The Medical Coding and Reimbursement Specialist program is designed to prepare the student to take an active, professional role in the coding and reimbursement process for services performed by physician and non-physician practitioners.
The graduate will be prepared to ensure that medical services and diagnoses are correctly identified and coded on claim forms.
These professionals direct and assist in the coding and reimbursement process by identifying diagnoses and procedures performed, correctly assigning the appropriate diagnoses and procedure codes, appropriately completing and submitting claim forms, researching and correcting insurance claim rejections, and posting insurance reimbursement. Graduates may also play a role in managing claim denials, adjudicating claims from the insurance perspective, working as medical reviewers for health care payers or performing medical coding in non-traditional settings (e.g., home health, durable medical equipment suppliers, etc).
Students are provided with broad, in-depth knowledge of medical terminology, anatomy, the coding of both diagnoses and procedures using the ICD-9-CM, CPT, and HCPCS code sets. Additionally, Medical Coding & Reimbursement students are supplied entry-level skills in the medical billing process, claims management, reimbursement methodologies and basic health care compliance.
The Medical Coding and Reimbursement Specialist will attain the skills to interact with physicians, clinical staff, third-party payers, and patients. Satisfactory completion of the program qualifies the graduate to seek credentials from the American Academy of Professional Coders or the American Health Information Management Association.
Attention incoming students: This program is moving to selective admissions and submitting to curriculum revision through KCTCS in Fall, 2012. Therefore, new students will need to apply for admission to the program beginning in January, 2013.
Academic Program Plans (APP)
For more information about this program, please contact: