. LaTisha is also 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 worked in medical office administration for over 30 years. She holds a bachelor's degree in Business Information Systems, a master's degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and also owns her own consulting firm, AnnGrant Educational Services.
LaTrisha Howard has over 10 years experience in the healthcare industry. LaTrisha 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.
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 years in the healthcare industry. Shonda 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. She resides in Shreveport, LA.
Lydia S. Stewart, RN, BSN, currently serves as the Revenue Cycle Manager at a large regional medical center. Lydia has been a Registered Nurse for 23 years, 15 of those years specializing in Critical Care Nursing and supervision. She is responsible for Medical Audits, Charge Capture, and governmental compliance audits and reviews. Lydia is a member of the Louisiana Medical Auditor Association and Healthcare Financial Management Association (HFMA).
Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island's St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).
Sharon L. Blackford, MA, BA, RMA, has over 30 years of experience in the medical field. She has a Master's degree in Organizational Management, a Bachelor's degree in Business Management, and has served as a Registered Medical Assistant since 1994. Sharon was an active duty Clinical Specialist in the U.S. Army for 10 years. Sharon later moved to the Gulf Coast to accept a position as the Director of Education of Blue Cliff College and was promoted to Campus Director.