Medical Billing and Coding Online Course
The Advanced Medical Billing & Coding (Online) course provides a comprehensive and in-depth understanding of healthcare billing systems, medical coding standards, and compliance procedures that shape today’s healthcare industry. Designed for those pursuing excellence in this field, the course introduces the core principles and advanced practices used by certified coders and billing professionals. Through this medical billing and coding online course, learners explore the intricate relationship between clinical documentation, insurance claims, and reimbursement systems. The course also provides insight into evolving regulations, payer requirements, and auditing standards, ensuring that students are well-prepared to handle real-world billing challenges.
This program goes beyond the basics to deliver advanced instruction on coding accuracy, compliance audits, and healthcare data management. Students will gain valuable skills through a combination of theory and practical exercises, mastering ICD-10-CM, CPT®, and HCPCS-II coding systems. With a focus on precision and efficiency, this course helps learners build the expertise required to navigate electronic health records (EHRs), manage payer communications, and optimize reimbursement cycles. Whether you are advancing your career or preparing for certification, this course stands among the best medical billing and coding online courses and aligns with industry-recognized medical billing coding programs for professional growth and employability.
Module 1 — Advanced Clinical Foundations for Coders
This module introduces the clinical concepts essential for coders, including anatomy, physiology, and disease processes. Learners develop a strong foundation to interpret clinical documentation accurately for coding and billing.
Module 2 — ICD-10-CM & ICD-10-PCS Deep Dive
Students explore advanced ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding in depth, focusing on accuracy, sequencing, and compliance with the latest official coding guidelines.
Module 3 — CPT®/HCPCS-II Mastery & Modifiers
This module provides complete guidance on CPT® and HCPCS-II codes, teaching correct code selection and modifier application for improved claim precision and faster reimbursements.
Module 4 — 2023–2025 E/M Guidelines & Telehealth
Learners gain expertise in updated E/M coding rules and documentation standards, with a special focus on telehealth services, remote care, and evolving digital health policies.
Module 5 — Facility & Payment Systems (IPPS, OPPS, APCs)
This module explains facility-based billing systems such as IPPS, OPPS, and APCs, helping learners understand how healthcare organizations manage payment classifications and reimbursements.
Module 6 — Revenue Cycle, Claims, Edits & EDI
Students explore the complete revenue cycle process, from patient registration to final payment, including claim edits, EDI protocols, and payer-specific billing workflows.
Module 7 — Risk Adjustment & Quality Programs
This section introduces risk adjustment methodologies, HCC coding, and quality reporting programs, equipping learners to ensure compliance with performance-based reimbursement models.
Module 8 — Denial Prevention, Appeals & Analytics
Learners develop analytical skills to identify denial trends, manage appeals effectively, and apply data insights to improve revenue performance and minimize future denials.
Module 9 — Compliance, Auditing & Capstone
The final module emphasizes compliance, fraud prevention, and auditing best practices, concluding with a capstone project that integrates all learned concepts into real-world billing and coding scenarios.