• Medical Training Institute of New York
paper in the table with ballpen and stethoscope

Medical Billing and Coding - Hybrid

Medical Billing and Coding Program Overview

The Medical Billing and Coding Program at the Medical Training Institute of New York prepares students for careers in healthcare settings such as medical offices, hospitals, and clinics. The curriculum covers billing systems, coding, reimbursement processes, health record maintenance, and healthcare computer applications, culminating in a supervised clinical externship.

What Medical Billers and Coders Do

Medical Billers and Coders process patient data, translate diagnoses into codes using CPT, ICD-10-CM, and HCPCS Level II manuals, and handle insurance claims to ensure accurate and timely payments for healthcare providers.

Billing vs. Coding

Medical coders focus on accurately coding medical services, while billers create claims from codes for insurance submission. Many professionals perform both roles.

Career Requirements

Entry-level roles typically require certification, an associate degree, and knowledge of HIPAA regulations.

Program Summary

Competency-Based Instruction in Medical Billing and Coding

Competency-based instruction focuses on mastering the skills required for professional coding practice. It emphasizes student performance and skill mastery, with a focus on real-world job applications. Students engage in problem-solving, apply their skills, and demonstrate knowledge through hands-on activities and performance-based tasks.

Competency-Based Lessons

Lessons are designed to reflect actual career expectations, with early performance activities and opportunities for students to problem- solve and develop solutions. Students are encouraged to evaluate their own performance and engage in active learning through small- group work, projects, and presentations.

Core Competencies for Medical Billing and Coding

  1. Service coding with CPT and HCPCS
  2. Diagnosis coding with ICD-10-CM
  3. Reimbursement processes
  4. Application of medical terminology, anatomy, physiology, and pathophysiology skills

These competencies prepare students to accurately code services and diagnoses, understand reimbursement, and apply medical knowledge in coding practice.

WHAT YOU'LL LEARN

  • Role of an Insurance Billing Specialist
  • Privacy, Security, and HIPAA
  • Compliance, Fraud, and Abuse
  • Basics of Health Insurance
  • The Blue Plans, Private Insurance, and Managed Care Plans
  • Medicare
  • Medicaid and Other State Programs
  • TRICARE and Veterans' Health Care
  • Workers' Compensation
  • Disability Income Insurance and Disability Benefit Programs
  • Medical Documentation and the Electronic Health Record
  • Diagnostic Coding
  • Procedural Coding
  • The Paper Claim CMS-1500
  • The Electronic Claim
  • Receiving Payments and Insurance Problem Solving
  • Collection Strategies
  • Ambulatory Surgery Center
  • Hospital Outpatient and Inpatient Billing
  • Medical Billing & Coding Externship
  • Job Placement Assistant
  • Seeking a Job and Attaining Professional Advancement

WHO WILL BENEFIT

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Those Considering Coding and Auditing

Medical Billing and Coding is a great career choice for anyone who wants to be in a non-patient-facing position within the healthcare industry. It also offers the benefits of working from home and having a very flexible schedule

Medical Billing and Coding specialist can work in various settings including hospitals. outpatient clinics, urgent care facilities, nursing homes, treatment centers, physician offices, and insurance companies. There are also multiple outsourcing agencies that employ coders to work remotely for a variety of clients.

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Aspiring Medical Professionals

Working as a Coder gives many of us our first taste of working in the medical field. You might gain inspiration to continue that career path and get a more in-depth understanding of the medical world. It's okay to share this desire with your interviewer. It shows your dedication to the field and a willingness to learn

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Job Stability

According to the Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average annual salary of $40,350 and work in one of the fastest-growing professions The Bureau of Labor Statistics also estimates that at least 27,000 new jobs will be needed in this profession by 2026

This course is also part of our Advanced Medical Coding Specialist & Auditing —consisting of Medical Billing & Coding and Medical Coding Specialist—available for $3,950. Are you Interested in mastering Clinical Medical Assistant? LEARN MORE

Instructors:

1. Donna A. Castellano

2. Christine Manookian

3. Dian Johnson

Simulated Medical Billing and Coding Internship

Simulated Medical Coding Internship prepares students to code accurately and efficiently in a professional setting. More than 600 cases in 18 medical specialties offer a realistic simulation of the workload in a multi-specialty medical clinic. This simulated coding internship complements and provides application for the concepts learned in Medical Coding Program and Advanced Medical Coding and Auditing. Best of all, students can save a portfolio of the coding cases they’ve completed to prove proficiency to potential employers

Internship or Externship

An on-the-job internship or externship enhances the student's ability to obtain employment. If an on-the-job experience is not available to your students, consider a simulated internship by means of an online experience. This online experience exposes the student to the on-the-job workload in the online environment.

