
Learn to translate clinical language into payer codes using ICD-10 and ICD-11, CPT, and HCPCS, applying modifiers, billing concepts, and claims denial management for reimbursement.
Discover a growing career in medical billing and coding, translating patient visits into ICD, CPT, and HCPCS codes, managing claims, and safeguarding revenue across hospitals, clinics, and remote work.
Explore the foundations of medical billing and coding, learn ICD-10 and ICD-11 basics, CPT/HCPCS coding, and SOAP notes, and prepare for certification through anatomy-driven practice.
Trace the human body from atoms to tissues, organs, and organ systems, study anatomy language, planes, directional terms, and essential needs like nutrients, oxygen, temperature, and atmospheric pressure.
Explore the skin as the body's largest organ in the integumentary system, including the epidermis, dermis, and hypodermis, and its roles in protection, sensation, and waste removal.
Explore the musculoskeletal system—bones, muscles, and joints—and learn how they move, support, and protect the body, while distinguishing ligaments from tendons and common fractures.
Discover how the heart and blood vessels power life, moving oxygen, nutrients, and waste, with arteries and veins, four chambers, and coronary artery disease, angina, or heart attack.
Explore the respiratory system, including lungs, bronchi, and alveoli, and learn how oxygen enters the blood and carbon dioxide exits while reviewing conditions like asthma, COPD, pneumonia, and sleep apnea.
Explore the urinary system, including the kidneys, bladder, and urethra, and its link to the male reproductive system, waste removal, and water-electrolyte balance.
Explore the female reproductive system, from ovaries producing eggs and hormones to the uterus supporting pregnancy and placenta development, through menopause and common conditions like fibroids and PID.
Discover how the eye converts light to vision—from cornea to retina—and learn common conditions like glaucoma, cataracts, AMD, and diabetic retinopathy. Understand refractive errors like myopia and presbyopia.
Explore hematology by examining blood components, how erythrocytes, leukocytes, and platelets function, and how anemia, leukemia, and clotting disorders are diagnosed and treated.
Learn ICD-10 and ICD-11 classifications for infectious and parasitic diseases, including antimicrobial resistance, HIV, and sepsis, and apply documentation-driven sequencing and dual codes for resistance.
Explore neoplasms, including benign, malignant, in situ, and uncertain behavior, and learn ICD-10 and ICD-11 coding sequences, including primary vs secondary sites.
Explore ICD-10 and ICD-11 coding for blood diseases, including anemia types, hemophilia, sickle cell disease, and spleen disorders; learn to link anemia to chronic conditions and code precisely.
Explore endocrine, nutritional, and metabolic diseases, including thyroid disorders, obesity, and diabetes coding guidelines. Learn how BMI, complications, and ICD-11 details shape precise clinical coding.
Explore how to code mental and behavioral disorders from intellectual disabilities to mood and neurodevelopmental conditions, using ICD-11 guidelines and coding principles.
Explore how to code pregnancy, childbirth, and the puerperium in ICD, focusing on the maternal record, trimesters, gestational diabetes, gestational hypertension, and delivery outcomes.
Learn to code signs, symptoms, and abnormal findings when a diagnosis isn’t yet confirmed, remember that diagnosis trumps symptom coding, use ICD-10/ICD-11 to document and justify tests, with pregnancy excluded.
Explore how injury, poisoning, and external-cause codes add context to the primary diagnosis, including A, D, S codes, laterality, and burn and fracture details.
Learn to code diseases of the skin and subcutaneous tissue, from infections and dermatitis to ulcers and hair or nail disorders, using ICD-10 and ICD-11 layouts.
Explore external causes of morbidity as secondary ICD codes that explain injury circumstances, aid public health surveillance, and improve care, billing, and prevention.
Explore factors influencing health status and contact with health services codes, including observation codes, follow-ups, preventive care, and patient history, to justify medical necessity and guide billing.
Explore the circulatory system coding focus, including hypertension, heart failure, cerebrovascular disease, and valve and vascular conditions, with emphasis on accurate ICD-10/ICD-11 coding, documentation, and medical necessity.
Master eye disease coding by distinguishing dry versus wet AMD, glaucoma types, cataracts, and eyelid conditions; use charts, decision trees, and thorough documentation to ensure accurate bilateral and eye-specific codes.
Explore respiratory system coding in ICD-10 and ICD-11, including COPD and asthma and their exacerbations. Learn accurate sequencing, age-based considerations, and how codes impact billing and public health data.
