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Programs & Majors » Billing Compliance Specialist - Certificate (25 credits)

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Billing Compliance Specialist Certificate
eCampus

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About this program

Course # Course TitleCredits
Required
ADMM2122 Medical Office Management3
- OR -
HITM2250 Supervisory Leadership in Hlth 3
ADMM2154 Hospital Billing2
ADMM2262 Auditing the Medical Record-Surgical and Ancillary Services3
ADMM2264 Auditing the Medical Record-Facility2
ADMM2266 Auditing the Medical Record- Evaluation and Management Services3
ADMM2280 Compliance Plan Development3
ADMM2282 Compliance Plan Presentations3
ENGL1220 Professional & Technical Writing
Goal: 1, 2 * 		3
HITM1155 Medicolegal Aspects3

Total Credits: 25

Billing compliance specialists supervise medical coders, audit medical records and provide feedback on appropriate code selection to physicians and coding staff. They are responsible for ensuring that government and third-party (insurance companies) guidelines are followed and writing compliance plans and associated procedures.
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Program outcomes

1. Develop compliance tools to educate healthcare staff on compliance topics (e.g., HIPAA, state requirements, ethics, etc.).
2. Develop and maintain a Corporate Compliance Plan, including policy development; researching alleged violations of rules, regulations, policies, procedures; conducting compliance committee process.
3. Complete coding audits and provide feedback.
4. Perform compliance activities consistent within legal requirements.
5. Demonstrate ethical behavior.
6. Display interpersonal and supervisory skills.
7. Maintain up-to-date files as required by corporate, government and third-party entities.
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Program accreditation

The College is accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools, (800) 621-7440, 30 North LaSalle Street, Suite 2400, Chicago, IL 60602-2504.
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