Southeastern Community College

CPC-110 - ESSENTIALS OF MEDICAL CODING AND BILLING

Lecture: 1

Lab: 2

Credit: 2

This is an introductory Course which will introduce the student to the essential components of Medical Coding and Billing. The student will identify the basics of Electronic Health Records (EHR). Students will also learn the purpose, terminology, documentation requirements, and functionality along with the legal and regulatory guidelines. This will include practice exercises to provide hands-on experience using EHR software to complete medical coding and billing tasks in the health care provider office setting. The course will also provide information on the uses of common brand and generic drug names. This information will help coders understand how to use medication information to identify situations in which further inquiry about comorbidities or complications may be necessary and ensure accurate reporting of chronic healthcare conditions. Corequisite: CPC-128

CPC-121 - INTRODUCTION TO MEDICAL PROCEDURAL CODING

Lecture: 5

Lab: 1

Credit: 5.5

This course prepares students for a career in medical coding in the medical office. Introduction to current procedural terminology (CPT) manual, HCPCS and medical coding compliance and guidelines. Corequisites: CPC-126; CPC-128

CPC-126 - DIAGNOSTIC CODING

Lecture: 3

Lab: 2

Credit: 4

The course will prepare the student for application coding nuances and guidelines along with compliance as it is related to diagnostic coding. The student will be able to assign diagnostic codes reporting all applicable codes and sequence in accordance with the guidelines. Corequisites: CPC-121; CPC-128

CPC-128 - INTRODUCTION TO MEDICAL INSURANCE & BILLING

Lecture: 3

Credit: 3

This course is designed to assist students in understanding the complexities of current insurance and billing procedures in the medical office or clinic setting. The student will obtain a sound foundation of the nuances, guidelines and requirements involved. The student will be familiarized with claims submission for major medical insurance/reimbursement programs. Corequisites: CPC-121 & CPC-126.

CPC-131 - MEDICAL INSURANCE AND BILLING II

Lecture: 2

Lab: 2

Credit: 3

This course will discuss all aspects of insurance billing for today's health care plans. The latest information on HIPAA and OIG regulations, diagnostic and procedural coding, and office and insurance collection strategies will be covered, ensuring preparation for real-world situations. Also covered will be the importance of the medical insurance specialist's role in filing clean claims, solving problems that do occur and collecting overdue payments. Prerequisites: HSC-114, MAP-431, CPC-110, CPC-121, CPC-126 and CPC-128. Corequisites: CPC-151 and CPC-160.

CPC-151 - MEDICAL PROCEDURAL CODING

Lecture: 4

Credit: 4

This course will discuss in depth CPT and HCPCS guidelines and the assignment of codes. Modifier assignment, ICD-10 selection, medical necessity regulations, documentation guidelines, HIP AA law, and chart auditing are also covered. Prerequisites: BIO-163, HSC-114, CPC-121. 

CPC-160 - APPLICATIONS OF PROCEDURAL CODING

Lecture: 0

Lab: 4

Credit: 2

This course allows the student to apply knowledge of CPT, modifier assignment, HCPCS, ICD-10 selection, with medical necessity. Prerequisites: HSC-114, MAP-431, CPC-121, MAP-105 and BIO-163. Corequisite: CPC-151.

CPC-810 - MEDICAL CODING AND BILLING EXTERNSHIP

Lecture: 0

OJT: 10

Credit: 2.5

The student will be placed in a predetermined medical office, clinic or related facility, and work under the supervision of an office manager or coding/billing supervisor, and the program coordinator for a 160 hour minimum required practicum. Prerequisites: CPC-110, CPC-121, CPC-126, CPC-128, CPC-131, CPC-151, CPC-160, HSC-114, MAP-401, MAP-431, MAP-532. Corequisite: CPC-945.

CPC-945 - MEDICAL CODING AND BILLING SEMINAR

Lecture: 1

Credit: 1

This course prepares students for job readiness skills needed in their chosen career of medical coding and billing. The student will also be prepared to take a mock certification examination. Prerequisites: CPC-110, CPC-121, CPC-126, CPC-128, CPC-131, CPC-151, CPC-160, HSC-114, MAP-401, MAP-431, MAP-532 Corequisite: CPC-810.