ICD 10 & 11 Medical Coding and Billing Course Syllabus

This comprehensive course provides a structured introduction to medical coding and billing, with a focus on mastering both ICD-10 and ICD-11 systems. Designed for beginners, it covers foundational concepts, code structures, transitions between systems, billing processes, and real-world applications. With approximately 15-20 hours of content, learners will engage in step-by-step instruction, practical exercises, and ethical considerations essential for accurate coding and compliance. Lifetime access allows for self-paced learning and ongoing reference.

Module 1: Introduction to Medical Coding & Billing

Estimated time: 1-2 hours

• Learn the basic principles of medical coding and billing
• Understand the role of codes in healthcare documentation and insurance reimbursement
• Study the difference between ICD, CPT, and HCPCS codes
• Explore the applications of coding systems in billing and patient records

Module 2: Understanding ICD-10 Coding

Estimated time: 2-3 hours

• Learn the structure and format of ICD-10 codes, including letters and numbers
• Study how to assign ICD-10 codes for diseases, conditions, and procedures
• Understand the key chapters in the ICD-10 codebook
• Learn how to navigate the ICD-10 codebook effectively

Module 3: Transition from ICD-10 to ICD-11

Estimated time: 3-4 hours

• Learn about updates and changes introduced in ICD-11
• Study new codes, categories, and classifications in ICD-11
• Understand the differences between ICD-10 and ICD-11
• Explore how to transition from ICD-10 to ICD-11 coding systems
• Examine ICD-11's compatibility with electronic health records and global standards

Module 4: ICD-11 Coding System

Estimated time: 3-4 hours

• Understand the format and structure of ICD-11, including 12-character alphanumeric codes
• Learn the new and revised chapters in ICD-11
• Focus on modern diseases, conditions, and treatments in ICD-11
• Study how to assign ICD-11 codes for common and complex medical scenarios

Module 5: Medical Billing and Reimbursement

Estimated time: 3-4 hours

• Learn the process of medical billing using ICD codes
• Study how to submit insurance claims accurately
• Ensure proper reimbursement through correct coding and documentation
• Understand the role of insurance companies in claims approval

Module 6: Practical Coding Examples & Exercises

Estimated time: 3-4 hours

• Engage in practical exercises applying ICD-10 and ICD-11 codes
• Practice coding for common diagnoses and medical procedures
• Review real-life case studies from healthcare settings

Module 7: Compliance, Accuracy, and Ethics in Medical Coding

Estimated time: 1-2 hours

• Learn ethical standards and compliance requirements for coders
• Study how to avoid common coding errors and fraud
• Understand the impact of incorrect coding on legal and financial outcomes

Prerequisites

• Basic understanding of the English language
• No prior medical or coding experience required
• Access to a computer and internet for course materials

What You'll Be Able to Do After

• Understand the fundamentals of medical coding and billing
• Accurately assign ICD-10 and ICD-11 codes for various diagnoses
• Navigate both ICD-10 and ICD-11 codebooks with confidence
• Apply coding knowledge in hospitals, clinics, and private practices
• Ensure compliance and ethical standards in medical coding practices