• Medical Training Institute of New York
paper in the table with ballpen and stethoscope

Advanced Medical Coding Specialist and Auditing - Hybrid

Course Overview

The Advanced Medical Coding and Auditing Program at Medical Training Institute of New York is designed to prepare students for careers in a variety of healthcare settings, including medical offices, hospitals, clinics, and skilled-care facilities.

This course focuses on application of coding principles learned in CPT/ICD coding. In this course, the student codes source documents that he or she can expect to encounter on the job. The student will analyze and synthesize source documents and apply ICD-10-CM, CPT, and HCPCS codes based on documentation.

Advanced Medical Coding and Auditing requires the student to apply previously learned coding in CPT, HCPCS, and ICD-10-CM concepts to a wide array of medical reports. The student is presented with more in-depth coding information on a topic, such as coding pacemaker implantation, and then the student applies the knowledge by assigning CPT, HCPCS, and ICD-10-CM codes to the services and procedures from an original source document. The student uses an audit form and assigns the correct level of E/M services based on documentation.

Advanced Medical Coding and Auditing, presents the student with coding practice that simulates the type and complexity of reports the student will encounter on the job.

Auditing Review reports are available for each chapter on Evolve. The reports simulate the type of auditing tool the student will need on the job.

Program Summary

Competency-Based Instruction

Competency-based instruction focuses on the mastery of skills that will be used as part of a professional coding practice.

Competency-Based Instruction will:

  • Focus on student learning and performance rather than on instruction, teaching techniques, textbooks, and instructor activity.
  • Emphasize student mastery of skills, habits, and attitudes that represent actual job requirements and situations.
  • Give students opportunities to problem-solve and apply information and skills.
  • Require students to demonstrate knowledge and skills in ways that are observable to both themselves and instructors.
  • Shift the focus of the traditional classroom from teacher performance to student performance, from teaching to learning, from instructors presenting to students presenting, and from instructors teaching to instructors guiding students as they teach themselves.
  • Present program content that is based on actual workplace application of the material being covered. This requires an integrated education structure in which all material, theory, ethics, practical application, and so forth are interrelated instead of taught as separate ideas.
  • Require the active involvement of students in the learning process instead of only passive

Competency-Based Lessons:

  • Are built on actual career expectations and applications.
  • Include performance activities as early in the program as possible.
  • Require students to think and perform like actual coding professionals.
  • Provide students with opportunities to create, problem-solve, and develop solutions.
  • Teach students how to monitor and evaluate their own performance instead of relying only on instructor evaluations.
  • Provide an opportunity for students to be active participants during classroom time.
  • Minimize instructor lectures and maximize student study groups, small-group work in the classroom, individual or group presentations, and projects.
  • Emphasize hands-on practical application of the material.

Competencies for the Professional Practice of Medical Coding

In general, the competencies required for a successful practice of medical coding fall into four areas:

  • Service coding with CPT and HCPCS
  • Diagnosis coding with ICD-10-CM
  • Reimbursement issues
  • Application of terminology, anatomy, physiology, and pathophysiology skills Service coding involves the facts, concepts, and theories presented in the textbook about the Current Procedural Terminology (CPT) and Centers for Medicare and Medicaid Services’ Healthcare Common Procedure Coding System (HCPCS) and application of the service codes and modifiers.

Diagnosis coding uses the ICD-10-CM to report the diagnosis for which the patient received services.

WHAT YOU'LL LEARN

The students will apply CPT, HCPCS, and ICD-10-CM codes to a wide variety of subspecialty areas:

  • Evaluation and Management Services
  • Medicine
  • Radiology
  • Pathology and Laboratory
  • Integumentary System
  • Cardiovascular System
  • Digestive System, Hemic/Lymphatic System, and Mediastinum/Diaphragm
  • Musculoskeletal System
  • Respiratory System
  • Urinary, Male Genital, and Endocrine Systems
  • Female Genital System and Maternity Care/Delivery
  • Nervous System
  • Eye and Auditory Systems
  • Anesthesia

WHO WILL BENEFIT

nurse hat

Those Considering Coding and Auditing

Coding is a great career choice for anyone who wants to be in a non-patient-facing position within the healthcare industry. It also offers the benefits of working from home and having a very flexible schedule

Coders can work in various settings including hospitals. outpatient clinics, urgent care facilities, nursing homes, treatment centers, physician offices, and insurance companies. There are also multiple outsourcing agencies that employ coders to work remotely for a variety of clients.

doctor

Aspiring Medical Professionals

Working as a Coder gives many of us our first taste of working in the medical field. You might gain inspiration to continue that career path and get a more in-depth understanding of the medical world. It's okay to share this desire with your interviewer. It shows your dedication to the field and a willingness to learn

suitcase

Job Stability

The demand for medical coders is growing. In fact, the Bureau of Labor Statistics expects this field to grow by 22% through 2026, About 34,300 openings for medical records and medical coding specialists are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire

PROGRAM STRUCTURE

Length of Curriculum: 750 Clock hours

The 750 clock hours of the Advanced Medical Coding Specialist consist of 450 hours of Didactic, 150 hours of Lab, 150 hours of Internship.

