Medical Coding Professional - Live Online

180 Hours / Access Length: Schedule Varies / Delivery: Live Online, Instructor Led
Live Online Hours: 102 / Online Hours: 78
Retail Price: $3,749.00

Course Overview:

Medical Coding is a growing career field with numerous job opportunities. Students will be prepared to take the American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS) national certification exam. The CCS exam has a pass rate of over 80% for first-time testers and is the first step to a wide-ranging career path. In this comprehensive course, you will learn about the necessary medical terminology, insurance guidelines, compliance requirements, and legal and ethical issues that will prepare you to work as a Certified Coding Specialist in a professional medical office.

Course Exam:

This course prepares a student to take the American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) national certification exam.

Course Outline:

Medical Coding Lesson 1: Reimbursement, HIPAA, and Compliance

In this lesson, you develop understanding of Medicare's structure, including Parts A through D, and interpreting essential HIPAA rules. You will learn how to locate information in the Federal Register, explain the Outpatient Resource-Based Relative Value Scale (RBRVS), recognize Medicare fraud indicators, and identify key aspects of managed health care.

Medical Coding Lesson 2: An Overview of ICD-10-CM

In lesson 2, you explore the structure and application of the ICD-10-CM diagnostic coding system. You will learn how to navigate its Alphabetic Index and Tabular List, effectively use official instructional notations, and understand the importance of coding conventions to ensure accurate and compliant coding practices.

Medical Coding Lesson 3: ICD-10-CM Outpatient Coding and Reporting Guidelines

In this lesson, you determine the first-listed diagnosis for various scenarios, including outpatient surgery, observation stays, and prenatal visits. You will learn to apply Z codes, report unconfirmed diagnoses using symptom codes, differentiate between diagnostic and therapeutic services, and accurately code for chronic and coexisting conditions based on official ICD-10-CM guidelines.

Medical Coding Lesson 4: Using ICD-10-CM

In this lesson, you practice assigning accurate ICD-10-CM codes by using both the Alphabetic Index and Tabular List. You will apply conventions, understand the importance of specificity, report acute and chronic conditions, identify combination codes, distinguish integral from non-integral conditions, and correctly sequence codes for residual effects and laterality.

Medical Coding Lesson 5: Chapter-specific Guidelines (ICD-10-CM Chapters 1-10)

In lesson 5, you review coding for infectious and parasitic diseases, including proper use of combination and multiple codes. You will analyze neoplasm codes to distinguish between primary, secondary, and in-situ malignancies. Additionally, you will apply guidelines for coding conditions such as sepsis, antibiotic resistance, viral hepatitis, and HIV.

Medical Coding Lesson 6: Chapter-specific Guidelines (ICD-10-CM Chapters 11-14)

In this lesson, you code gastrointestinal hemorrhages by utilizing site-specific and combination codes for conditions such as diverticulitis with perforation. You will apply multiple coding for cellulitis with infectious agents, identify and report pressure ulcer stages, distinguish between traumatic and pathological fractures, and document chronic kidney disease according to its severity stages.

Medical Coding Lesson 7: Chapter-specific Guidelines (ICD-10-CM Chapters 15-22)

In this lesson, you document conditions related to pregnancy, childbirth, and the puerperium by applying rules for pre-existing versus pregnancy-related conditions. You will assign codes for complications such as ectopic pregnancies and postpartum conditions, code congenital anomalies, and sequence diagnoses involving signs, symptoms, injuries, and external causes.

Medical Coding Lesson 8: Introduction to CPT

In lesson 8, you navigate the CPT manual by identifying its purpose, sections, and structure. You will locate codes using the CPT index, interpret guidelines and symbols such as add-on and modifier exemptions, apply appropriate modifiers to procedures, and differentiate between Category I, II, and III codes for reporting services and emerging technologies.

Medical Coding Lesson 9: Introduction to the Level II National Codes (HCPCS)

In this lesson, you examine the structure and purpose of Level II HCPCS codes. You will classify codes based on their groupings, including those for durable medical equipment, drugs, and transportation services. You will also differentiate the various temporary codes, apply appropriate modifiers, and navigate the Table of Drugs to report administered medications.

