Business Office Technology: Medical Insurance Specialist (MCOD-CC-BOT)

CT State Community College Catalog 2023-2024 New students enrolling for the first time in Fall 2023 will begin as students of Connecticut State Community College under this catalog.  Continuing students from one of the 12 community colleges will be transitioned into a CT State program in this catalog as of the start of the Fall 2023 term. The policies, courses and programs described are applicable as of the Fall 2023 term and may be updated as circumstances require.

With the numerous changes in the health care industry due to federal incentives for the conversion to electronic automation of managing healthcare information the Medical Insurance Specialist will continue to play an important part in the health care industry through proper documentation oversight.  This certificate program is designed to prepare students to manage the medical insurance specialist process along with coding and billing insurance claims in doctors’ offices, hospitals, HMOs and other health care facilities. 

Learning Outcomes:

Upon successful completion of this certificate, graduates will be able to 

• Create and modify standard types of business communications in both printed and electronic forms. 
• Demonstrate strong interpersonal and human relations skills required for success in a professional setting. 
• Demonstrate proficiency in the use of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) and CPT (Current Procedural Terminology), HCPCS (Healthcare Common Procedure Coding System) coding in entering and/or processing medical insurance claims. 
• Acquire up-to-date technology skills using medical office computer applications. 
• Understand and adhere to the importance of federal regulations, medical ethics, legal implications, and patient confidentiality when handling protected health information.

Upon completion of this option, graduates can elect to take the following national industry-recognized certifications:

• Certified Professional Coder (CPC) via the American Association of Professional Coders (AAPC)
• Certified Professional Biller (CPB) via the American Association of Professional Coders (AAPC)
• Certified Billing and Coding Specialist (CBCS) via the National Healthcareer Association (NHA)
• Certified Medical Reimbursement Specialist (CMRS) via American Medical Billing Association (AMBA)