Program Type Learning Modality Hours
Advanced Medical Coding & Auditing Specialist
  • Didactic
  • Lab
  • Internship
  • 450
  • 150
  • 150
Total Hours 750

Fall 2022

September 29, 2022

Program Length: 39-49 weeks

Program Start Date: 9/29/22

Cost: $2,100

Application Deadline: 9/28/2022

APPLY NOW

Fall 2022

October 31, 2022

Program Length: 39-49 weeks

Program Start Date: 10/31/22

Cost: $2,100

Application Deadline: 10/30/2022

APPLY NOW

Fall 2022

November 28, 2022

Program Length: 39-49 weeks

Program Start Date: 11/28/22

Cost: $2,100

Application Deadline: 11/27/2022

APPLY NOW

This course is also part of our Medical Billing and Coding — consisting of Medical Coding Specialist

Advanced Medical Coding and Auditing

Advanced Medical Coding and Auditing requires the student to apply previously learned coding in CPT, HCPCS, and ICD-10-CM concepts to a wide array of medical reports. The student is presented with more in-depth coding information on a topic, such as coding pacemaker implantation, and then the student applies the knowledge by assigning CPT, HCPCS, and ICD-10-CM codes to the services and procedures from an original source document. The student uses an audit form and assigns the correct level of E/M services based on documentation.

The students will apply CPT, HCPCS, and ICD-10-CM codes to a wide variety of subspecialty areas:

  • Evaluation and Management Services
  • Medicine
  • Radiology
  • Pathology and Laboratory
  • Integumentary System
  • Cardiovascular System
  • Digestive System, Hemic/Lymphatic System, and Mediastinum/Diaphragm
  • Musculoskeletal System
  • Respiratory System
  • Urinary, Male Genital, and Endocrine Systems
  • Female Genital System and Maternity Care/Delivery
  • Nervous System
  • Eye and Auditory Systems
  • Anesthesia

Advanced Medical Coding and Auditing presents the student with coding practice that simulates the type and complexity of reports the student will encounter on the job

Auditing Review reports are available for each chapter. The reports simulate the type of auditing tool the student will need on the job.

Instructors:

1. Donna A. Castellano

2. Christine Manookian

3. Dian Johnson

Simulated Medical Billing and Coding Internship

Simulated Medical Coding Internship prepares students to code accurately and efficiently in a professional setting. More than 600 cases in 18 medical specialties offer a realistic simulation of the workload in a multi-specialty medical clinic. This simulated coding internship complements and provides application for the concepts learned in Medical Coding Program and Advanced Medical Coding and Auditing. Best of all, students can save a portfolio of the coding cases they’ve completed to prove proficiency to potential employers

Internship or Externship

An on-the-job internship or externship enhances the student's ability to obtain employment. If an on-the-job experience is not available to your students, consider a simulated internship by means of an online experience. This online experience exposes the student to the on-the-job workload in the online environment.

Coding Exam Review

With the ever-increasing complexity of medical coding, employers are giving preference to those coders who are well prepared and certified. MTINY prepares students for the physician and facility certification examinations and includes a review of terminology, anatomy/physiology, reimbursement, compliance, CPT, HCPCS, and ICD-10-CM coding. The material is presented in outline form with multiple Pre/Post Examinations and Final Examination options.

Credentials

Certification

The medical coding profession is in an ongoing, active process of certification. Most facilities require the medical coder to have a certification. The Certified Professional Coder (CPC) administered by the American Academy of Professional Coders, and the Certified Coding Specialist (CCS) and Certified Coding Specialist - Physician (CCS-P) administered by the American Health Information Management Association, provide focal points for the development of these courses, whether in the private or public sector of education. For further information about the American Academy of Professional Coders, visit the website at www.aapc.com and for information about the American Health Information Management Association, visit the website at www.ahima.org. The certifying organizations suggest that the coder have coding experience before taking the certification examination, but this is not a requirement. Many students successfully take the exam immediately after graduation. The graduate who is successful on the CPC examination but does not have the required years of practical experience is required to use the apprentice designation, CPC-A. Employers usually give merit pay for the certified coder designation

Program Curriculum

Curriculum Summary

DOWNLOAD CURRICULUM (PDF)
Units Modules Clinical Lab Skills Takeaways

UNIT 1 Pre-requisites

  • Basics of Writing
  • Basic Math
  • Comprehension Building/Study Skills
  • Development of basic writing skills is acquired through practice. Various types of written documents will be created and effective communication concepts and means will be developed. Basic English usage is included. Proper sentence construction is presented. Proofreading and editing skills are the foundation of this course
  • This course is a mathematics review with an introduction to calculations encountered in Billing and Coding practice
  • This course helps students to expand reading comprehension and strengthens their practical understanding and vocabulary skills to improve student potential.
Units Modules Clinical Lab Skills Takeaways