Medical Coding Lesson 10: Modifiers

In lesson 10, you apply CPT modifiers to enhance procedural accuracy and reimbursement. You will assign modifiers such as -22 for increased procedural services, -50 for bilateral procedures, and -51 for multiple procedures. Additionally, you will learn to document complex scenarios involving staged or discontinued procedures and mandated services.

Medical Coding Lesson 11: Evaluation and Management (E/M) Services

In this lesson, you apply evaluation and management coding by determining the place and type of service, identifying patient status, and selecting the appropriate service level based on either medical decision-making or total time spent. You will analyze key components such as the number of problems addressed, data reviewed, and risk assessment to ensure accurate coding.

Medical Coding Lesson 12: Anesthesia

In this lesson, you define types of anesthesia, including general, regional, and monitored anesthesia care. You will analyze how the anesthesia payment formula incorporates base units, time units, and modifying factors. You will also learn how to apply qualifying circumstance codes, physical status modifiers, and understand the unique process of reporting multiple concurrent procedures.

Medical Coding Lesson 13: Surgery Guidelines and General Surgery

In this lesson 13, you interpret surgical package components, including preoperative visits, intraoperative services, and postoperative care. You will learn to apply modifiers for staged or related procedures, understand unique differences between separate and bundled procedures, and use special reports to document unlisted surgical services requiring detailed descriptions.

Medical Coding Lesson 14: Integumentary System

In this lesson, you document integumentary procedures, including coding incision and drainage for abscesses and wound debridement based on depth and body area. You will differentiate excision codes for benign versus malignant lesions, apply rules for lesion size and margins, classify repairs by complexity, and sequence grafts and flaps according to recipient and donor site requirements.

Medical Coding Lesson 15: Musculoskeletal System

In this lesson, you analyze procedures within the musculoskeletal system, focusing on treatment types for fractures and dislocations. You will distinguish between open, closed, and percutaneous fracture treatments, identify when grafting or fixation is required, apply traction techniques, and code procedures like arthroscopy, cast application, and tendon repair based on anatomical site and procedure details.

Medical Coding Lesson 16: Respiratory System

In lesson 16, you examine how procedural approach and anatomical extent affect code selection within the respiratory system. You will cover the differences between diagnostic and surgical endoscopies, analyze modifiers for multiple procedures performed through the same scope, apply guidelines for coding complex procedures like thoracotomy and lobectomy, and report procedures based on nasal, tracheal, and lung sites.

Medical Coding Lesson 17: Cardiovascular System

In this lesson, you explore cardiovascular coding across the Surgery, Medicine, and Radiology sections of the CPT manual. It covers the important considerations of invasive and noninvasive procedures, understand how to report catheter placements within vascular families, apply guidelines for pacemaker and cardiac valve procedures, and interpret codes for electrophysiology and nuclear cardiology services.

Medical Coding Lesson 18: Hemic, Lymphatic, Mediastinum, and Diaphragm

This lesson focuses on coding procedures within the hemic and lymphatic systems, mediastinum, and diaphragm. You will learn when to apply specific codes for splenectomy types, bone marrow harvesting, and limited versus radical lymphadenectomy. Additionally, you will code mediastinal biopsies by approach and diaphragmatic repairs for conditions such as hernias or eventration.

Medical Coding Lesson 19: Digestive System

In this lesson, you learn various procedures throughout the digestive system, focusing on distinctions such as diagnostic versus surgical endoscopies. You will determine code selection based on gastro-intestinal anatomical sites, including esophageal dilations, intestinal resections with anastomosis, and specialized procedures like Roux-en-Y gastric bypass and laparoscopic cholecystectomy.

Medical Coding Lesson 20: Urinary and Male Genital Systems

In this lesson, you analyze procedures involving the urinary and male genital systems by focusing on surgical techniques and anatomical classifications. You will assess methods for procedures such as pyeloplasty for ureteropelvic junction obstruction, complex nephrolithotomy for staghorn calculi, and radical nephrectomy, while interpreting bundled services and the appropriate use of modifiers.

Medical Coding Lesson 21: Reproductive, Intersex surgery, Female Genital System, and Maternity care and Delivery

In this lesson, you focus on key procedures within the reproductive, genital, and maternity care systems. You work with procedures such as brachytherapy for cervical cancer, staged intersex surgeries, and vulvectomies based on size and tissue depth. Finally, you will review bundled services in global maternity care and situations requiring separate reporting, like pregnancy-related diagnostic visits.

