Medical Billing/Coding Specialist (CP)

Academic Plans, known as programs, include a overview description and a summary of program requirements. You can search the online catalog via the the Academic Plan links on the right for a desired program or a specific course information. 

The Medical Billing/Coding Specialist program prepares individuals for employment in the areas of medical insurance, physician’s office coding, inpatient hospital coding, healthcare claims processing, and home-remote coding. This program also serves the needs of healthcare personnel interested in upgrading their professional skills.

Training in medical billing includes CMS-1500 and UB04 claim forms as well as the processing of insurance claims and basic health information procedures. Coding training includes CPT-4, ICD-9 & ICD-10-CM, PCS, and MSDRGs as well as the legislative changes, such as the Affordable Care Act (ACA) to the billing and coding environment.

Graduates have highly marketable skills that will continue to be in high demand. With the implementation of ICD-10 this October the need for trained individuals to fill these jobs have never been greater.

This program is open-entry and you may begin taking classes in this rewarding and lucrative field any term.

General Education Requirements
Communication Skills
ENGL&101ENGLISH COMPOSITION I5
or PTWR 135 INTRODUCTION TO APPLIED TECHNICAL WRITING
Computational Skills
BMED 103MATH FOR HEALTH CARE PROFESSIONALS3
Human Relations
CMST&210INTERPERSONAL COMMUNICATION5
or CMST&230 SMALL GROUP COMMUNICATION
Major Area Requirements
BMED 105STATISTICS FOR HEALTH CARE PROFESSIONALS2
BMED 110MEDICAL TERMINOLOGY I3
BMED 111MEDICAL TERMINOLOGY II3
BMED 112INTRODUCTION TO PATHOPHYSIOLOGY5
BMED 116MEDICAL OFFICE ADMINISTRATIVE PROCEDURES I3
BMED 129MEDICAL REIMBURSEMENT5
BMED 130MEDICAL CODING - CPT/HCPCS4
BMED 132MEDICAL CODING ICD-9-CM/ICD-105
BMED 133INTERMEDIATE MEDICAL CODING5
BMED 138LEGAL ASPECTS OF THE MEDICAL OFFICE2
BMED 226MEDICAL OFFICE PRACTICUM3
or BMED 250 MEDICAL OFFICE CAPSTONE PRACTICUM
BMED 233INTRODUCTION TO PATIENT NAVIGATION & ADVOCAC5
BTEC 149COMPUTER APPLICATIONS ESSENTIALS3
Select one from the following:4-5
HUMAN BIOLOGY
and HUMAN BIOLOGY LAB (5 credits/units)
BASIC CONCEPTS OF ANATOMY AND PHYSIOLOGY (4 credits/units)
HEOC 104HEALTH CARE DELIVERY & CAREER EXPLORATION3
HLTH 124HEALTHCARE PROVIDER CPR AND FIRST AID1
Total Credits/Units69-70
Recommended Elective (Not Required)
BMED 140LEGAL ASPECTS OF HEALTH INFORMATION2
BTEC 169INTRODUCTION TO EXCEL3

Refer to the Degree and Certificate Requirements section in the Clark College Catalog to identify the courses needed to satisfy the general education requirements.

To learn more about this program's employment outlook, approximate cost and potential careers, please visit the Gainful Employment Program Information page.

Program Outcomes

Program outcomes are overarching skills that are emphasized and reinforced throughout several courses in a specific program; they are measurable statements that define what students should know or be able to do by the end of a certificate or degree at Clark College. After successful completion of this program, students will be able to:

  • Articulate well-considered ideas and written claims to an academic audience, using effective rhetorical techniques, properly credited evidence, and a command of Standard English. (GE)
  • Demonstrate interpersonal/human relations skills. (GE)
  • Demonstrate and clearly explain an effective strategy to solve a quantitative problem. (GE)
  • Demonstrate use of medical office software to complete medical office tasks (billing and coding).
  • Apply policies and principles of medical reimbursement.
  • Accurately code using ICD-9 and CPT coding principles.
  • Demonstrate the ability to work as a team member to accomplish a task. (affective)
  • Communicate effectively with peers, patients, and health care professionals through written and oral communications. (affective and psychomotor)
  • Accurately process medical billing claims