Explore digestive system disorders and how to code them in ICD-10 and ICD-11, including Barrett's esophagus, focusing on location, dysplasia, and complications for accurate coding.
Explore CPT coding for evaluation and management, learning how place of service, patient status (new vs established), and history determine the right M codes and the importance of accurate documentation.
Examine how the review of systems, HPI, and medical decision making drive documentation from problem focused to comprehensive under CMS 1995 and 1997 guidelines, shaping coding and reimbursement.
Code evaluation and management for new and established patients, critical care, and inpatient care, with guidance on documentation, shared services, consults versus referrals, and auditing for accurate M codes.
Master inpatient coding with focus on follow-up care and time-based documentation, ensuring medical necessity and accurate auditing. Explore telemedicine, HIPAA compliance, and payer-specific rules.
Learn anesthesia coding basics: identify anesthesia method, determine base, time, and modifying units, and apply modifiers and documentation rules for accurate CPT billing.
Explore how surgical and anatomical modifiers (left/right, bilateral, staged procedures, and m codes) clarify claims, influence payment, and reflect payer policies.
Master surgery coding by distinguishing diagnostic from therapeutic procedures, identifying CPT and unlisted codes, and documenting global periods, modifiers, and operative details.
Explore endovascular aneurysm repair, breast and colon surgeries, pancreatic and gastric procedures, appendectomies, and ENT surgeries, highlighting complex CPT coding, operative notes, and imaging guidance.
Master radiology coding across x rays, MRIs, CTs, ultrasounds, and mammograms, learn CPT structure, equipment ownership, modifiers 26 and TC, and essential report requirements.
Learn how pathology coding translates lab results and specimens into accurate CPT codes, from qualitative and quantitative drug testing to surgical pathology levels, with medical necessity and specimen terminology.
Master physical medicine coding by applying time-based therapy and related procedures such as dialysis, chiropractic care, psychiatric care, and vaccinations, with strict documentation, payer rules, and Medicare annual wellness nuances.
Explain the Medicare wellness visit as care coordination, not a physical exam, with initial AWB G04 three eight and subsequent AWB G04 three nine, covering demographics, risk assessment, and planning.
Learn to locate, verify, and ensure billable ICD-10-CM codes for anemia using a manual, online tools, or PDFs, via alphabetic index, modifiers, and the tabular list.
Master how signs, symptoms, syndromes, and diagnoses guide medical coding, and code the presented syndrome when a definitive diagnosis is unavailable, using anemia as an illustrative example.
Learn to code anemia in pregnancy using ICD-10-CM: assign 099.0 plus a type-specific code (eg, D50.9), verify timing and maternal linkage for accurate billing.
Master CPT current procedural terminology to standardize medical billing and documentation. Explore the six CPT sections, five-digit numeric codes, place of service codes, and superbills for accurate reimbursement.
Clarify the three year rule to distinguish new versus established patients and compare consults and referrals, including Medicare changes and reimbursement implications for proper coding.
Master the superbill, a central document listing CPT codes for visits and procedures, such as phlebotomy 36415, 36591, 99195; infusions 96365; injections 96372, streamlining claims and reimbursement.
Learn to assign CPT codes for hospital rounds by evaluating time-based admission codes and level four inpatient consultations, guided by initial hospital care and E/M guidelines.
Instructions:
Welcome to the CPT Coding Practice Quiz! This test includes two real-world patient scenarios from the video. Your task is to select the most appropriate CPT code for each case based on the services performed.
Keep in mind:
The diagnosis provided
The type and complexity of services rendered
Whether the visit was a consultation or a new patient evaluation
The level of service
Use your CPT manual or coding guidelines if needed. Good luck!
Learn how modifiers 25 and 59 clarify same-day services in hematology billing, ensuring separate evaluation and management services or procedures are billed accurately to avoid denials.
Learn how to classify new versus established patients and assign the correct level of service using the superbill in hematology, including 99203 and 99215.
Document hospital rounds with patient, facility, provider, date, and referring doctor, and assign CPT codes for admissions, consultations, and follow-ups based on service level and time.
Explore hospital rounds, including admissions, consultations, and follow-up visits, and apply correct codes (99221-99223, 99251-99255, 99231-99233) using official guidelines. Practice with practical examples to ensure accurate documentation and reimbursement.
