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Health Care Access and Information (HCAI) - Training Program

Training Program Description:

A rewarding career in medical billing/coding is only a few months away when you take advantage of OCHIN's diverse course offerings and skilled instructors. They're certified by the American Academy of Professional Coders (AAPC), the industry's most trusted training credential. Our flexible virtual formats maximize your participation, while teaching you EHR best practices that optimize your efficiency.

This course is ideal for those newer to health care, or current industry professionals looking to specialize. It helps equip students for a rewarding medical billing/coding career in a physician's office, clinic, or similar setting. It also prepares participants to attain industry-recognized Certified Professional Biller (CPB) or Certified Professional Coder (CPC) status from the AAPC.

Note: This program includes both online classroom training and on-site hands-on training.

Training Program Details:

• This is a temporary training program lasting 9 months.
• This training program requires the learners to participate Mon-Fri, 8 AM-5 PM for the duration of the program.
• 40 hours per week - 39 weeks 12- weeks Online Training; 14- weeks internship, 13-weeks externship
• Total Stipend: $30,800, This stipend is divided for the duration of the program, and payment is made on OCHIN's semi-monthly pay schedule.
• Eligible for monthly Health Marketplace reimbursement up to $600 for 9 months (Participant cost only) - some restrictions apply.
• Internet Stipend $35/month for 9 months

Training Program Objectives:

In our Medical Billing and Coding program you will be introduced to health insurance, multiple healthcare settings, coding, and reimbursement. You will become familiar with the three main codebooks: CPT, ICD-10-CM Code Set and HCPCS Level II. You will be introduced to health insurance, multiple healthcare settings, coding, and reimbursement. You will become familiar with the health insurance industry, legal and regulatory issues, differences in reimbursement methodologies, and the principles of medical billing related to proper claim form preparation, submission and payment processing, and the follow-up process.

Overall, this program will prepare you for a career in a medical billing and coding department at a physician's office, clinic, or similar positions as well as the American Academy of Professional Coders (AAPC) billing certification which is the Certified Professional Biller (CPB).

Training Program Benefits:

• Learn everything other medical billing/coding institutions teach, plus specifics related to the unique needs of federally qualified health centers (FQHCs) and look-alikes.
• Upon successful program completion and a passed exam, become certified in medical billing, coding, or both.

MBC Description:

The Medical Biller and Coder Specialist is responsible for providing high quality healthcare billing and coding services. As a biller and coder, you will recognize potential high-risk trends, payor follow-up and denial management, and develop techniques to optimize revenue, improve coding accuracy, collections and streamline the revenue cycle.

This position will escalate difficult or unique coding problems with the Billing Supervisor assigned to the clinic, resolve issues, apply new information to future issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor. The Medical Biller and Coder Specialist will enhance the billing and coding department's reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

The MBC duties include, but are not limited to:

• Provide efficient and effective coding services on behalf of our member clients in accordance with Payer requirements and organizational policies, while ensuring compliance to all coding guidelines.
• Abstract clinical data (diagnoses and procedures) from patient medical records and on-line patient data.
• Review and interpret patient encounters for accurate code assignment of all relevant diagnoses and procedures.
• Help fulfill the reimbursement needs of the member through review and recommendation or correct assignment of diagnosis and procedure codes which are critical to third party reimbursement.
• Research and obtain necessary information from provider/office via Epic in-basket when necessary, per agreement.
• Assist with research for denied claims.
• Meet assigned productivity goals.
• Establish and maintain positive working relationships with patients, payers, team members, clients and other stakeholders.
• Maintain confidentiality of patient information, organization data and information, and in compliance with HIPAA regulations
• Perform other specific projects related to billing, data entry and computer operations as required.
• Provide efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement and support OCHIN revenue cycle performance indicators for financial health.
• Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer requirements and organization policy.
• Assist with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends.
• Post patient payments, electronic remits, and paper explanation of benefits (EOBs).
• Correct claim and charge errors.
• Thoroughly research and resolve credit balances.
• Answer phone calls from patients and responsible parties regarding account balances and/or other matters. Provide compassionate and empathetic customer service.
• Perform other specific projects related to billing, data entry, and computer operations as required.
• Other duties as assigned.

Training Program Eligibility Requirements:

• Must be 18 years or older
• Participants must live within 30min-45min from the Service site location of, Windsor, CA
• Must have a high school diploma or GED
• Must be a U.S. Citizen or Permanent Resident/Green Card holder (not open to non-citizens or Visa holders)
• Familiarity with Microsoft Office Suite, particularly Word, Excel, and PowerPoint, is beneficial for this role
• Must be able to pass a national criminal background check successfully.