BECOME A
MEDICAL BILLER AND CODER
Certified Medical Billing and Coding Professional

Overview

Medical Billers and Coders work in physicians’ offices, hospital, urgent care center, billing companies, insurance companies and many more places. Their main duty is to process the claims using the codes (current procedural terminology and international classification of disease) and submitting those claims further for reimbursements. Medical Coder gets their codes by reading the patients reports.   

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Medical Billers and Coders need to accurate codes and bill the insurance claims. Moreover, they need to keep a track on the status of the claims submitted, they must maintain patient confidentiality. Apart from these duties the Medical Biller and Coder needs to learn the steps on filling out insurance forms for different insurance companies.

 

Requirements

Candidates registering for the exam must qualify in (at-least 1) of the GROUPS (A or B or C) as shown below. Training and experience may be completed within united states of america or outside united states of america. 

GROUP A

EDUCATION

Training or

Equivalent

(Nationally or Internationally)

GROUP b

experience

Have work experience

or

Equivalent

GROUP C

MILITARY

Must submit proof of education or experience.

 

Duties

  • Communication Skills (Verbal and Written)

  • Computer Skills

  • Customer Service Skills

  • Accurately Code (CPT & ICD)

  • Perform Preauthorization

  • Check Eligibility

  • Benefit Verification

  • Review Patient Reports

  • Prepare Claim

  • Review Claim

  • Submit Claim Electronically

  • Submit Claim Manually

  • Check Claim Status

Biller and Coder Skills

  • Communicate with Provider, Patient, Insurance

  • Billing Primary, Secondary of Tertiary Insurance

  • Appeal Denied Claims

  • Post Insurance Claims

  • Post Charges

  • Post Payments Received (Electronically or Manually)

  • Resolve Patient Billing Issues

  • Adhere to HIPPA Guidelines and Regulations

  • A/R Management

  • Collections Process

  • Other Duties as Assigned

Biller and Coder Skills

Exam Test Plan

The exam content topic includes the following:

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  1. Health Insurance

  2. Revenue Cycle Management

  3. Legal Issues

  4. Regulatory Issues

  5. ICD 10 Coding

  6. CPT Coding

  7. HCPCS Level II Coding

  8. CMS 1500 and UB-04

  9. Insurance (Medicare, Medicaid, Tricare, BCBS, Workers Comp)

 
 

Renewal

AECA believes in continuing education more frequently so that the candidate can have a constant touch with knowledge, Candidate’s are required to attend the continuing education units / credits every year to renew their certification.

Certification is required to be renewed annually.

On submitting a renewal application the candidate will receive an email with links to CEUs that must be completed and submitted online. 

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Fee Schedule for Renewal

Renewal Fee: $50

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Renewal: 

RENEWAL APPLICATION

Certification that are expired must apply for reinstatement.

If you wish to apply to reinstate your expired certification you may proceed by submitting a reinstatement application. 

 

Fee Schedule for Reinstatement

Expired Less than 1 Year: $99  

Expired More than 1 Year but Less than 2 Years: $199

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Reinstatement

REINSTATEMENT APPLICATION