Medical Billing Career Profile and Job Duties

Career Profile for Medical Billing

This 450 clock hour program requires the completion of 15 weeks of study.  This program familiarizes students with theory and hands-on skills necessary for entry-level positions in the Medical Billing and Insurance Coding field. 
Program Objectives
The program is designed to provide comprehensive training in Medical Billing and Insurance Coding.  The student will receive theory and practical training in processing payments for a medical facility.  Students will gain knowledge of ICD-9 and CPT-Plus insurance coding and billing procedures.  Students will also learn to use medical office software used to process billing claims, and will practice medical administration procedures. 
Occupational Objectives
These skills will enable graduates to qualify for entry level positions as administrative medical assistants, medical record clerks, medical office managers, medical insurance billing clerks, medical receptionists, and also work directly with physicians.   Licensure Goal/Requirements: None

Requirements for Graduation: Students must have at a minimum, an accumulative grade point average of 78% or “C” grade, along with a minimum of 70% of the total scheduled program hours attended, in order to be considered for graduation. Pass tests at end of modules and pass final exam, Internship/externship not required.

Program Length/Class Hours

Day: 6 hours a day, 5 days a week, 450 total clock hours, 15 weeks of study.

Course Title
Word Processing and Keyboarding                                 30
Introduction to Computers                                                 30
MS Word                                                                               40
MS Excel                                                                               40
Medical Terminology and Basic Anatomy                 120
Medisoft Medical Billing Software                                  80
Medical Billing and Insurance Coding                         100
Professional Development                                                 10
Total Clock Hours                                                          450

Course Description

1. Word Processing and Keyboarding - Students will learn keyboarding skills and techniques to improve keyboarding speed, they will also how to create documents on a PC and know how to edit, save, retrieve, merge and format common business documents.  Students will also learn how to add, remove and edit basic graphics and pictures on documents.  Student will also learn to create and manage a database by editing, sorting, indexing and merging files.  Finally, they will learn how to create and print reports related to specific database projects. A passing score of 78% is required for test taken at the end of this module. 

  • Introduction to Computers – Students will learn full working knowledge of a PC in a MS Windows environment, and learn how to operate MS Office programs. A passing score of 78% is required for test taken at the end of this module.   
  • MS Word – Students will learn how to use MS Word on a P.C. including how to create, store and mange documents.  Students will also learn how to use various styles, formats and insert images onto a document. A passing score of 78% is required for test taken at the end of this module.   

 

  • MS Excel – Student will learn how to create spreadsheets along with assigning particular functions to individual cells, including adding graphs, text and numerous data entry functions associated with spreadsheets. A passing score of 78% is required for test taken at the end of this module.    
  • Medical Terminology and Basic Anatomy - The student will learn the basic concepts of human anatomy, including the body as a whole, its functions, tissues and major organ systems.  The student will also learn medical terminology including areas such as pronunciation, spelling origin and construction. A passing score of 78% is required for test taken at the end of this module.

 

  • MediSoft Medical Billing Software – Students will learn how to use MediSoft billing software and how to initiate a patient record in a database.  Students will also learn how to navigate through the software and use common functions of the software for medical billing purposes. A passing score of 78% is required for test taken at the end of this module.
  •  Medical Billing and Insurance Coding – The student will learn the aspects of the collection process including collection-servicing agencies.  The student will also learn insurance programs, including; HMO, PPOS and Workers’ Compensation plans and the national coding systems used for claims processing. Students will develop speed and accuracy on the computer keyboard as well as the 10-key pad. The student will also learn how to integrate MediSoft software to process claims. A passing score of 78% is required for test taken at the end of this module.

 

  • Professional Development – Student will participate in a class review and practice professional office etiquette regarding proper office attire, professional demeanor, motivation and customer service. A passing score of 78% is required for test taken at the end of this module.

Final Examination                                                                                                                                                         A minimum passing score of 78%, or “C” grade, is required for the Final Comprehensive Examination taken at the end of this program, along with a minimum of 70% of the total scheduled program hours attended, in order to be considered for graduation.     
Program Equipment List 

  • Desktop Computer -  Dell, Intel Pentium 4, 2.8 GHZ CPU, Intel i865p/pe/6/i848p Motherboard, Graphic AGP 4x 256mb video card, Memory DDR 1536 MB x 2, 32 bit operating system Windows 7.  (Owned)
  • Computer Monitor - 17” HNC 1080x724 LCD flat panel monitor.  (Owned) 
  • Video Projector - Epson EMP-S1H 3LCD Projector, 1400 ANSI Lumens, 800 x 600 Native Resolution, 4:3 Native Aspect Ratio and 500:1 Contrast Ratio.  (Owned)
  • Stethoscope: A 5-in-1 multipurpose Quintscope: the Omron Sprague Rappaport - Type Stethoscope is designed for flexibility of clinical needs. (Owned)