Medical Coding Lesson 22: Endocrine and Nervous Systems

In this lesson, you review surgical and diagnostic procedures related to the endocrine and nervous systems. You explore thyroidectomy techniques, including subtotal and total removal of thyroid tissue based on disease severity. This lesson also covers procedures such as cerebrospinal fluid shunting, craniotomies, and neuroplasty, focusing on procedural variations by anatomical site and purpose.

Medical Coding Lesson 23: Eye, Ocular Adnexa, Auditory, and Operating Microscope

This lesson covers procedural concepts related to the eye, ocular adnexa, and auditory systems. You learn how procedural choices, such as lamellar versus penetrating keratoplasty, affect surgical coding. Techniques for treating retinal conditions with photocoagulation and managing auditory issues like eustachian tube dysfunction with tympanostomy will also be addressed, along with the use of an operating microscope for precision surgeries.

Medical Coding Lesson 24: Radiology

In this lesson, you explore the Radiology section of the CPT manual, focusing on diagnostic imaging, ultrasound, radiation oncology, and nuclear medicine procedures. You will interpret terms related to radiology positioning and projections, distinguish between professional and technical components, and apply guidelines for using modifiers like -26 and -TC for component reporting.

Medical Coding Lesson 25: Pathology/Laboratory

In this lesson, you will learn how to categorize pathology and laboratory services based on test types, such as organ panels, therapeutic drug monitoring, and molecular pathology. You will learn distinctions between qualitative and quantitative analyses, evaluate drug assay procedures, and identify how tests like hematology panels, microbiological cultures, and pathology consultations are applied in clinical practice.

Medical Coding Lesson 26: Medicine

In this lesson, you learn how to navigate the broad range of services within the Medicine section, including immunization protocols, biofeedback therapy, and dialysis management. You explore the structure of various subsections, understand the two-code system for immunization reporting, and identify active and passive immunizations based on purpose and delivery methods.

Medical Coding Lesson 27: Inpatient Coding

In this lesson, you learn how to identify the principal diagnosis in complex inpatient scenarios, such as cases with multiple interrelated or uncertain conditions. You interpret how Present on Admission indicators impact hospital reimbursement and review scenarios where the original treatment plan is not carried out due to complications or other factors.

Lesson 28: System Structure and Design

This lesson introduces the structure, purpose, and use of the ICD-10-PCS coding system for inpatient procedures. It explains the rationale behind its development, its multiaxial and expandable format, and provides a detailed breakdown of each of the seven characters that make up an ICD-10-PCS code.

Lesson 29: ICD-10-PCS Coding Guidelines

This lesson provides an in-depth overview of the ICD-10-PCS coding guidelines, including conventions, code structure, and specific rules for assigning codes. It covers the coding hierarchy, approach types, root operations, body part selection, device use, and guideline applications across medical, surgical, obstetric, and radiation procedures, emphasizing accuracy and compliance.

Lesson 30: Root Operations that Take Out All/Part or Take Out Solids/Fluids/Gases

This lesson covers root operations in ICD-10-PCS that involve removing all or part of a body part or extracting solids, fluids, or gases. It explains the distinctions between procedures like excision, resection, destruction, detachment, extraction, drainage, extirpation, and fragmentation, emphasizing correct coding based on the procedure's intent and method.

Lesson 31: Root Operations that Cut or Separate, Put In or Put Back, or Move Body Parts

This lesson introduces root operations in ICD-10-PCS that involve cutting or separating, putting in or back, or moving body parts. It covers six root operations: Division, Release, Transplantation, Reattachment, Transfer, and Reposition—clarifying their definitions, procedural objectives, and how they differ from other root operation groups.

Lesson 32: Root Operations that Alter Diameter or Route of Body Parts, or Involve a Device

This lesson covers ICD-10-PCS root operations that alter the diameter or route of tubular body parts—Restriction, Occlusion, Dilation, and Bypass—as well as those that always involve a device—Insertion, Removal, Revision, Change, Replacement, and Supplement. It explains coding guidelines, procedural intent, and device-specific considerations for accurate code assignment in clinical documentation.

