Interactive Medical Coding Certification

Group-Oriented Learning Style

When it comes to interactive medical coding courses, the Registered Medical Coder (RMC) credential is the certification that employers hold to a higher standard. The RMC credential is authorized through the Georgia Nonpublic Postsecondary Education Commission (GNPEC), which requires an annual update exam on the current year’s coding changes (also administered online and included in the annual renewal fee). The RMC training will also prepare you to sit for the CPC certification test through AAPC. The RMC certification is included in your tuition. If you would like to sit for the CPC exam, you will receive a certificate of completion along with a letter of recommendation from MMI.

This interactive medical coding course includes phone and email support from medical professionals, as well as weekly instructor-led webinars and group discussions that students can access on a voluntary basis. If you are unable to participate in the webinars live, fret not–all videos are recorded and available for viewing at any time.

Who is this Interactive Medical Coding Certification for?

The RMC is specifically geared toward people who are currently in the medical field and want to advance their career in healthcare. Many people who are already in a coding position and want to prove their knowledge by having a certification also take this course. It is important that you have a background and knowledge in anatomy and medical terminology before pursuing a medical coding credential. Getting an RMC certification will give you opportunities to move up in your career and make you more marketable to current and potential employers.

Learning Objectives

The RMC medical coding certification training program is designed to prepare students to test for the Registered Medical Coder (RMC) certification exam through the Medical Management Institute (MMI). This program is specifically geared toward medical coding for outpatient/physician offices. The training is administered online and begins with the basics identifying the purpose of the CPT®, ICD-10-CM, and HCPCS II code systems. Once those topics are established, it moves into federal healthcare regulations, audits, compliance, and how it all fits within the revenue cycle. This training specifically covers:

  • Coding conventions when assigning ICD-10-CM (diagnoses), CPT®, and HCPCS II (procedure) codes
  • Each section of the CPT® manual with an emphasis on terminology, modifier usage, coding guidelines, and coding practice
  • Evaluation & Management (E&M) with a detailed focus on levels of service
  • Additional guidance, updates, and learning tools on how to apply the ICD-10-CM coding guidelines (officially implemented October 2015)
  • HCPCS Level II with an emphasis on temporary national codes, supplies and DME, and modifiers, as well as services that are routine, non-covered, or not medically necessary.
  • An overview of the Medicare Program with additional training on special CMS coding rules, billing rules, modifiers, and the National Correct Coding Initiative
Course Outline

The Interactive RMC Training & Certification Program is broken out into 12 weeks and is outlined below:

  • Introduction to medical coding systems, healthcare delivery, and other revenue cycle functions within the healthcare arena
  • Introduction and overview of ICD-10-CM (Diagnosis) in comparison to ICD-9
  • ICD-10-CM coding guidelines and conventions
  • General CPT® (Procedural) coding overview, guidelines, and conventions
  • CPT® Evaluation & Management (E&M)
  • CPT® Modifier
  • In-depth look at each CPT® code range
  • HCPCS coding system (emphasis on Level II)
  • Federal healthcare regulations, laws and sentencing guidelines, audits, and compliance in revenue cycle
  • Medicare rules and regulations
  • OIG compliance and OIG work plan
  • Simulated practice exam (unlimited attempts)
  • RMC certification exam (two attempts)
Week 1 Outline

Week 1:

  • Medical coding systems
  • Affordable Care Act (Obamacare)
  • Insurance billing
  • Other revenue cycle functions
  • Information technology (IT) in healthcare
  • HIPAA
  • Balanced Budget Act 1997
  • OIG model compliance programs
  • OIG work plan
  • CMS improper payment audit programs
Week 2 Outline

Week 2:

  • ICD-10 general overview
  • ICD-10-CM coding instructions
  • ICD-10-CM format (code specificity)
  • ICD-10-CM chapters Volume I
  • ICD-10-CM Volume II
  • Primary diagnosis
  • Medical necessity
  • ICD-10
Week 3 Outline

Week 3:

  • Introduction
  • ICD-10-CM Volume II tables
  • Coding for burns
  • Coding late effects
  • V Codes
  • E Codes
  • ICD-10 Volume II coding conventions
  • ICD-10 Volume I coding conventions
  • Volume I appendices
Week 4 Outline

Week 4:

  • Category I codes
  • Category II codes
  • Category III codes
  • Instructional guidelines
  • Symbols
  • Appendices/alphabetic index
  • Section and subsection guidelines
  • RBRVS/RVUs and fee schedules
  • Place of service codes
  • Coding for professional and outpatient facility services
  • Modifiers table
Week 5 Outline

Week 5:

  • Anesthesia supervision guidelines
  • Categories (types)
  • Modifiers
  • Qualifying circumstances
Week 6 Outline

Week 6:

  • Chapter 7: CPT® surgery
  • General surgery guidelines
  • Modifiers
  • Chapter 8: CPT® integumentary system
  • Chapter 9: CPT® musculoskeletal system
  • Chapter 10: CPT® respiratory system coding
Week 7 Outline

Week 7:

  • CPT® surgery, cardiovascular system, and hemic/lymphatic system coding
  • CPT® digestive system coding
  • CPT® urinary system coding
  • CPT® male genital system coding
  • CPT® female genital system, maternity care, and delivery coding
  • CPT® endocrine system and nervous system coding
  • CPT® eye, ocular adnexa, and auditory system coding
Week 8 Outline

Week 8:

  • Radiology guidelines
  • Modifiers
  • Professional and technical components
  • Diagnostic radiology
  • Diagnostic ultrasound
  • Radiology oncology
  • Nuclear medicine
Week 9 Outline

Week 9:

  • Laboratory
  • Surgical pathology
  • Organ or disease-oriented panels
  • Drug testing
  • Therapeutic drug assays
  • Evocative/suppression testing
  • Consultations (clinical pathology)
  • Urinalysis
  • Molecular pathology (MoPath)
  • Multianalyte Assays with Algorithmic Analyses (MAAA)
  • Chemistry
  • Hematology and coagulation
  • Immunology (serology)
  • Transfusion medicine
  • Microbiology
  • Anatomic pathology
  • Cytopathology
  • Cytogenic studies
  • Surgery pathology
  • In Vivo laboratory procedures
  • Other procedures
  • Reproductive medicine procedures
  • CLIA waived tests
Week 10 Outline

Week 10:

  • Medicine guidelines
  • Medicine modifiers
  • Immune globulins, serum, or recombinant products
  • Immunization administration for vaccines/toxoids
  • Vaccines/toxoids (substances)
  • Psychiatry
  • Biofeedback
  • Dialysis
  • Gastroenterology
  • Opthalmology
  • Otorhinolaryngology
  • Cardiovascular
  • Non-invasive vascular diagnostic studies
  • Pulmonary
  • Allergy and clinical immunology
  • Endocrinology
  • Neurology and neuromuscular procedures
  • Medical genetics and genetic counseling services
  • Central nervous system assessments/tests
  • Health and behavior assessment/intervention
  • Hydration, therapeutic, prophylactic, diagnostic injections and infusions, chemotherapy, and other highly complex drug or biologic agent administration
  • Photodynamic therapy
  • Special dermatological procedures
  • Physical medicine and rehab
  • Medical nutrition therapy
  • Acupuncture
  • Osteopathic manipulative treatment
  • Chiropractic manipulative treatment
  • Education and training for patient self-management
  • Non face-to-face and non-physician services (i.e. telephone calls)
  • Special services and reports
  • Qualifying circumstances for anesthesia
  • Moderate conscious sedation
  • Other services and procedures
  • Home health procedures and services
  • Medication therapy management services
Week 11 Outline

Week 11:

  • Evaluation & Management (E&M) coding
  • Modifiers
  • Documentation criteria
Week 12 Outline

Week 12:

  • HCPCS Level I, II, III overview
  • Permanent and temporary codes
  • Symbols
  • Table of drugs and chemicals
  • Modifiers
  • Appendix A, Appendix B, and Appendix C
  • National Correct Coding Initiative (NCCI)
  • Code pair edits
  • Mutually Exclusive Edits (MUE)
About the Instructor