SCHOOL PERFORMANCE FACT SHEET

MEDICAL BILLING COMPLETION RATES

Before you enroll, this form is to make you aware of Sutech School of Vocational and Technical Training current completion rates, employment rates and salary information. The following statistics represent the period of: January 1, 2014 to December 31, 2015

MEDICAL BILLING                                                                                                                      (450 Total Clock Hours)

ON-TIME COMPLETION RATES


Calendar Year

Number of students who began program ˡ

Students available for graduation ²

Graduates ³

Completion Rate ⁴

Student
Initials

2015

1

1

1

0%

 

2014

0

0

0

0%

 

  1. Number of students Who Began Program”means the number of students who began a program who are scheduled to complete the program whitin the reporting calendar year
  2. “Students available for graduation” is the number of students who began program minus the number of “ Students Unavailable for Graduation,” which means those students who have died, been incarcerated, or called to active military duty.
  3. “Graduates” is the number of students who completed the program within 100% of the published program length
  4. “Completion Rate” is the number of graduates divided by the Number of Students Available for Graduation.

Students Completing After Published Program Length (101-150% Completion Rate)

 

Calendar Year

 

Number of Students Who Began Program1

                    
Students Available for Graduation2

 

150% Graduates3

 

150%                       Completion Rate4

 

Student Initials

2015

1

1

1

0%

 

2014

0

0

0

0%

 

  1. “Number of students Who Began Program” means the number of students who began a program who are scheduled to complete the program within the reporting calendar year
  2. “Students available for graduation” is the number of students who began program minus the number of “ Students Unavailable for Graduation,” which means those students who have died, been incarcerated, or called to active military duty.
  3. “150% Graduates” is the number of students who completed within 101%-150% of the program length.
  4. “150% Completion Rate” is the number of students who completed the program in the reported calendar year within 101%-150% of the published program length divided by the Number of Students Available for Graduation in the published program length period.

PLACEMENT RATES


Calendar Year

Number of Graduatesˡ

Graduates available for employment²

Graduates employed in the field³

Placement Rate% Employed in field⁴

Graduates employed in the field less than 32 hours

Graduates employed in the field 32 hours or more

Student
Initials

2015

*

 

 

 

 

 

 

2014

*

 

 

 

 

 

 

* Because of te change in th Bureau's reporting regulations, wich became effective july 14, 2016 this institution was not required to collect data for its 2015 and prior graduates.

 (1) “Number of Graduates” is the number of students who completed the program within 100% of the published program length.
(2) “Graduates available for employment” means the number of graduates minus the number of graduates unavailable for employment. “Graduates unavailable for employment” means graduates who, after graduation, die, become incarcerated, are called to active military duty, are international students that leave the United States or do not have a visa allowing employment in the United States, or are continuing their education in an accredited or bureau-approved postsecondary institution.
(3) “Graduates employed in the field” means graduates who report that they are gainfully employed within six months of graduation in a position for which the skills obtained through the education and training provided by the institution are required or provided a significant advantage to the graduate in obtaining the position.
(4) Placement Rate is calculated by dividing the number of graduates gainfully employed in the field by the number of graduates available for employment.
SALARY WAGE AND INFORMATION

 

Calendar Year

Graduates Available for Employment1

Graduates Employed in the Field2

Annual Salary and Wage Reported by                             Graduates Employed in the Field

15,000to 20,000

20,001to 25,000

25,001to 30,000

30,001to 35,000

35,001to 40,000

40,001 to 45,000 or more

Graduates Not  Reporting Salaries3

2015

*

 

 

 

 

 

 

 

 

2014

*

 

 

 

 

 

 

 

 

* Because of te change in th Bureau's reporting regulations, wich became effective july 14, 2016 this institution was not required to collect data for its 2015 and prior graduates.

(1) “Graduates Available for Employment” is the total number of graduates minus the number of graduates unavailable for employment.  “Graduates Unavailable for Employment” means graduates who, after graduation, die, become incarcerated, are called to active military duty, are international students that leave the United States or do not have a visa allowing employment in the United States, or are continuing their education in an accredited or bureau-approved postsecondary institution.
(2) “Graduates Employed in the Field” are graduates who are gainfully employed within six months of graduation in a position for which the skills obtained through the education and training provided by the institution are required or provided a significant advantage to the graduate in obtaining the position.
(3) Salary is as reported by the student.  Not all graduates reported salaries.

This fact sheet is filed with the Bureau for Private Postsecondary Education.  Regardless of any information you may have relating to completion rates, starting salaries, or license exam passage rates, this fact sheet contains information which is calculated pursuant to state law.
Any questions a student may have regarding this fact sheet that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento California, 95833,
or calling 1-888-370-7589, or by visiting www.bppe.ca.gov