UNIT 2 Reimbursement

  • The Coder’s Rule
  • The Business of Medicine
  • Health Care Fraud
  • Apply managed ca Ethical decisions, medical jurisprudence, and confidentiality
  • Insurance and diagnostic coding
  • Understand the structure of Medicare.
  • Distinguish between Medicare Part A and Part B.
  • Interpret rules of Health Insurance Portability and Accountability Act (HIPAA).
  • Locate information in the Federal Register.
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THE MTI ADVANTAGE

  • Experience Faculty and Staff
  • 100% Medical and Healthcare Programs
  • State-of-the-Art Medical Equipment’s
  • All instructors are Practitioners as well as Instructors in their field
  • Workshops to enter the Workforce
  • Guaranteed Internships/Externships (Hands-on Training)
  • Affiliated with top Hospitals and clinics
  • Career Development Skill
  • Job placement Assistant

Tuition, Books & Technology Fees

Program Advanced Medical Coding & Auditing Specialist
Hours 750
Registration Fee $50
Tuition $4,800
Clinical Rotation & Lab Fee $300
Books & Technology Fees $360
Uniform Fee $120
Total Program Cost $5,630

Fees:

Registration Fee

A non-refundable Registration Fee of $50 was due during registration to reserve a seat.

woman registering using laptop

Clinical/Lab Fee

Clinical/Lab Fee is used to cover the cost of Liability insurance policy and student lab operations and to provide the student with Liability Insurance at clinical rotation internship sites.

people doing lab work

Books & Technology Fees

Books and Technology Fee are used to provide students with Online Learning Resources, the learning management system, eBooks, and the student portal.

book and stethoscope

Uniform Fee

Uniform Fee is used to provide students with school logo uniforms which include 3 sets of scrubs and one Lab coat.

health workers uniform

Tuition:

Advanced Medical Coding & Auditing Specialist is $1,877 for each of the program's three (3) quarters, and a total of $5,630 for the entire program, with tuition payments due as follows:

students using laptops
Quarter Hours Cost Per Quarter
1 250 $1,877
2 250 $1,877
3 250 $1,877

Schedule of Sessions

9:00AM - 1:00PM

Morning Classes

The day program will be 4 hours per day Monday-Friday.

20 hours per week for approximately 39 weeks.

Onsite classes at MTI’s campus: Two days a week.

Online classes: Three times a week, connecting to the live classes along with the instructor and classmates.

6:00PM - 10:00PM

Evening Classes

The Evening program will be 4 hours per day Monday-Friday.

20 hours per week for approximately 39 weeks.

Onsite classes at MTI’s campus: Two days a week.

Online classes: Three times a week, connecting to the live classes along with the instructor and classmates.

10:00AM - 3:00PM

Weekend Classes

The weekend program will be 8 hours per day Saturdays and Sundays.

16 hours per week for approximately 49 weeks.

Onsite classes at MTI’s campus: Saturdays.

Online classes: Sundays connecting to the live classes along with the instructor and classmates.

Frequently asked questions about Medical Coders

What is the difference between a Medical Coder and a Medical Biller?
Medical Coders and Medical Billers work together to make sure that healthcare providers receive payment for their claims. Medical Coders work behind the scenes to translate medical records into a series of codes, making it easy for insurers to quickly confirm or deny a claim. After completing a patient’s file, Medical Coders pass the information to Medical Billers, who communicate with patients and insurance representatives about the outstanding balance associated with an account. If an insurance provider denies a claim, Medical Billers prepare invoices for patients to pay out -of-pocket and arrange payment plans when necessary.
What are the daily duties of a Medical Coder?
Medical Coders usually work standard office hours alongside other medical office staff. After a patient completes their visit, the Medical Coder reads their chart or file and classifies the information from their appointment into different categories. If they are unsure about the type of code for a certain treatment, the Medical Coder references medical coding guidelines and researches the correct code. They carefully put the codes in sequence and submit them to the patient’s insurance provider or to the Medical Biller on their staff. If there is an issue with a submission, they review existing codes and document any corrections.
Do Medical Coders have different responsibilities in different industries?
Medical Coders have the same basic role regardless of what kind of medical office they work in, but they can use different types of coding systems for various specialties. Most standard Medical Coders use three main codes: International Classification of Diseases (ICD), Current Procedural Technology (CPT), and Healthcare Common Procedure Coding System (HCPS). Many types of specialized medical offices use their own coding systems, including emergency departments, chiropractic offices, dermatology practices, pain management centers and plastic surgery centers. Medical Coders need to learn the details of each specialty to appropriately process each type of treatment.
What are the characteristics of a good Medical Coder?
The most important characteristic of a good Medical Coder is the ability to pay attention to small details. Many medical codes have a single letter or number that differentiates a treatment from a completely different procedure, and coding mistakes could lead to a claim being denied or a significant delay in receiving payment. Good Medical Coders diligently check their work after translating a file into medical codes, checking that each entry is accurate. They are good at troubleshooting problems with a patient’s file and determining the cause of any discrepancies in someone’s medical history and insurance claim.