Medical Billing and Coding Diploma

B&SC Code: DMBC
CIP Code: 51.0713
New York Hegis Code: 5213
Available online in all states

Program: DMBC

Students in the Medical Billing and Coding diploma program develop the essential skills to apply elements of the healthcare revenue cycle. This comprehensive training covers the entire billing process, encompassing patient registration, insurance verification, charge entry, claim submission, payment posting, and insurance follow-up. Students will gain a deep understanding of health insurance plans, government payer programs, commercial payers, and key regulatory guidelines. Emphasis is also placed on the use of coding systems (ICD-10-CM, CPT®, and HCPCS Level II) and the relationship to proper claim adjudication and denial resolution. Students completing the diploma program will be prepared to take the Certified Professional Biller (CPB) exam administered by the AAPC (American Academy of Professional Coders). Credits for the Medical Billing and Coding diploma program articulate into the Medical Reimbursement & Coding, AAS degree with certification as a CPC.

Graduates of this diploma plan will achieve the following program and institutional outcomes:

• Accurately prepares, reviews, and submits health insurance claims for government and private payers in compliance with federal regulations, payer guidelines, and current billing practices.
• Apply knowledge of medical billing and coding systems (ICD-10-CM, CPT, HCPCS Level II), payer policies, and reimbursement methodologies to reduce claim denials and ensure timely and compliant payments.  
• Demonstrate the ability to uphold HIPAA compliance, patient confidentiality, and ethical billing practices related to the revenue cycle.
• Utilize appropriate current technology and resources to locate and evaluate information needed to accomplish a goal, and then communicate findings in visual, written and/or oral formats.
• Transfer knowledge, skills and behaviors acquired through formal and informal learning and life experiences to new situations.
• Employ strategies for reflection on learning and practice in order to adjust learning processes for continual improvement.
• Follow established methods of inquiry and mathematical reasoning to form conclusions and make decisions.
• Participate in social, learning, and professional communities for personal and career growth.