Learn how the HCPCS manual, maintained by CMS, complements CPT by coding supplies, medications, and devices—from durable medical equipment to injectable drugs—for accurate Medicare and insurance reimbursements.
Explore four hematology HCPCS codes—J0885 ipoietin alpha, J7050 normal saline, J1750 iron sucrose, and J2916 sodium ferric gluconate—covering dosing increments, hemoglobin and hematocrit relevance, and essential documentation.
Explore CMS required HCPCS modifiers for ESA and hospice care, including E for chemotherapy anemia, EB for radiotherapy anemia, EC for non-cancer anemia, and GW or GV for hospice services.
Learn to document patient interactions using SOAP notes—subjective, objective, assessment, and plan—ensuring accuracy, compliance, and proper CPT, HCPCS, and ICD coding with thorough medical records.
Learn to assign CPT 99245 and ICD-10-CM codes for anemia complicating pregnancy by reviewing the superbill and medical record, determining the third-trimester diagnosis and proper documentation.
Learn to accurately report infusion therapy codes using in-feed notes, cross-checking the super bill with progress and injection notes, and align final iron deficiency anemia during pregnancy.
Walks through coding a follow-up visit for chemotherapy-induced anemia, assigning CPT 99214, CPT 96372, HCPCS J0885E, and ICD-10-CM D64.81 to capture the visit, injection, and anemia diagnosis.
Task Instructions
Document 1: Case Study Exercise
Purpose: Provides the clinical story
This document tells the learner:
Who the patient is
What was done clinically
What diagnosis was documented
What the learner is expected to do (“Assign the codes”)
This is the starting point of the activity — it simulates real medical documentation.
Without this document, there is nothing to code.
Document 2: Superbill (Code Reference Sheet)
Purpose: Provides the allowed coding options
This document:
Lists CPT and HCPCS codes relevant to the encounter
Groups codes logically:
E/M services
Procedures (e.g., phlebotomy)
Lab services
Drugs, injections, infusions
Mimics what coders actually receive in outpatient and oncology clinics
This document replaces the need for a full CPT book for this exercise and intentionally limits the choices to prevent overwhelm. It answers the question: “What codes am I allowed to pick from?”
Document 3: Completed Bill / Encounter Sheet
Purpose: Shows the output of correct coding
This document:
Demonstrates how selected codes appear on a billing-style form
Reinforces real-world formatting
Allows learners to visually confirm that:
Codes make sense together
Services match documentation
The diagnosis supports the procedures
This document acts as validation and reinforcement, not instruction.
It answers the question: “What should my final answer look like?”
What This Activity Is Actually Teaching (Very Important)
This activity is NOT testing memorization.
It is teaching learners how to:
1. Translate clinical language into billable services
Learners must read the case and decide:
What is the primary procedure
What is secondary but separately billable
What should not be coded
2. Select correct CPT codes from a limited environment
This mirrors real practice where:
Coders work from fee schedules or superbills
Not every CPT code is available
Accuracy matters more than speed
3. Apply modifier logic correctly
The activity teaches:
When modifier -59 is required
Why distinct procedures must be separated
How improper bundling causes claim denial
4. Link diagnosis to medical necessity
Learners must ensure:
The ICD-10-CM code supports the procedures
The diagnosis is documented (not assumed)
This reinforces payer logic.
Learn how to manage rejected and denied claims by correcting errors, pursuing appeals, and using remittance advice to post payments, track accounts receivable, and drive collections.
Navigate the EHR-based workflow to verify and adjust an e-superbill, ensuring correct ICD-10 and CPT codes reflect anemia complicating pregnancy for accurate claim submission.
Explore health insurance plan types, including Medicare, Medicaid, Tricare, commercial insurance, worker's compensation, and liability insurance, and learn how eligibility and coverage vary for different needs.
Explore common health plans and their eligible groups, including Tricare, Medicare, Medicaid, workers compensation, and commercial plans, with a quiz-style review to reinforce fundamentals.
Explore co-pay, coinsurance, deductible, and maximum out-of-pocket limit to calculate your health care costs and make informed insurance choices.
Explore how co-pays are fixed, out-of-pocket amounts paid at the time of service. See how copays differ by visit type, like $25 for primary care and $40 for specialist.
Understand coinsurance as the patient paying a percentage of the allowed charge, with plans like 80/20, 70/30, or 90/10. The allowed charge, not the billed amount, determines the patient’s coinsurance.
