AAPC Medical Biller

Competent, well-trained medical billers are vital to the financial success of the professional healthcare services claims process. With increasing reimbursement pressures in the healthcare industry, there is a growing need for organizations to hire highly trained and skilled medical billers. As a result, professionals with an understanding of medical insurance, reimbursement methodologies, and the claims process are currently in high demand. As a CPB-certified professional, you will enter the job market with proven abilities to submit claims compliant with respect to government regulations and private payer policies. To earn a CPB certification, you must pass the CPB exam , a test of medical billing proficiency with questions that assess your understanding of the types of insurance plans, local and national coverage determinations, and more. The Certified Professional Biller (CPB) credential validates your ability to maintain various aspects of the revenue cycle with specific focus on patient and payer billing and collections. You will be fully trained — not just to pass the certification exam, but with the training and expertise needed to thrive on the job from day one. In order to successfully complete the Coding and Medical Necessity course in the program, learners will need the CPT, ICD-10-CM, and the HCPCS Level II code books. These can be purchased on the AAPC website

• Manage revenue cycle and claim compliance
• Submit claims per government and payer policies
• Follow up on claims, resolve denials, submit appeals, and manage collections
• Understand insurance types and related regulations

• Basic computer and internet skills
• Ability to read course instructions in English