Lesson 33: Root Operations that Involve Examination Only, Other Repairs, or Other Objectives

This lesson reviews the final ICD-10-PCS root operation groups, including procedures focused on examination (Inspection, Map), general repairs (Repair, Control), and other objectives (Fusion, Alteration, Creation). It outlines the intent, coding guidelines, and decision-making pathways used to accurately assign codes based on procedural details and clinical documentation.

Lesson 34: Anatomical Regions

This lesson focuses on ICD-10-PCS codes for procedures involving anatomical regions rather than specific organs. It covers general, upper, and lower extremity regions, outlines commonly used root operations like Detachment, Drainage, Repair, and Control, and explains how procedures involving multiple tissues or complex areas are accurately coded using regional body part values.

Lesson 35: Nervous System

This lesson examines ICD-10-PCS coding for procedures on the nervous system, including the central and peripheral systems. It reviews anatomy, body part values, root operations such as Excision, Drainage, Release, Bypass, and Repair, and highlights coding guidelines for common interventions like shunt placement, tumor excision, nerve repair, and neurostimulator insertion.

Lesson 36: Sense Organs

This lesson focuses on ICD-10-PCS coding for procedures involving the eyes, ears, nose, and sinuses. It outlines anatomical structures, body part values, root operations such as Replacement, Drainage, Repair, and Inspection, approach types, and relevant device and qualifier values. Emphasis is placed on procedural intent and accurate code assignment.

Lesson 37: Respiratory System

This lesson explores ICD-10-PCS coding for procedures on the respiratory system and mouth and throat. It covers anatomy, body part values, common procedures like bronchoscopy, tracheostomy, and dental interventions, and root operations such as Excision, Replacement, and Dilation. It also explains devices, approaches, and qualifiers used for accurate code assignment.

Lesson 38: Circulatory System

This lesson covers ICD-10-PCS coding for procedures involving the circulatory system. It explains anatomy, root operations such as Bypass, Dilation, Insertion, Occlusion, and Map, and includes details on vascular access devices, cardiac rhythm devices, and heart valve procedures. The lesson emphasizes coding accuracy based on procedure type, approach, device, and qualifiers.

Lesson 39: Gastrointestinal and Hepatobiliary Systems

This lesson covers ICD-10-PCS coding for gastrointestinal and hepatobiliary systems. It explains anatomy, procedural intent, and code assignment for various root operations, including Excision, Resection, Bypass, Drainage, Transfer, and Repair. It also details devices, approaches, qualifiers, and coding guidelines for accurate documentation of diagnostic and therapeutic interventions.

Lesson 40: Endocrine and Lymphatic Systems

This lesson covers ICD-10-PCS coding for procedures involving the endocrine and lymphatic systems. It reviews relevant anatomy, coding guidelines, root operations, body part values, approaches, devices, and qualifiers. Topics include endocrine gland procedures, lymph node biopsies, lymphovenous bypass, bone marrow procedures, and transplant coding for structures like the thymus and spleen.

Lesson 41: Integumentary System

This lesson explains ICD-10-PCS coding for procedures involving the integumentary system, including the skin, subcutaneous tissue, fascia, and breast. It outlines anatomy, root operations like excision, drainage, and repair, and discusses reconstruction techniques such as grafts, flaps, and implants. The lesson also reviews approach types, device values, and coding guidelines.

Lesson 42: Muscular System: Muscles, Tendons, Bursae, and Ligaments

This lesson covers ICD-10-PCS coding for procedures involving muscles, tendons, bursae, and ligaments. It explains relevant anatomy, common procedures like tenodesis and fasciotomy, root operations such as Repair, Reattachment, and Release, and coding rules for devices, approaches, qualifiers, and overlapping layers. Emphasis is placed on correct body part selection and intent.

Lesson 43: Skeletal System: Bones and Joints

This lesson covers ICD-10-PCS coding for procedures involving bones and joints, including head, upper and lower bones, and joints. It explains anatomy, body part values, root operations like Reposition, Fusion, Replacement, and Repair, and details related devices, approaches, and qualifiers, with emphasis on accurate procedural coding and spinal fusion decision-making.

