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Center for Curriculum and Transfer Articulation
Major: 5014
Effective Term: 2023 Fall   

Award: CCL  
Total Credits: 36
CIP Code: 51.0713

Instructional Council: Allied Health
GPA: 2.00
SOC Code: Upon completion of this certificate, students may pursue a career as:
29-2071.00 Medical Records and Health Information Technicians


Description: The Certificate of Completion (CCL) in Medical Billing and Coding: Physician-Based is designed to prepare individuals for entry-level medical billing and coding positions in ambulatory care treatment centers such as clinics, physician practices, managed care organizations, private billing services, and insurance companies.

Learning Outcomes
1. Demonstrate professional and ethical behavior, and cultural competency skills according to ambulatory care professional practice standards. (HIM101, HIM181, HIM208, HIM213, HIM215, HIM216)
2. Apply critical thinking skills to decision-making processes in accordance with ambulatory care standards and best practices. (HIM101, HIM180, HIM181, HIM208, HIM213, HIM215, HIM216)
3. Apply legal and ethical concepts and principles applicable to ambulatory care setting regulations and guidelines. (HIM101, HIM181, HIM208, HIM213, HIM215, HIM216)
4. Use health information technologies commonly used in ambulatory care settings. (BPC110, HIM101, HIM181, HIM213, HIM215, HIM216)
5. Apply anatomy and physiology, pathophysiology, pharmacology, and medical terminology concepts in the ambulatory care coding function. (BIO156, BIO181, BIO201, BIO202, HCC145, HIM101, HIM181, HIM200, HIM208, HIM213, HIM215, HIM216)
6. Apply clinical nomenclatures, vocabularies, classification systems, and revenue cycle management. (HCC145, HIM180, HIM181, HIM208, HIM213, HIM215, HIM216)
Program Notes
Students must earn a grade of C or better in all courses within the program.

Students must be willing to undergo a background check performed by the MCCCD approved vendor. (Students who are unsure of their background status may take a preliminary background check at their own expense before entering the program, results of which will not be sent to the college.)

The following courses must be completed within five (5) years of the Required HIM Course(s): BIO201, BIO202, and BPC110.

PHOENIX COLLEGE:
Phoenix College offers a credit-based certificate.

GATEWAY COMMUNITY COLLEGE:
GateWay Community College offers a clock-based certificate in Medical Billing and Coding


Required Courses
+ BIO156 Introductory Biology for Allied Health (4) OR
+ BIO181 General Biology (Majors) I (4) 4

+ BIO201 Human Anatomy and Physiology I 4
+ BIO202 Human Anatomy and Physiology II 4
BPC110 Computer Usage and Applications 3
HCC145 Medical Terminology for Health Care Professionals 3
+ HIM101 Introduction to Health Information Management 3
+ HIM180 Introduction to Medical Billing and Reimbursement 2
+ HIM181 Medical Claims Processing 3
+ HIM200 Human Pathophysiology and Pharmacology for Health Information Management (HIM) Professionals 3
+ HIM208 ICD-CM Diagnostic Coding 2
+ HIM213 CPT and HCPCS Coding 3
+ HIM215 Physician-Based Billing and Coding Seminar 1
+ HIM216 Professional Practice in Physician-Based Billing and Coding 1
Credits: 36

+ indicates course has prerequisites and/or corequisites.
++ indicates that any suffixed course may be selected.
MCCCD Governing Board Approval Date: December 13, 2022

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.





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