Medical Billing, Coding, and Health Information Technician Certificate (MBCHIT)

Build the medical language essential to working in healthcare. Covers analyzing and building medical terms, prefixes, suffixes, anatomy, physiology, pathology, cells and tissues, organs and organ systems, homeostasis, and diagnostic and procedures.

Master the patient intake workflow — collecting accurate demographics, validating identification, capturing insurance information, and verifying coverage before service. Front-end accuracy that drives clean claims and timely reimbursement.

Explore the revenue cycle in ambulatory healthcare. Covers registration, insurance (Medicare, Medicaid, managed care, commercial), CPT and ICD-10-CM and HCPCS coding fundamentals, denials, collections, estimates, and price transparency.

Comprehensive introduction to medical billing, claim forms, and accounts receivable management. Complete and submit CMS-1500 and UB-04 forms, manage A/R and collections, handle claim adjudication and denial management, and ensure HIPAA.

Foundational knowledge of the Insurance Billing Specialist role. The revenue cycle, basic insurance terminology, HIPAA/HITECH/ACA, the medical record, patient registration,and an introduction to ICD-10-CM, CPT, and HCPCS Level II coding.

Recognize common medical billing codes and payer-specific terminology, understand the full claim life-cycle, and apply charge entry guidelines to submit clean electronic claims that get processed quickly and accurately.

Master systematic review of clinical documentation to select correct Evaluation & Management (E&M) office-visit codes, and assemble complete claims with accurate insurance details, modifiers, and charges for first-pass acceptance.

Recognize common diagnostic and procedural codes, understand how documentation quality drives reimbursement, and systematically apply correct procedural codes to encounter forms to maximize revenue and minimize denials.

Optimize the back-end of the revenue cycle — payment posting, reconciliation, denial follow-up, appeals, and patient collections strategies that reduce days in A/R and improve cash flow for the practice.

Apply HIPAA Privacy and Security Rules, ACA and HITECH requirements, and confidentiality best practices to medical records. Covers consent, authorized disclosures, breach response, and minimum-necessary standards.

Explore how data flows through ambulatory healthcare via Electronic Health Records (EHRs). Covers EHR structure, data entry standards, interoperability, reporting, quality measures, and using EHR data to support clinical and operational decisions.

Foundational health IT — practice management systems, clinical decision support, patient portals, health information exchange, cybersecurity in healthcare, and the regulatory framework that governs healthcare technology adoption.

Understand the modalities, workflows, and regulatory considerations of telehealth — synchronous video visits, asynchronous store-and-forward, remote patient monitoring, billing and coding for telehealth services, and patient experience considerations.

Front-office workflows for medical practices — scheduling, patient communication, phone triage etiquette, mail and correspondence, recordkeeping, office equipment, supply management, and supporting the clinical team.

Comprehensive introduction to the U.S. healthcare system and the medical biller role. Examines private, government, and managed care insurance models, patient registration, eligibility verification, and how clean front-end processes support timely reimbursement — preparing learners for the AAPC CPB credential.

Hands-on labs, project work, and test preparation supporting all program competencies.