Medical Billing and Coding, Certificate

Program Code: CC.MEDBILLCODE

This is a limited-entry program.

Medical Coders analyze the doctor’s documentation using specific guidelines to determine the correct codes for billing the doctor’s services. The insurance biller will apply healthcare laws to create and submit the claims for the doctor’s work. The insurance biller will work with the insurance companies and patients to track the claims through payment of services rendered.

The work of the coder and insurance biller can produce prompt and proper payments to your doctor and lower their costs by applying current health insurance regulations and practices to healthcare billing, coding, and reimbursement. After completing this program, students will be exposed to the knowledge to prepare them to sit for the national certification exams through the AAPC: The Certified Professional Biller (CPB) and Certified Professional Coder (CPC).

For information, contact healthsciences@clackamas.edu.

Program Outcomes

Upon successful completion of this program, students should be able to:

• perform medical insurance billing, including producing claims and making changes to claims;
• apply coding and billing guidelines and laws;
• analyze insurance reimbursement forms to ensure insurance companies have paid accurately;
• post payments/adjustments to patient accounts;
• explain provider chart notes and code patient visits accurately for billing;
• communicate with providers and patients about billing and coding;
• describe healthcare laws that pertain to medical billing and coding;
• maintain confidentiality and security of patient data.

Information regarding specific requirements and timelines are located at the Medical Billing and Coding Program Website. 

After acceptance into the program, students will be required to attend a mandatory program orientation.

All courses must be passed with a C or better

Career opportunities include:

• medical billing and/or coding