The RMC Training & Certification Program was created by MMI’s team of seasoned and certified instructors. The course is taught by the instructors below:

Daria Bonner, RMC, CHCA, CCP. Daria is an Instructor and Education Specialist with Medical Management Institute. She has more than 22 years of health care industry advisory consulting and project management experience. Daria has extensive knowledge and detailed understanding of the revenue cycle, medical coding, clinical documentation and compliance requirements. Dari served as Compliance Officer for a large nonprofit commercial health care system, Director of Education & Training for a large multi-specialty physician group, and Director of Auditing and Monitoring for numerous coding, billing and accounts receivable departments. Dari has also provided advisory services to more than 20 commercial hospital systems, ambulatory surgery centers, insurance companies and physician practices on revenue cycle and workload process enhancement and revenue recovery.

A nationally recognized speaker, Dari has served on the Editorial Board for the Neurosurgery, Primary Care, Emergency, and Orthopedic Coding Alert newsletters and is a member of the American Society of Health Informatics Managers, American Association of Medical Audit Specialists, American Health Information Management Association, Institute of Internal Auditors and Association of Certified Fraud Examiners

Required Textbooks

Medical Coding Certification Book Requirement

  1. CPT® Professional Edition (current year), AMA Publisher
  2. ICD-10-CM Expert for Physicians (current year)
  3. HCPCS Level II (current year)

These textbooks are not included but are available to purchase through MMI at a discounted rate when enrolling in the program.

Prerequisites

At MMI, we want to make sure that you have a successful learning experience, which is why in order to sign up for the Registered Medical Coder (RMC) certification and training, you must have previously completed a minimum of ten hours of training related to Anatomy & Terminology. If you currently need the ten hours of training related to Anatomy & Terminology, the Anatomy & Terminology course is available to purchase through MMI at a discounted rate when enrolling in the program.

Online Training Format

The Registered Medical Coder (RMC) training program is administered completely online through MMI’s password-protected, user-friendly learning platform.

The training is available in either an online interactive or online self-paced environment, both of which cover the same content.

Interactive: The interactive medical coding course is ideal for students who are new to coding, as well as those who prefer a fast-paced, instructor-led training environment. The interactive version of the training is 12 weeks long, instructor-led, and completely online. This version of the program simulates a live training environment through weekly voluntary webinars, during which you are able to discuss the homework assignments live with your assigned instructor and classmates. This training consists of online reading material and practice exams as well as pre-recorded training videos and online group discussion boards for additional interaction and engagement. Along with the webinars, which are recorded in case you are unable to attend, instructor support is also available via email and phone. Upon enrolling in the interactive medical coding program, you will be given access to the password-protected learning site to begin training on the assigned start date (generally, a start date occurs on the first Monday of each month).

General Online Training Format

With either version, enrolling in the program will create an account that will allow you to begin training online. Each platform includes engaging reading material and interactive learning tools consisting of practice exams and e-flashcards to test your knowledge and progress throughout. Additionally, this training includes instructor support via email/phone, so you will have access to MMI’s network of certified instruction staff throughout your studies.

Upon completion of the training program, you will be given access to the RMC certification exam, proctored online through MMI’s learning platform. Your results will be available immediately upon submitting the exam. Upon successful completion, you will officially be a Registered Medical Coder and member of the Medical Management Institute. We will mail you the RMC certificate and membership card, and you will receive the benefits of an MMI membership for one year.

Payment Plan & Group Rates

Interest-free payment plan options are available through MMI and PayPal.

Payment Plan through PayPal: If you would like to set up a payment plan through PayPal, you can do so at the checkout page by following the instructions below:

  1. Select the “Checkout with PayPal” button after placing training in cart
  2. Log in with your PayPal account (or create a new one)
  3. Select the “Apply Now” button at the bottom of the page

Payment Plan through MMI: Contact an MMI representative to set up an interest-free payment plan through the Medical Management Institute. Typically, a down payment of $350 is required and the remaining balance is paid off over four months.

Group Rates: Discounted rates are available upon request for groups of three or more. Contact us to get started.