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Medical Billing and Coding

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

Course Overview
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Course overview

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Program Schedule Guidelines
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Program Schedule Guidelines

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MTI Mission & Goals
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MTI Mission & Goals

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Program Curriculum
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Program Curriculum

Course Code Course Title Hours
MBC101 Basics of Writing 2
MBC102 Basic Math 2
MBC103 Comprehension Building/Study Skills 2
MBC103 Introduction to Computers 2
MBC104 Introduction to Computers Lab 4
MBC105 Medical Terminology 10
MBC106 Role of an Insurance Billing Specialist 5
MBC107 Privacy, Security, and HIPAA 2
MBC108 Compliance, Fraud, and Abuse 3
MBC109 Basics of Health Insurance 4
MBC110 The Blue Plans, Private Insurance, and Managed Care Plans 4
MBC111 Medicare 4
MBC111 Medicare Lab 2
MBC112 Medicaid and Other State Programs 2
MBC112 Medicaid and Other State Programs Lab 2
MBC113 TRICARE and Veterans Health Care 4
MBC113 TRICARE and Veterans Health Care Lab 2
MBC114 Workers Compensation 4
MBC114 Workers Compensation Lab 2
MBC115 Disability Income Insurance and Disability Benefit Programs 4
MBC131 Medical Insurance Internship 150
MBC116 Medical Documentation and the Electronic Health Record 4
MBC117 Diagnostic Coding 5
MBC117 Diagnostic Coding Lab 5
MBC118 Procedural Coding 5
MBC118 Procedural Coding Lab 5
MBC119 The Paper Claim CMS-1500 4
MBC119 The Paper Claim CMS-1500 Lab 2
MBC120 The Electronic Claim 4
MBC121 Receiving Payments and Insurance Problem Solving 4
MBC121 Receiving Payments and Insurance Problem Solving Lab 2
MBC122 Collection Strategies 4
MBC132 Medical Billing Internship 150
MBC123 Ambulatory Surgery Centers 4
MBC123 Ambulatory Surgery Centers Lab 2
MBC124 Hospital Outpatient and Inpatient Billing 5
MBC124 Hospital Outpatient and Inpatient Billing Lab 5
MBC125 Simulated Medical Billing and Coding Internship 10
MBC126 Medical Coding Internship 150
MBC127 Seeking a Job and Attaining Professional Advancement 1
MBC128 Certification Exam Review and Prep 10
TOTAL PROGRAM HOURS 600
Grading Scale and Methods of Evaluation
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Grading Scale and Methods of Evaluation

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Admission
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Admission

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Tuition, Books & Technology Fees
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Tuition, Books & Technology Fees

Total Program Cost:

Program Medical Billing and Coding
Hours 600
Application Fee: $100
Tuition: $2,500
Technology Fee: $300
Clinical & Lab Fee: $400
Book Fee: $341
Uniform Fee: $66
Total Cost: $3,707

Tuition and Fees

Registration

A non-refundable Registration fee of $100 is due during registration to reserve a seat in the program.

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Clinical/Lab

The Clinical/Lab fee is used to cover the cost of the Liability insurance policy, student lab equipment and supplies, and to provide students with Liability insurance during their clinical rotation internship.

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Technology

The Technology Fee provides students with access to Online Learning Resources, the learning management system (“LMS”), and the student portal.

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Books

Required books for the specific module of the program a student is entering can be requested from the school bookstore or online at portal.mtiofnewyork.com/stores prior to the start of each quarter

book and stethoscope

Uniform

Students can request one (1) set of MTI logo scrubs from the school bookstore or online at portal.mtiofnewyork.com/stores prior to the start of the program. Additional uniforms may be purchased from the school bookstore or online at portal.mtiofnewyork.com/stores.

health workers uniform

Tuition

The total cost for the Medical Billing & Coding program is $3,707 which includes $2,500 in tuition and $1,207 in additional fees. Payments are due before the start of a Quarter and are divided into refundable and non-refundable portions, as outlined below.

students using laptops
Refundable Non-Refundable
Prior to Quarter 1 & Quarter 2 Total Tuition Technology Clinical & Lab Registration Books Uniform
$3,707 $2,500 $300 $400 $100 $341 $66

Paying For Your Program
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Paying For Your Program

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Refund Policy
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Refund Policy

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Textbooks
Instructor
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Instructor

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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.

Admission Requirement: GED/High School Diploma

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

nurse hat

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.

doctor

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

Winter 2025

January 21, 2025

Total hours: 600

Day, Evening, Weekend Options

Total weeks: 25-38

Hours/Weeks: 21-35

Tuition Cost: $2,500

Total Program Cost: $3,707

Apply Now

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 24-38 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.
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