Medical Billing and Coding Fundamentals Specialization Course Syllabus

Overview: This specialization provides a beginner-friendly introduction to medical billing and coding, designed for individuals with no prior experience. The course spans approximately 25 hours of flexible, self-paced learning, divided into five core modules and a final project. Learners will gain foundational knowledge in healthcare professionalism, medical terminology, anatomy, revenue cycle management, insurance billing, and regulatory compliance. Ideal for clinical and non-clinical professionals seeking entry into healthcare administration.

Module 1: Professionalism in Allied Health

Estimated time: 8 hours

• Develop emotional intelligence and self-management skills
• Build interpersonal communication techniques
• Understand professional expectations in healthcare settings
• Promote cultural competence and patient-centered care

Module 2: Medical Terminology and the Human Body Fundamentals

Estimated time: 10 hours

• Analyze medical terminology and word structure
• Understand anatomy and physiology of body systems
• Discuss common pathology and disease processes
• Describe endoscopy procedures and related terminology

Module 3: Medical Billing and Coding Essentials

Estimated time: 7 hours

• Describe the phases of the revenue cycle
• Understand basic insurance terminology and types
• Explain patient financial responsibility verification
• Apply billing laws and confidentiality regulations

Module 4: Confidentiality, Compliance, and Regulatory Frameworks

Estimated time: 5 hours

• Demonstrate knowledge of HIPAA and patient privacy
• Understand legal and ethical billing practices
• Identify fraud, abuse, and compliance risks

Module 5: Healthcare Documentation and Insurance Processes

Estimated time: 6 hours

• Interpret insurance billing processes
• Understand documentation requirements for coding
• Relate clinical data to billing accuracy

Module 6: Final Project

Estimated time: 4 hours

• Apply medical terminology to real-world scenarios
• Analyze a sample patient case for billing accuracy
• Submit a comprehensive reflection on revenue cycle principles

Prerequisites

• No prior healthcare experience required
• Basic computer literacy
• Strong desire to pursue a healthcare administration career

What You'll Be Able to Do After

• Communicate effectively in professional healthcare environments
• Interpret medical terms and anatomical references accurately
• Describe the end-to-end revenue cycle in healthcare
• Apply foundational insurance and billing concepts
• Uphold confidentiality and regulatory standards in patient data handling