Medical Coding and Billing Training

What is Medical Coding?
Medical Coders take medical reports from doctors, which may include a patient’s condition, the doctor’s diagnosis, a prescription, and whatever procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes, which make up a crucial part of the medical claim to send it to the Health Insurance Company.
The creation of the claim is where medical billing most directly overlaps with medical coding.Medical billers take the procedure and diagnosis codes used by medical coders and use them to create claims.In other words, procedure codes tell the what of a patient's visit, and the diagnosis codes tell the why.
Certified Professional Coder (CPC®) (source AAPC)
Become a certified medical coder by earning your Certified Professional Coder (CPC®) credential, the most recognized medical coding certification in the healthcare industry. The CPC is the gold standard for medical coding in physician office settings. Over 105,000 certified professionals help maintain compliance and profitability within medical practices through accurate medical coding and documentation.
HOW MUCH DOES A CPC MAKE?
According to AAPC’s 2017 Salary Survey, the average salary for a CPC was $54,106. Keep in mind that a CPC’s annual salary varies based on location, years of experience, how many credentials held, the employer, and other factors.
SHOW YOUR PROFICIENCY
Through rigorous examination and experience, CPCs have proven mastery of all code sets (CPT, ICD-10-CM, HCPCS Level II), evaluation and management (E/M) principles, surgical coding, and adherence to documentation and coding guidelines. CPCs represent excellence in medical coding.
Becoming a CPC demonstrates you have:

  • Expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (e.g., inpatient hospital)•
  • Proficiency across a wide range of services, including E/M, anesthesia, surgery, radiology, pathology, and medicine
  • A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture
  • Understanding of how to integrate medical coding and payment policy changes into a practice's reimbursement processes
  • Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services

AAPC – CPC exam pattern

  • Open Book
  • 150 questions
  • Multiple choice
  • 05:40 mins Duration
  • 2 attempts

Training and Exam Fees

AAPC – Annual Membership fees $175.00 (Renews Annually)
AAPC – CPC exam fees $530.00
INFOMETIZ Training Fees – INR 28600.00 (Call for early bird discounts and offers)
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Certified Outpatient Coder
Outpatient ambulatory coder jobs are trending faster than ever before. As physicians move away from private practices and join hospital groups, career opportunities in outpatient facilities, such as ambulatory surgical centers (ASCs) or hospital outpatient billing and coding departments, are opening for coders. The Certified Outpatient Coder (COC™), formerly CPC-H®, exam validates your specialized payment knowledge needed for these jobs in addition to your CPT®, ICD-10, and HCPCS Level II coding skills. Invest in your future with the COC medical coding credential.
How Much Does a COC Earn?
Because an outpatient coder has special requirements for reporting facility services and helps to sustain the revenue cycle, they earn a good living. The average salary for the medical coding professional averages at $52,441. The COC credential is one of the highest paying credentials, making $60,806 annually, so it’s a great medical coding area to get into.
Obtaining a COC credential shows you have:

  • Proficiency in assigning accurate medical codes for diagnoses, procedures and services performed in the outpatient setting (emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)
  • Proficiency across a wide range of services, including evaluation and management, anesthesia, surgical services, radiology, pathology, and medicine
  • Knowledge of coding rules and regulations along with proficiency on issues regarding medical coding, compliance, and reimbursement under outpatient grouping systems. COCs can better handle issues such as medical necessity, claims denials, bundling issues, and charge capture.
  • The ability to integrate coding and reimbursement rule changes in a timely manner to include updating the charge description master (CDM), fee updates, and the field locators (FL) on the UB04
  • Correctly completing a CMS 1500 for ASC services and UB04 for outpatient services, including applying appropriate modifiers
  • Knowledge of anatomy, physiology, and medical terminology commensurate with ability to correctly code provider services and diagnoses
  • A working knowledge in assigning ICD-10-CM codes from Volumes 1 and 2

Certified Inpatient Coder (CIC™) - Certification Exam
The new inpatient medical coding certification standard, Certified Inpatient Coder (CIC™), is the only credential dedicated exclusively to inpatient hospital/facility coding. The CIC validates expert level knowledge and experience in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding, and it signifies specialized payment knowledge in Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS). Invest in your future with the CIC™ credential ― certified coders earn 40 percent more than non-credentialed coders.
Course Topics.

  • Medical Record and Healthcare Documentation Guidelines
  • Medical Terminology, Anatomy and Pathophysiology
  • Inpatient Coding
  • Inpatient Payment Methodologies
  • Outpatient Payment Methodology
  • Regulatory and Payer Requirements
  • Compliance
  • Coding Cases

The CIC Exam

  • 60 multiple choice questions and 10 inpatient cases fill in the blank (proctored)
  • 5 hours and 40 minutes to finish the exam
  • One free retake
  • $399 ($325 AAPC Students) - one free retake
  • Open code book (manuals)

