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Certified Medical Coder

Protect provider reimbursement with advanced training in medical coding guidelines. Become an expert in the assignment of codes that accurately support documentation, medical necessity, and highest level of specificity. 
29 CEUs
18 HRs
1,250

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According to the U.S. Bureau of Labor Statistics, jobs for certified medical coders will increase 22% by 2022.

Why get certified?

– Certified medical coders are in the top in-demand jobs in the healthcare industry.
– Coding professionals who earn certification improve career growth opportunities.
– Certification demonstrates to employers that you have advanced expertise.
– CMCs can advance their careers into chart auditing and supervisory roles.

Your Projected Salary*

$54k
Average salary in 2017 for a certified medical coder
20%
Salary increase for a CMC

 

*Job salary will vary on years of experience, location, practice, and # of certifications.

Course Summary

5138 cmc products

Choose your own training schedule when you enroll in the CMC certification program online. This course includes:

  • A series of twelve 90-minute instructor-led webinar sessions
  • A physical course manual with workbook exercises
  • Bonus medical terminology online training module
  • Exam prep handbook
  • Practice exam
  • Proctored certification exam

Registered students can access the recordings online for up to six months after the original recording date.

Exam

  • 133 questions
  • 6-hour proctored exam
  • Access to open code books and medical dictionary for some portions of the exam

PMI’s Exam Coordinator schedules the exam in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMC certification. If the candidate does not achieve a passing grade on the first attempt, he/she may re-test for an additional fee.

  • Medical Terminology
  • Makeup and pronunciation of medical terms/words
  • Key review of the human body systems, illustrations, and review of anatomic position and directional terms
  • Root words, prefixes, suffixes, and supplemental terms
  • Combined forms associated with medical conditions
  • Definitions for common medical abbreviations
  • Analysis of physician orders and narratives

ICD-10-CM Coding

  • Instruction on the guidelines, organization, and groupings of ICD-10-CM
  • Accurate translation of medical terminology for diseases into codes
  • Designation of symbols, punctuations, abbreviations, keywords, unspecified codes, and other coding conventions
  • ICD-10-CM subcategories, classifications, and extensions
  • Outline of the complete coding and reimbursement equation
  • Primary vs. secondary code selection
  • Diagnostic coding guidelines such as laterality, sequelae, etc.
  • Differentiate between signs/symptoms and ill-defined conditions and a diagnosis
  • Correct rules and guidelines for assigning codes for neoplasms, adverse effects, pregnancy, childbirth, wounds, burns, injuries, HIV/AIDS, etc.
  • Unsubstantiated and borderline diagnoses
  • Application of ICD-10 coding conventions
  • How to determine the accurate diagnostic code order
  • Proper use of tables
  • Problem set coding exercises for hands-on comprehension

Procedural Coding - CPT® and HCPCS

  • Key elements of physician documentation that drive the assignment of CPT codes
  • Accurate code assignment through the application of coding guidelines
  • HCPCS/CPT coding process and steps
  • Format and conventions used in the HCPCS/CPT coding manuals
  • Global and unbundled procedures, and their impact on coding in CPT
  • Identify unlisted procedures and how to bill them
  • Modifier usage for appropriate reimbursement and efficient claims processing
  • Evaluation and management service types
  • E/M guidelines and levels of service
  • Medical record documentation as related to the application of E/M coding
  • Bundled services guidelines for surgery coding
  • New versus established patient guidelines
  • Surgery coding guidelines
  • Hands-on exercises coding common procedures and services provided by physicians

Ancillary Services & Advanced Coding

  • Maternity and delivery services
  • Types of radiology services
  • Technical and professional component distinction
  • Billing supervision and interpretation (S&I) services
  • Laboratory procedure types
  • Billing for qualitative detection versus quantitative detection
  • Billing laboratory panel tests
  • Types of pathology services
  • Coding services in the medicine section
  • Billing for the administration of vaccines and immunizations
  • Types of dialysis
  • Guidelines used to assign ophthalmologic examinations
  • Advanced coding problem set exercises

Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CMCA-E/M, CEMA

Pam has more than 20 years of medical practice management, coding, reimbursement and compliance experience. She has managed in medical practices ranging from single to multi-specialty groups, including ASC.

  • CMC candidates must have a minimum of one year of work experience as an outpatient medical coder or demonstrate successful completion of foundational training courses.
  • CMC candidates will need current editions of CPT®, HCPCS, ICD-10-CM, and a medical dictionary
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New to medical coding and billing?

If you’re new to the field or need CEUs to renew your certification, our online training courses are perfect for you to learn (or refresh) coding fundamentals.

Principles of Coding

6 CEUs
6 HRs
299
 
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Medical Coding Basics Bundle

12 CEUs
12 HRs
396
 
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