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Salvation Academy  Certified Billing and Coding Specialist (CBCS) primarily focuses on converting a medical procedure, diagnosis, or symptom into specific codes to submit a claim for reimbursement. A CBCS may perform some or all of the following duties. However, they are not limited to just these responsibilities:
  • Understand company claim policies
  • Assign codes to each diagnosis and procedure
  • Rely on information of disease processes
  • Understand patient requests for an initial appointment
  • Code patient medical records correctly to optimize reimbursement for medical services
A. Coding and Billing As a Profession
Billing and Coding Specialists assign a code to each diagnosis and procedure. They consult classification manuals and also rely on their knowledge of disease processes. Technicians then use computer software to assign the patient to one of several hundred "diagnosis-related groups," or DRGs. The DRG determines the amount for which Medicare or other insurance programs using the DRG system will reimburse the hospital if the patient is covered. Technicians who specialize in coding are called health information coders, medical record coders, coder/abstractors, or coding specialists. In addition to the DRG system, coders use other coding systems, such as those geared towards ambulatory settings or long-term care.

Billing & Coding Specialists’ duties vary with the size of the facility. In large to medium-sized facilities, technicians may specialize in one aspect of health information, or supervise health information clerks and Transcriptionists while a medical records and health information administrator manages the department. In small facilities, a credentialed medical records and health information technician sometimes manages the department.

 Ethical Behavior
Ethical behavior entails conforming to a standard of right and wrong to avoid harming the patient in any way. Standards of right and wrong called the "code of ethics" provide personal and professional rules of performance and moral behavior that all billing and coding specialists are expected to follow.
Health Care Settings
The following are the medical facilities where the billing and coding specialist may find work:
 
• Hospital
• Doctor’s Office
• Physical or mental rehabilitation facility
• Other Health Care Institutions
 
B. Exam Format and Administration
The CBCS exam is a multiple choice exam administered via paper and pencil or internet-based at NHA approved testing sites. Examinees have 1 hour and 45 minutes to complete the CBCS exam. For the administration of a paper and pencil exam, the proctor will follow the specific requirements in the Proctors Oath regarding exam security, uniform testing conditions, seating arrangements, a maximum 30:1 examinee/proctor ratio, cheating, return of exam materials, etc. Examinee instructions for taking the paper and pencil exam will be given to you by the exam protor.
 

Prerequisites

High School Diploma or entrance examination (Workkey)

Class Schedule

Schedule

Start

Finish

Days

Time

Scgedule

03/22/2012

09/27/2012

Thursdays only

9:00 AM to 5:00 PM

 

 

 

 

More Information

Instructor

Brima Deen

 Phone

 571-217-8394

Course Duration

400 Hours (Six Months) Tuition Cost: 5,500.00

Program Schedule

 240 Lecture Hours and 160 Practical/Clinical Hours

Registration = $75.00

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