Vocational education in insurance billing can be found through Certified Medical Insurance Specialist (CMIS) and medical coding and billing programs. These programs are frequently offered through extension departments at universities and at nonprofit and for-profit 2-year colleges. Graduates are prepared to process insurance claims for services, medications and devices and typically work in doctor's offices, hospitals and clinics. A CMIS student learns how to:
- Use vernacular specific to the medical field and medical insurance
- Navigate medical coding to read sources
- Process claims
- Handle rejected and/or appealed claims
- Ensure compliance with insurance policies
List of Common Courses
Insurance Processing Techniques Course
This class discusses the practical and technological skills needed to file, track and manage insurance claims and patient billing. Students learn to create databases of patient information, file electronic claims, organize patient information and use billing technology. Programs often include substantial hands-on computer training along with classroom instruction.
CPT Procedural Coding Course
Current Procedural Terminology (CPT) is a medical coding system used to designate various medical practices on insurance claims. Students learn to track the procedures performed, helping to ensure that insurance companies properly reimburse practitioners. This course is often designed for students with no previous medical experience. In some programs, this content may be included in the ICD-10 course.
ICD-10 Diagnosis Course
The 10th edition of the International Classification of Diseases (ICD-10) is the current coding system used to notate various conditions on insurance claims. Students learn to use patients' actual medical records to learn which conditions they need to code on insurance claims. Some programs allow students to complete ICD-10 coding exercises using proper guidelines and terminology.
Medical Terminology Course
Medical terminology classes cover the words and phrases used describe diseases, anatomy, devices and other healthcare concepts. Courses often emphasize parts of words that occur in several terms, like prefixes and suffixes. Students also learn to recognize medical abbreviations and read medical documents.
Medical Ethics Course
Ethics classes included in these programs discuss issues like insurance abuse, false claims and healthcare accountability. Students learn about the functions of different regulatory organizations. Programs also cover compliance methods for hospitals and physician's offices.
Human Anatomy Course
Students training to become CMISs are sometimes required to take a course in human anatomy. Students learn about the tissue, cells and organs that compose the human body as well as the muscular, cardiovascular, and respiratory systems.