Understand how health plan deductibles shape patient costs with real-world examples. See how after the deductible, coinsurance applies with insurance covering 80% and patients paying 20%.
Understand how maximum out-of-pocket limits cap patient costs, with deductible, coinsurance, and 100% coverage after the limit, illustrated by real-world examples.
Demonstrates billing and payment posting for a real patient case, detailing line items, allowable amounts, write-offs, copays, and insurance payments, with claim corrections and cpt codes and posting finalization.
Master denial management and revenue integrity by analyzing EOB denial codes, appealing rejected claims, and ensuring proper billing practices to recover payments and protect the provider's income.
Explore HIPAA privacy and compliance in healthcare billing, including patient data protection, access controls, breach penalties, and fraud prevention through accurate documentation.
Discover how the Office of Inspector General guards Medicare, Medicaid, and federal health programs, detecting fraud and ensuring compliance through audits, Stark law, and anti-kickback enforcement.
BIG COURSE UPDATE: We’ve added 11 new CPC practice quizzes with more than 800 questions to help learners test their ICD-10-CM, CPT®, and HCPCS Level II coding skills before the appearing for Certified Professional Coder CPC Certification – AAPC Exam Preparation
Welcome to The Complete US Medical Billing & Coding Certification Course on Udemy updated in June 2026 ! This all-in-one, hands-on program gives you the skills and confidence to excel in the fast-growing medical billing and coding industry. Whether you’re preparing for the Certified Professional Coder (CPC) exam, starting a new career, or upgrading your skills, this course covers everything you need—ICD-10 and 11, CPT, HCPCS, SOAP notes, anatomy, compliance, and billing workflows.
With tons of quizzes, case studies, and interactive exercises, you’ll not only learn medical billing and coding but also practice real-world scenarios to prepare for certification exams and remote job opportunities.
What You Will Learn
Medical Terminology & Anatomy: Study the human body systems (heart, lungs, brain, hematology, glands, reproductive system) to strengthen your coding foundation.
ICD-10-CM Diagnosis Coding: Apply outpatient guidelines to code infectious diseases, neoplasms, blood disorders, endocrine conditions, pregnancy, mental health, injuries, and more.
CPT Procedural Coding: Assign procedure codes for anesthesia, surgery, radiology, pathology, orthopedics, OB/GYN, and Medicare wellness visits.
HCPCS Coding: Learn codes for medications, injections, durable medical equipment, and government health programs.
SOAP Notes & Case Studies: Convert provider documentation into accurate codes with step-by-step examples and practical scenarios.
Medical Billing & Insurance: Understand the billing cycle, claims processing, insurance types, EHR billing, copayments, coinsurance, deductibles, and collections.
HIPAA & Compliance: Master denial management, revenue integrity, and fraud prevention to stay compliant in healthcare billing.
Why Choose This Course?
Complete Training: Covers all coding systems—ICD-10, CPT, HCPCS—plus anatomy, billing, compliance, and SOAP notes.
Quizzes & Exercises: Build hands-on practice to boost confidence and prepare for the CPC certification exam.
Beginner-Friendly: Designed for students, professionals, and career changers—no prior experience needed.
Updated for 2026: Learn the latest coding standards, insurance rules, and compliance practices.
Career-Ready Skills: Prepare for remote medical billing jobs, freelance opportunities, or hospital coding roles.
Who Is This Course For?
Beginners pursuing a career in medical billing and coding.
Healthcare professionals seeking to upgrade their coding skills.
Students preparing for medical coding certification exams (CPC, CCA, CCS).
Anyone looking for remote work opportunities in healthcare billing and coding.
What You’ll Achieve
By the end of this course, you will:
Apply ICD-10, CPT, and HCPCS codes confidently in real medical scenarios.
Understand the entire medical billing process from claims submission to payment posting.
Gain hands-on experience with EHR billing and insurance plans.
Be fully prepared to sit for CPC and other coding certification exams.
Master HIPAA compliance, denial management, and fraud prevention.
Why This Course Is Different
Most courses teach theory—this one is practice-driven. With interactive quizzes, coding scenarios, and case studies, you’ll go beyond memorizing codes and actually apply them in real healthcare workflows.
Enroll today in The Complete Medical Billing & Coding Certification Course and start building a career in one of the fastest-growing healthcare fields—from medical coding jobs to remote billing opportunities.