Lesson 44: Urinary System

This lesson explains ICD-10-PCS coding for urinary system procedures, including anatomy, body parts, approaches, devices, and qualifiers. It covers root operations such as Drainage, Dilation, Insertion, Reposition, Repair, and Transplantation, emphasizing procedure intent. Special scenarios like bladder suspension, hypospadias repair, and ureteral stent placement are also discussed.

Lesson 45: Male Reproductive System

This lesson covers ICD-10-PCS coding for male reproductive system procedures. It outlines relevant anatomy, common root operations like Resection, Excision, Occlusion, and Reposition, and explains code assignment for procedures such as vasectomy, prostatectomy, orchiopexy, and penile reconstruction. The lesson emphasizes intent, approach types, device values, and qualifiers for accurate coding.

Lesson 46: Female Reproductive System

This lesson explains ICD-10-PCS coding for procedures involving the female reproductive system. It covers anatomy, common procedures like hysterectomy, sterilization, and cerclage, and root operations including Resection, Occlusion, Extraction, and Reposition. The lesson emphasizes accurate code assignment using approaches, devices, qualifiers, and body part values specific to female anatomy.

Lesson 47: Obstetrics

This lesson focuses on ICD-10-PCS coding for female reproductive system procedures. It includes anatomy, body part values, and root operations such as Resection, Occlusion, Extraction, and Reposition. Coding guidelines for hysterectomy types, sterilization, uterine repair, biopsies, and transplant procedures are explained, along with approach types, devices, and qualifiers.

Lesson 48: Placement, Administration, Measurement, and Monitoring

This lesson covers ICD-10-PCS coding for the Placement, Administration, and Measurement and Monitoring sections. It explains root operations like Immobilization, Introduction, Transfusion, and Monitoring, along with body regions, approach types, devices, substances, and qualifiers. Emphasis is placed on understanding procedural intent, setting-specific distinctions, and accurate code assignment across various clinical scenarios.

Lesson 49: Extracorporeal or Systemic Assistance, Performance, and Therapies

This lesson explains ICD-10-PCS coding for extracorporeal or systemic assistance, performance, and therapies. It covers procedures like ECMO, mechanical ventilation, dialysis, shock wave therapy, and hyperbaric oxygen treatment. It details root operations, body systems, duration values, functions, and qualifiers needed for accurate code assignment based on procedural type and intent.

Lesson 50: Osteopathic, Other Procedures, and Chiropractic Sections

This lesson covers ICD-10-PCS coding for the Osteopathic, Other Procedures, and Chiropractic sections. It explains root operations, method values, and coding guidelines for procedures like osteopathic treatments, acupuncture, robotic-assisted surgery, therapeutic massage, and chiropractic manipulation, emphasizing proper code selection based on procedure type, approach, body region, and intent.

Lesson 51: Imaging, Nuclear Medicine, and Radiation Therapy

This lesson covers ICD-10-PCS coding for Imaging, Nuclear Medicine, and Radiation Therapy procedures. It explains body systems, root types, modalities, contrast agents, radionuclides, isotopes, and qualifiers. Topics include diagnostic imaging techniques, nuclear medicine for diagnosis and therapy, and radiation treatment approaches such as brachytherapy, stereotactic radiosurgery, and intraoperative radiation.

Lesson 52: Physical Rehabilitation and Diagnostic Audiology, Mental Health, and Substance Abuse Treatment

This lesson covers ICD-10-PCS coding for Physical Rehabilitation and Diagnostic Audiology, Mental Health, and Substance Abuse Treatment. It explains root types, qualifiers, and coding structure for services like speech therapy, psychotherapy, counseling, detoxification, and pharmacotherapy. It emphasizes correct code assignment based on treatment type, setting, and therapeutic purpose.

Lesson 53: New Technology

This lesson introduces the ICD-10-PCS New Technology section (Section X), which captures emerging procedures, devices, and substances. It explains coding structure, root operations, body systems, and technologies used. Emphasis is placed on accurate code assignment for CMS's New Technology Add-on Payment (NTAP) program and understanding temporary versus permanent code transitions.

Final Exam

The 2025 textbooks are required for the AHIMA exam(s) until April 30, 2026.   Here are the books that are required: CPT Professional 2025, ICD-10-CM 2025 The Complete Official Codebook, and ICD-10-PCS 2025 The Complete Official Codebook.

