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Drury GO Medical Billing & Coding Certification PEP Program

Drury University > Drury GO > Drury GO Medical Billing & Coding Certification PEP Program

This combined 80 hour billing and coding course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-10 manual), complete common insurance forms, trace delinquent claims, appeal denied claims and use generic forms to streamline billing procedures.  The course covers the following areas: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-10 (Introduction and Guidelines) and basic claims processes for medical insurance and third party reimbursements.  Students will learn how to find the service and codes using manuals, (CPT, ICD-10 and HCPCS).

The need for professionals who understand how to code health care services and procedures for third-party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement. According to the Bureau of Labor Statistics, medical billing and coding jobs are growing “much faster than average” with an 8 percent increase needed by 2029.

  • Tuition prices include textbooks, the optional externship, and the certification exam fees.
  • Student tuition: $3,250
  • Course contact:
  • Clinical externship:
  • Coursework is completed 100% online within a 6-month completion window.
National Certification:  After obtaining the practical work experience (6months to 2 years), students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC)  – Certified Professional Coder Exam (CPC) or Certified Outpatient Coder Exam (COC); the American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams
NWCA National Certification:  This program meets the necessary requirements to take the National Workforce Career Association (NWCA) Medical Billing & Coding Specialist (MBCS) Exam

Program Details

This program delivers the skills students need to solve insurance billing and coding problems. It details proper assignment of codes and the process to file claims for reimbursement.

This course covers the following key areas and topics:

  • An overview of healthcare and insurance industry
  • The organization and use of the ICD-9-CM, ICD-10-CM, CPT, and HCPCS manuals to identify correct codes
  • Detailed review and practice using the alphabetic index and tabular list of the ICD-9-CM, ICD-10-CM, and practice coding examples within the CPT
  • Basic claims processes for medical insurance and third-party reimbursements
  • Completing common insurance forms, tracing delinquent claims, and appealing denied claims
  • ICD-10-CM Overview

Education and Certification

  • Students should have or be pursuing a high school diploma or GED.
  • Numerous national certification exams are available for students who complete this course including American Academy of Professional Coders, American Health Information Association and others.
  • Certain national certification organizations suggest 6 months to 2 years of practical work experience prior to pursuing certain national certification exams.

Course Topics

  • Intro to International Classification of Diseases, Clinical Modifications and Coding Guidelines
  • Introduction to the organization and use of the ICD-9-CM, ICD-10-CM and CPT manuals
  • Basics of diagnostic and procedural coding
  • The Health Insurance Claim Form
  • HIPAA and Electronic Data Interchange
  • Review and practice coding Evaluation and Management services
  • Review and practice coding from anesthesia, surgery, radiology, medicine and the pathology/laboratory sections of the CPT
  • CPT Modifiers, E and V Codes and Late Effects
  • Coding surgical procedure and medical procedures for the cardiovascular, integumentary, male/female reproductive systems, maternity care and delivery
  • Coding for general surgery, radiology, pathology, diagnostic, therapeutic and laboratory services and the Level II National Codes
  • Tracing delinquent claims and insurance issues
  • Third-party reimbursement issues
  • Development of and Improvements to the ICD-10-CM Coding Manual
  • Examination of the ICD-10-PCS system