
Decode medical terminology to improve coding accuracy by mastering prefixes, suffixes, and root words tied to organ systems, enabling rapid recognition of terms like hepatomegaly and nephrectomy.
Map procedures to six major body systems—skeletal, respiratory, muscular, circulatory, digestive, and nervous—and apply directional terms and body planes to improve inpatient ICD-10/11 coding accuracy.
Apply ICD-10-CM lookups to code pneumonia due to streptococcus pneumonia (J13) and diabetes with CKD (E11.22) plus stage four CKD (N18.4), using correct sequencing.
Explore ICD-11’s modular stem and extension codes for precise, flexible diagnosis coding. The system enhances electronic health record integration, online tooling, training, and global consistency.
Finalize billing by posting insurance payments, matching EOBs line by line, applying adjustments, and calculating patient responsibility; generate transparent, compliant statements and proactive collections communications.
Manage denials in real billing platforms by analyzing denial codes and root causes. Improve revenue by correcting documentation and codes, resubmitting or appealing, and tracking performance indicators like denial rate.
Medical Billing & Coding: ICD 10 & 11 Fundamentals is a comprehensive training designed to prepare you for the fast-growing world of healthcare billing and coding. Whether you're starting a new career or upskilling for a certification, this course breaks down complex medical coding systems into digestible, practical lessons.
You’ll begin by learning the foundations of medical terminology, anatomy, and healthcare documentation—core knowledge every coder must understand. Then, we’ll dive deep into ICD-10-CM: how it’s structured, how to assign accurate diagnosis codes, and why specificity matters for compliance and reimbursement. You’ll also get a forward-looking introduction to ICD-11, the global standard that’s reshaping coding in healthcare.
From there, the course covers CPT procedure coding, HCPCS Level II modifiers, and code linkage for medical necessity. You'll understand how to create clean claims, reduce denials, and track reimbursements using modern EHR and billing software platforms.
You'll also explore insurance plan types (Medicare, Medicaid, PPOs), learn how to navigate the Explanation of Benefits (EOB), and work with clearinghouses. Legal and ethical topics like HIPAA, audits, and fraud prevention are also covered.
By the end of this course, you’ll be confident in using ICD-10 and ICD-11 codes, understanding claim cycles, and preparing for CPC or CBCS certification paths.