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Welcome Medical Coding & Insurance!

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Presentation on theme: "Welcome Medical Coding & Insurance!"— Presentation transcript:

1 Welcome Medical Coding & Insurance!
HS220 Wanda Feaster, MBA, CCS-P, CPC Phone:

2 This Week Seminar During the first part of this week's seminar, we will be discussing the Course Syllabus, Grading Criteria, Late Policies, How to earn an “A” for Seminars, Discussions, and Projects. During the second part of this week's seminar, we will be discussing Professional Billing and Coding Careers

3 Syllabus Found on Doc Sharing Found under Course Tab
Methods of communication with me include: 1. 2. Seminar: Wednesday’s. 3. AIM name: mynuna03 4. Phone:

4 Basic Seminar Rules Stay on Topic HOLD UP!! Seminars are recorded
Remember your netiquette-please respect everyone! Prepare for live seminar ahead of time Any questions so far??

5 Seminars Review Rubric Response Organized Real time Moves quickly
Come prepared Options 1 and 2

6 Projects Submit in Microsoft Word Check software compatibility Rubrics
Discussion Boards Seminar Participation Projects

7 Discussion Boards Review Rubric Timely posting Content of Posts
Organization of Posts Spell Check Copy/paste Read aloud before submitting Netiquette

8 How to Succeed Read Syllabus & Announcements Virtual Tutorials
Readings Participate Ask questions/communicate Collaborate with class members Stay current in units

9 Introduction to Billing and Coding Careers
Many opportunities can be found for the professional healthcare reimbursement specialist.

10 Facilities Physician's practice Solo practice: Single physician
Small group practice: 2-3 physicians Large group practice: 4-5 or more physicians

11 Job Titles and Responsibilities
Medical Office Assistants- may also be known as an administrative medical assistant, secretary or medical receptionist. Usually work in physician's offices and are considered front office staff administrative duties

12 Job Titles and Responsibilities
Medical Billers- handle submission of insurance claims, data entry, and contacting insurance companies regarding incorrectly paid claims Medical Coders- conduct research and reference check of medical records and are responsible for accurate coding of the primary/secondary diagnoses and procedures

13 Job Titles and Responsibilities
Payment Poster - generally reads the Explanation of Benefits documents issued by insurance carriers and posts the payments or contractual adjustments to the appropriate patient account Medical Collector- contacts patients and insurance carriers to collect money owed to the medical facility

14 Job Titles and Responsibilities
Refund Specialist - analyzes patient accounts to discern whether or not a refund is required, and if so, to whom the money should be returned Insurance Verification Representative- contacts insurance carriers to verify benefit information for patients. May also perform precertification and/or prior authorization of service duties.

15 Job Titles and Responsibilities
Admitting Clerk- responsible for registering and greeting patients, having patients complete paperwork, answering questions, data entry of patient demographic and insurance information, and requesting information and payment

16 Reasons for Obtaining Certification
Stay current in your field. Excellent addition to your resume Professional journals/newsletters Networking

17 Organizations that Offer Certification
American Academy of Professional Coders (CCPC) National Center for Competency Testing (NCCT) National Health career Association (NHA)

18 Certifications Medical office assistant certification
National Certified Medical Office Assistant Certified Medical Administrative Assistant Medical billing certifications Certified Medical Billing Specialist

19 Questions Texts, everyone? Find your syllabus? Know how to contact me?
Your questions?

20 If you have any questions or issues, remember to stay in contact with me. If you don’t keep me informed throughout the term, I can’t help you. See you on the discussion board!

21 Good Night & Thank You! Thank you for coming this evening and for your participation! Let’s make this class fun! Wanda Feaster, MBA, CPC, CCS-P Phone:

22 References: Comprehensive Health Insurance Billing, Coding and Reimbursement. Deborah Vines, Elizabeth Rollins, Ann Braceland, Nancy Wright and Judith Haynes BY Pearson Education, Inc.


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