Laboratory Medical Billing, Coding & Compliance Masterclass

Descripción

If you want practical, job-ready skills in medical billing, medical coding, revenue cycle management (RCM), A/R calling, payment posting, prior authorization, Medicare, HIPAA, health data, EHR, and US healthcare—this laboratory-focused course is for you. This course is designed to help learners of all backgrounds understand and apply laboratory medical billing and revenue cycle management in real-world healthcare settings. Whether you’re working in medical coding, billing, administration, or healthcare IT, this course builds a strong foundation in the lab billing workflow—from orders and requisitions to coding, claim submission, payment posting, and denial prevention. You’ll learn how CPT/HCPCS and ICD-10-CM interact to support medical necessity, how payer rules (especially Medicare) shape coverage, and how to operationalize HIPAA-compliant processes across EHR and clearinghouse environments. The curriculum follows your course sections step-by-step: lab orders, coding, forms, payer-specific scenarios, audits, fraud prevention, technology, and “getting hired” pathways for laboratory billers. Designed to be beginner-friendly, the course includes clear explanations, downloadable templates, checklists, and realistic examples from EHRs, ERAs/EOBs, and lab billing documentation to reinforce learning. No prior experience is required. What You’ll Learn • Map the full laboratory RCM lifecycle from order to zero balance • Apply CPT/HCPCS and ICD-10-CM to common lab services and diagnoses • Build clean claims (CMS-1500/837P) and reduce rejections/denials • Manage prior authorizations, eligibility, and benefits verification • Post payments accurately; reconcile ERAs/EOBs and handle takebacks • Navigate Medicare rules, NCDs/LCDs, ABNs, and payer edits • Use dashboards to track A/R aging, first-pass yield, and KPIs • Operate within HIPAA, fraud/waste/abuse, and audit-ready controls Course Features • 70+ bite-size videos aligned to the lab billing workflow • Realistic case files: test panels, reflex testing, repeats, add-ons • Clean-claim checklists, medical-necessity tools, and denial playbooks • Medicare policy walk-throughs (NCD/LCD), ABN examples, payer specifics • Hands-on templates for A/R follow-up, payment posting, and appeals • Technology module: clearinghouses, EHR interfaces, edits, and rules engines • Career module: resume tips, interview questions, and starter portfolio Who This Course Is For • Aspiring and current medical billers, coders, and lab RCM staff • AR callers, payment posters, and denial/appeals specialists • Prior-auth teams, front office staff, and benefits coordinators • Lab managers, practice owners, and healthcare administrators • EHR/healthcare IT analysts supporting billing and claims • Students entering US healthcare who want a lab billing niche Disclosure: This course contains the use of artificial intelligence for clear voiceovers.

Lo que aprenderás

• End-to-end laboratory revenue cycle management (RCM)
• CPT/HCPCS coding for lab tests and panels
• ICD-10-CM diagnosis coding for medical necessity
• Clean claim creation: CMS-1500/837P and payer portals
• Prior authorization, eligibility, and benefits verification
• Payment posting, ERA/EOB reconciliation, and denials
• Medicare lab billing rules, NCD/LCD coverage and ABNs
• KPI dashboards for A/R, rejections, and compliance monitoring

Requisitos

• Basic computer skills
• Interest in US healthcare billing or RCM operations
• Internet access; ability to view PDFs
• No prior coding experience required (beginner-friendly)