Coding Reimbursement Specialist
Maximizing insurance claim reimbursements, by successful navigation of "meaningful use" and the Affordable Care Act, is the only way to survive in today's ever changing healthcare environment. The overall objective of this program is to produce graduates who are immediately prepared to help health care providers meet this challenge. Students will be prepared to meet or exceed the competencies required by the AAPC (American Academy of Professional Coders), which qualify them to sit for the national coding exam and obtain their CPC (certified professional coder) credential
This certificate will enable students to become Professional Medical Coders (CPC) which are in great demand.
Student Learning Outcomes
Students who successfully complete a certificate in Coding and Reimbursement Specialist at LBCC will:
- Demonstrate competency in procedural coding from both the CPT and HCPCS II code sets.
- Demonstrate competency in diagnostic coding from both the ICD9 and ICD10 code sets.
- Demonstrate competency in Evaluation and Management Coding from both the 1995 and 1997 CMS standards.
- Demonstrate competency in coding and reimbursement compliance, including HIPAA.
Program Requirements
The Coding and Reimbursement Specialist reads and interprets the medical records of patients in all types of health care facilities to obtain detailed information regarding their diseases, injuries, surgical operations and other procedures. This specialist then assigns codes using specific code sets. A person wanting to become a Coding and Reimbursement Specialist should have an interest in working with medical information and be comfortable working at a job that involves significant computer work and is detail driven.
The Coding and Reimbursement Specialist program is designed to be completed in one year. Students must place at or above the following levels on the Placement Test: WR 115 Introduction to College Writing and MTH 060 Introduction to Algebra.