Certified Inpatient Coder (CIC™)
The new inpatient medical coding certification standard, Certified Inpatient Coder (CIC™), is the only credential dedicated exclusively to inpatient hospital/facility coding. The CIC validates expert level knowledge and experience in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding, and it signifies specialized payment knowledge in Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS). Invest in your future with the CIC™ credential ― certified coders earn 40 percent more than non-credentialed coders.
The greater the disease burden of the patient, the higher the patient’s risk adjustment score; if the patient is healthy, the risk adjustment score is lower. A patient’s health status reflects the costs of their healthcare needs. CRCs must ensure provider documentation is up-to-par for HCC coding and that disease processes are coded accurately to follow risk adjustment models.
Invest in your future with the CRC credential — certified coders earn 40 percent more than non-credentialed coders.
CRCs Make a Competitive Salary
Because HCC coding for risk adjustment requires medical coders to help providers document thoroughly all chronic disease processes and manifestations in the patient's medical record, CRCs must have a clear understanding of guidelines, regulations, diagnosis coding, and risk adjustment. According to AAPC's 2017 Salary Survey, the average salary for the medical coding professional averages at $52,441. The CRC credential, however, makes $62,310 annually, so it's a great medical coding area to get into. Depending on where you live, your responsibilities, and the place of employment, a CRC's salary will vary. Click here to calculate the average CRC salary in your area.
As a CRC, you will be able to:

  • Review and assign accurate medical codes for diagnoses performed by physicians and other qualified healthcare providers in the office or facility setting (e.g., inpatient hospital)
  • Thoroughly comprehend medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models
  • Understand the audit process for risk adjustment models
  • Identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
  • Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses

Specialty Medical Coding Certification
Designed for experienced coders, the AAPC's specialty credentials enable coders to demonstrate superior levels of expertise in their respective specialty disciplines. These specialty credentials are stand-alone certifications with no requirement to hold the CPC® credential. They allow coders to validate their knowledge in a specialty with unique coding, reimbursement and compliance challenges
Specialty exams aptly measure preparedness for “real-world” coding by being operative/patient-note based. In addition to questions regarding the correct application of ICD-10-CM, CPT®, HCPCS Level II and modifier coding assignments, examinees will also be tested on specialty-specific coding and regulations.
Choose Your Specialty

  • Ambulatory Surgical Center – CASCC™
  • Anesthesia and Pain Management – CANPC™
  • Cardiology – CCC™
  • Cardiovascular and Thoracic Surgery – CCVTC™
  • Dermatology – CPCD™
  • Emergency Department - CEDC™
  • Evaluation and Management – CEMC™
  • Family Practice – CFPC™
  • Gastroenterology – CGIC™
  • General Surgery – CGSC™
  • Hematology and Oncology – CHONC™
  • Interventional Radiology and Cardiovascular – CIRCC®
  • Obstetrics Gynecology – COBGC™
  • Ophthalmology – COPC™
  • Orthopaedic Surgery – COSC™
  • Pediatrics – CPEDC™
  • Rheumatology – CRHC™
  • Urology – CUC™

Certified Professional Biller (CPB™)
The Certified Professional Biller (CPB™) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and the nuances of payer requirements, healthcare provider reimbursement may be compromised.
Validate Your Expertise
Through rigorous examination and experience, CPBs have proven knowledge of how to submit claims compliant with government regulations and private payer policies. They follow-up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. The CPB medical billing credential is vital to the financial success of the professional healthcare services claims process.
CPBs Earn Their Worth
According to AAPC's 2017 Salary Survey, the average salary for a CPB was $52,037. If you want to see how much earning potential you have with medical billing expertise, click here to calculate the average CPB salary in your area, based on your job responsibility. Keep in mind that a CPB’s annual salary varies based on the size of the practice you bill for or whether you work in a large facility. Other factors include years of experience, how many credentials held, and your location.
CPBs Earn Their Worth

  • An understanding of various types of insurance plans
  • Expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs) for successful claim submissions
  • Knowledge of CPT®, ICD-10-CM, and HCPCS Level II coding guidelines
  • Successful navigation of healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark Law.
  • An understanding of the life cycle of a medical billing claim and how to improve the revenue cycle
  • Expertise in effective claim follow-up, patient follow-up, and denial resolution

Certified Professional Medical Auditor (CPMA®)
Advance your career with the Certified Professional Medical Auditor (CPMA®) credential. Medical auditing is a critical piece to compliant and profitable physician practices. Whether it's Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. The risks of being non-compliant with documentation and coding are too great. As a CPMA, you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.
Earn an Impressive Salary as a CPMA
With tighter regulation on reporting healthcare services and payer compensation for those services, CPMAs must have a clear understanding of when a practice is at risk for non-compliance. That is why CPMAs are valuable to healthcare practices and organizations. They help keep healthcare providers out of harm's way of fraudulent activity. According to AAPC's 2017 Salary Survey, the average salary for a business of healthcare professional was $52,441, a CPMA's earning was much higher at $64,634 This average fluctuates depending on location, years of experience, how many credentials held, and the employer type. Click here to calculate the average CPMA salary in your area.
Certified CPMAs demonstrate expertise in:

  • Medical documentation, fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines
  • Coding Concepts
  • Scope and Statistical Sampling Methodologies
  • Medical Record Auditing Skills and Abstraction Ability
  • Quality Assurance and Coding Risk Analysis
  • Communication of Results and Findings
  • The Medical Record