AHEA 124 Advanced Medical Billing and Coding • 5 Cr.


This course expands on intermediate medical billing & coding procedures by providing the knowledge and skills to assess, evaluate, and trouble shoot these systems. This course will also include some industry certification preparation. Prerequisite: Successful completion of both AHEA 120 and AHEA 122 with a C or better at BC, or permission of Program Chair.


After completing this class, students should be able to:

  • Differentiate cause and effects for the rejected claims troubleshooting process. 
  • Explain industry certification options. 
  • Critique a variety of coding systems, including CPT, HCPCS, ICD-9, ICD-10, as well as DRG. 
  • Assess the rules for a variety of insurance systems and scenarios (Medicare vs. commercial insurance, for example). 
  • Support the impact of correct vs. incorrect coding on reimbursement outcomes. 
  • Evaluate correct procedural and diagnostic codes for both outpatient and inpatient medical reports. 
  • Interpret appropriate communication strategies for a variety of scenarios in the Medical Billing & Coding profession.