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Tacoma Community College » Areas of Study » Career Training » Health Information Management » Medical Reimbursement Specialist Certificate

Medical Reimbursement Specialist Certificate

Beginning Spring 2013 (formerly known as the Medical Billing Specialist)

The Medical Reimbursement Specialist (MRS) program prepares students for employment as medical billers, patient account representatives, medical claims reviews, outpatient coding, and a variety of other medical support positions.

Training includes the business and administrative requirements of health care. Graduates will acquire a general knowledge of the healthcare field with a focus on being able to understand and code medical diagnoses and procedures (ICD-10-CM, CPT, HCPCS) and to bill accurately, ethically and assertively to optimize provider reimbursement. This program will give the graduate the tools to be a valuable resource to the physician office, large group practices, ambulatory surgery centers, and insurance and managed care providers.

There are 2 tracks to the Medical Reimbursement Specialist Certificate.  Students will pick 1 area of interest. Both tracks lead directly into the second year of the Associate of Applied Science Degree in Health Information Management.

  • Insurance and Claims
    These students will be able to handle all components of claims processing including management of disputed, rejected, and delayed claims. Students completing this track will have the opportunity to sit for the Certified Medical Reimbursement Specialist (CMRS) credential exam.
  • Outpatient Coding
    Students completing this track will be eligible to sit for additional credentials including Certified Professional Coder (CPC), or Certified Coding Specialist – Physician based (CCS-P)

Program Requirements

The degree and certificate programs are offered in a full online format.

Computer Requirements
Students are required to have 24/7 internet access with reliable computer hardware and software, and must be familiar with and comfortable using computers.

Those who need remedial computer training should take TCC’s CU 100 course (2 credits) prior to program entry. Students are required to use Microsoft Office programs, specifically Word and PowerPoint. Those who are uncomfortable with either of these applications should take CU 102 Word I (2 credits) and/or CU 104 PowerPoint (1 credit) prior to program entry.

Internship Requirements
Professional Practice Experience internships (“Capstone” courses) for the program will require:

  • Criminal and federal fraud background checks
  • Health insurance
  • Immunizations
  • Vehicle insurance (where applicable)
  • 40-80 hours of in-person, on-site clinical visitations

Completion of this certificate offers direct entry into the second year of the Health Information Technology Associate of Applied Sciences Degree.

All prerequisite courses must be completed before beginning HIM core courses. All of the pre-requisite courses must be completed with a passing grade and within two attempts before HIM core courses can be started. There is a 10-year time limit for all math and science courses.

You can go full or part time. The following schedule is based on full time attendance. 

Medical Reimbursement Specialist

Pre-Requisite Requirements - ALL OF THESE REQUIREMENTS MUST BE COMPLETED PRIOR TO BEGINNING THE HIM PROGRAM

  1. English 101 (Composition or Business English)
  2. Business 110 (Business math)
  3. Biology 175 (this can be any human anatomy and physiology course that is 5 credits, comprehensive of all body systems - it can be with or without lab)
1st Quarter
 Orientation0
CU 103Excel I3
HIM 105Medical Terminology5
HIM110HCDS5
HIM 125Record Content/Standards I5
Quarter TOTAL 18
2nd Quarter
HIM 141OP DX Coding2
HIM 160Pathology of Disease5
HIM 142OP Reimbursement4
HIM 216CPT Coding5
Quarter TOTAL 15
3rd Quarter  
CU 110Access I2
HIM 195Legal/Ethics3
Choose one elective either HIM 151 or 152
HIM 151Insurance/Claims Processing5
HIM 152Advanced Outpatient Coding5
Choose one clinical based on elective above
HIM 185Billing Clinical3
HIM 186Coding Clinical3
Quarter Total 13

Certificate core requirements of 47 credits plus additional 15 credits of pre-requisite courses = 62

Students who complete this certificate can move directly into the 4th Quarter of the HIM APS degree. Students must progress in a pre-determined order as noted above.   Student can enter in Fall or Spring.  

 

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