Coding Exam Review

With the ever-increasing complexity of medical coding, employers are giving preference to those coders who are well prepared and certified. MTINY prepares students for the physician and facility certification examinations and includes a review of terminology, anatomy/physiology, reimbursement, compliance, CPT, HCPCS, and ICD-10-CM coding. The material is presented in outline form with multiple Pre/Post Examinations and Final Examination options.

MTINY prepare students to pass one of the following professional certification that best aligns with your career goals

  • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
  • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
  • Certified Billing and Coding Specialist (CBCS) exam offered by the National Health career Association (NHA)

Credentials

Certification

What is the difference between Certification Exams (CPC, CCA, AND CBCS)?

Obtaining a CPC, CCA, or CBCS certification implies that an individual has met competencies in the field of medical billing and coding. Certification is invaluable to the student’s career goals. Students have an opportunity to make confident, informed decisions about the national certification they prefer.

The Certified Professional Coder (CPC) exam is offered by the American Academy of Professional Coders (AAPC). It is the gold standard entry-level coding certification for a physician, or professional fee, coders.

The Certified Coding Associate (CCA) is offered by the American Health Information Management Association (AHIMA). It is an entry-level medical coding certification across all settings–physician practices and inpatient hospitals.

The Certified Billing and Coding Specialist (CBCS) is offered by the National Healthcareer Association (NHA) and is currently an entry-level medical billing certification for physician practices. In the summer of 2021, the exam will transition to an entry-level billing and coding certification, with the inclusion of ICD-10-CM, CPT, and HCPCS Level II testing.

Winter 2025

January 21, 2025

Total hours: 650

Day, Evening, Weekend Options

Total weeks: 26-41

Hours/Weeks: 21-35

Tuition Cost: $3,700

Total Program Cost: $4,987

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Schedule of Sessions Options

9:00 AM - 1:00 PM

Morning Classes

The Morning program will be 5 hours per day, Monday-Wednesday.

16-25 hours per week for approximately 25-38 weeks.

6:00 PM - 10:00 PM

Evening Classes

The Evening program will be 4 hours per day,

5 days per week, for approximately 30 weeks.

9:00 AM - 3:00 PM

Weekend Classes

The Weekend program will be 8 hours per day, Saturdays and Sundays,

16 hours per week for approximately 38 weeks.

Frequently asked questions about Medical Billers

What is the difference between a Medical Biller and a Medical Coder?
Medical Billers work directly with patients and insurers to communicate about the status of invoices and account balances, while Medical Coders primarily work with the records themselves, entering data and classifying treatments based on their insurance classifications. After a patient undergoes medical treatment, the Medical Coder reviews their records and assigns codes to designate the correct billing information for their insurer. Medical Billers then use those codes to file the insurance claim and communicates with patients about the process. Medical Billers also follow up to collect payment and explain details about a patient’s deducible, premium and payment plan.
What are the qualities of a good Medical Biller?
Medical Billers are both administrative professionals and customer service providers, so they should have a combination of sharp clerical skills and friendly interpersonal habits. Medical Billers need to have enough interest in the medical field to memorize the meaning of different codes and notice any errors in the system. Good Medical Billers are active listeners who can respond appropriately to any questions from either patients or insurance professionals. They are patient enough to navigate the bureaucracy of complex insurance claims and to follow up with patients about their accounts. They enjoy solving problems through research and investigation.
What are the daily duties of a Medical Biller?
Medical Billers spend most of their time performing data entry on the computer or speaking on the phone to insurers and patients. They tend to work during typical business hours and may begin the day by preparing invoices for the previous day’s treatments and procedures. Medical Billers send invoices via mail or email before reaching out to patients over the phone about their bill. Based on medical codes in patient files, they submit claims to insurers and track their status. Medical Billers can appeal claim denials and work out payment plans with the medical office on behalf of the patient.
Who does a Medical Biller report to?
Medical Billers can report to a Billing Supervisor that oversees the entire billing processes of a medical office and sets standards and expectations for billing procedures. In smaller offices, Medical Billers might have more responsibility and report to an Office Administrator with updates about the status of collections. Private practices may have Medical Billers communicate directly with the lead Physicians to work out how billing impacts the clinic’s budget.