If you were provided with the 2024 textbooks and plan to take the AHIMA exam after April 30th, 2025, you will need to obtain the 2025 versions of these textbooks at your own expense, as ProTrain will not cover the cost of the updated materials.

On May 1^st, 2026, the 2026 textbooks will be required for the AHIMA exam(s).  Here are the books that are required: CPT Professional 2026, ICD-10-CM 2026 The Complete Official Codebook, and ICD-10-PCS 2026 The Complete Official Codebook—are valid only until April 30, 2027.

If you plan to take the exam after May 1, 2026, you will need to obtain the 2026 versions of these textbooks at your own expense, as ProTrain will not cover the cost of the updated materials.

Instructional Strategies:

• Self-Directed Study
• Skills Demonstration
• Online Activities

Methods of Evaluation:

• Quizzes & Exams
• Skills Demonstration
• Learner-Centered Activities

Instructor Biography:

Coming soon!

Grading System:

Student must complete the course with a final average grade of 70% to be eligible for a Certificate of Completion.

Attendance:

Students are expected to arrive on time and participate in course discussions. Successful completion of the course of study recommends 100% attendance. If during the course period the student’s attendance level drops below 80%, they will be encouraged and given the opportunity to attend the next scheduled class for the course they enrolled in. Should materials change, student is responsible for all additional cost.

Refund Policy: 

There can be no refund for the course, once the first class has been concluded; or if any course material, including the eBook, is accessed. If extenuating circumstances exist, case by case situations will be reviewed by ProTrain. If a refund is issued, the refunded amount (- a $25 processing fee) will be dependent upon books being returned in excellent condition (i.e. no writing, missing pages; ripped or damage to pages and/or binding).

Payment Plan Policy:

Students may withdraw from the program for any reason up to 1 week prior to the start of program. In this case, the student’s payment plan agreement shall be rescinded. If the payment plan has begun a non-refundable administrative fee of $25.00 will be assessed and remaining funds will be returned to payer in check form by mail. 

Re-Admission Policy:

Any student who has dropped out of the program, or has been suspended from the program for nonattendance may be readmitted within one year by completing a personal interview with the director of education and paying any applicable fees at the time of readmission. Students who were terminated due to conduct issues are not eligible to be readmitted.

Policy on Student Conduct:

All students are expected to conduct themselves in an orderly and professional manner. Any student not conducting themselves in an orderly and professional manner, which includes use of drugs and alcohol during school hours, dishonesty, disrupting classes, use of profanity, excessive tardiness, insubordination, violation of safety rules, improper usage of lab or classroom computers, or not abiding by the school rules will lead to either probation or dismissal from classes.

System Requirements:

Internet Connectivity Requirements:

• Cable, Fiber, DSL, or LEO Satellite (i.e. Starlink) internet with speeds of at least 10mb/sec download and 5mb/sec upload are recommended for the best experience.

NOTE: While cellular hotspots may allow access to our courses, users may experience connectivity issues by trying to access our learning management system.  This is due to the potential high download and upload latency of cellular connections.   Therefore, it is not recommended that students use a cellular hotspot as their primary way of accessing their courses.

Hardware Requirements:

• CPU: 1 GHz or higher
• RAM: 4 GB or higher
• Resolution: 1280 x 720 or higher.  1920x1080 resolution is recommended for the best experience.
• Speakers / Headphones
• Microphone for Webinar or Live Online sessions.

Operating System Requirements:

• Windows 7 or higher.
• Mac OSX 10 or higher.
• Latest Chrome OS
• Latest Linux Distributions
  

NOTE: While we understand that our courses can be viewed on Android and iPhone devices, we do not recommend the use of these devices for our courses. The size of these devices do not provide a good learning environment for students taking online or live online based courses.

Web Browser Requirements:

• Latest Google Chrome is recommended for the best experience.
• Latest Mozilla FireFox
• Latest Microsoft Edge
• Latest Apple Safari

Basic Software Requirements (These are recommendations of software to use):

• Office suite software (Microsoft Office, OpenOffice, or LibreOffice)
• PDF reader program (Adobe Reader, FoxIt)
• Courses may require other software that is described in the above course outline.