Individuals interested in working with health
insurance claims and medical coding can pursue careers as certified
medical insurance specialists (CMIS). Several 2-year and 4-year colleges
offer online courses within their medical insurance specialist
certificate programs.
Overview of Online Courses for Aspiring Medical Insurance Specialists
Medical insurance specialists work within medical practices to secure
correct and timely reimbursement for healthcare claims from insurance
companies. Many of the courses needed for certification are available
online, either as individual classes or as part of 1-year certificate
programs offered by community colleges and some 4-year universities.
Successful completion of the program allows candidates to take the CMIS
exam offered by the Practice Management Institute (PMI).
Course Requirements
Prior to beginning coursework, students should possess some basic knowledge of
insurance billing
and reimbursement procedures as performed in a clinical setting.
Familiarity with computer technology and the ability to access online
class materials using the Internet are required, as are basic skills in
word processing and e-mail communication.
Medical Terminology Course
This course offers an overview of the medical terms, concepts and
language generally used in clinical practice settings. Classes in word
construction and definition, pronunciation, Latin language roots and
spelling are designed to provide students with a fundamental knowledge
of human anatomical names, diagnostic terms and medical procedures. The
course is typically offered at the beginning of the program.
Healthcare Introductory Course
This course provides a comprehensive analysis of the history and
development of healthcare in the United States, with a focus on the
changing role of the medical professional. Coursework examines the
influence of computing technology on medical practice and modern
healthcare delivery methods.
Medical Law, Privacy and Ethics Course
Guidelines for medical practice conduct, patient's rights and the
legal aspects of working in a clinical setting are reviewed in this
course. Topics may include the Health Insurance Portability and
Accountability Act (HIPAA), causes for malpractice litigation,
individual professionalism and preventing criminal activity in the
healthcare setting.
Basic ICD-9-CM Coding Course
The fundamental guidelines for medical diagnostic and procedural
coding are set forth in this course. Students are presented with the
principal regulations regarding proper use and designation of codes and
the ethical and legal issues surrounding insurance claims coding and
submission.
Computer Data Entry Course
This course is designed to build the keyboarding skills needed for
efficient computer-based data entry, with a focus on improving
alpha-numeric speed and accuracy through self-paced exercises. The class
may include an overview of the typical data entry applications used in
business offices. Successful completion of introductory computer,
English and reading courses are recommended prior to course enrollment.
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