The Medical Coding and Claims Processing NC III course offered by TESDA equips individuals with the skills needed to accurately assign diagnostic and procedural codes for medical billing and reimbursement. This program focuses on ensuring compliance with international standards and clinical documentation requirements, making it an essential certification for those aiming to work in the healthcare industry.
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By mastering medical coding, professionals play a critical role in streamlining healthcare processes, ensuring proper compensation for services, and maintaining accurate patient records. This course not only enhances technical expertise but also opens doors to career opportunities in hospitals, insurance companies, and other healthcare institutions.
What is Medical Coding and Claims Processing NC III?
This course teaches the skills and knowledge needed to assign medical codes for conditions, procedures, and services from medical reports. It also covers managing medical claims for billing and reporting.
Benefits
The Medical Coding and Claims Processing NC III course by TESDA offers several benefits, including:
- Gaining proficiency in assigning internationally recognized diagnostic and procedural codes.
- Enhancing knowledge of billing and reimbursement processes in compliance with clinical documentation standards.
- Improving career opportunities in the healthcare and medical billing industry.
- Developing skills aligned with global industry standards, making you competitive in local and international work settings.
- Opening pathways to roles in medical coding, claims processing, and healthcare administration.
Units of Competency
This qualification is composed of various units of competency, which encompass the following:
BASIC COMPETENCIES
- Lead workplace communication
- Lead small teams
- Develop and practice negotiation skills
- Solve problems related to work activities
- Use mathematical concepts and techniques
- Use relevant technologies
COMMON COMPETENCIES
- Apply quality standards
- Perform computer operations
CORE COMPETENCIES
- Assign medical codes
- Process medical claims/billing
- Manage medical claims
Sample of Certificate of Completion
Career Opportunities
A person with this Qualification is competent to:
- Medical/Clinical Coding Specialist
- Medical/Clinical Claims Specialist
Training Duration
- Basic: 32 hours
- Common: 18 hours
- Core: 160 hours
Total: 210 hours
Qualifications
Trainees who wish to enroll in the course should meet the following requirements:
- Must be a graduate of a 12-year basic education program
- Must be able to communicate effectively in English, both orally and in writing
- Must have passed the institution’s trainability/aptitude test (optional)*
Note: This list does not include specific institutional requirements such as additional educational qualifications, relevant work experience, or other prerequisites that may be set by the school or training center offering the TVET program.
Also read: How to Apply for a Scholarship in TESDA
Requirements
To enroll in this course, you will need the following documents:
- PSA Birth Certificate
- High School or College Diploma
- Certified True Copy of Official Transcript of Records or Form 137
- Certificate of Good Moral Character or GMRC
- 1 x 1 and/or 2 x 2 pictures
To obtain further details, please reach out to the enrollment site that aligns with your requirements. Kindly note that the criteria may vary.
Instructor Credentials
The trainer qualifications for this Medical Coding and Claims Processing NC III require the following:
- Must possess the National TVET Trainer’s Certificate (NTTC).
- Must hold a Medical Coding and Claims Processing NC III qualification.
- Must have successfully completed training and passed the assessment for the Trainer’s Methodology course.
- Should have a minimum of two (2) years of relevant industry experience as a medical coding and claims specialist or hold international certification in medical coding, billing, and/or claims.
These requirements ensure that the instructor is fully prepared to teach and guide students in the field of medical coding and claims processing.
Summary
The Medical Coding and Claims Processing NC III course by TESDA provides the skills needed for a career in medical coding and billing. Covering coding, claims processing, and record management, this certification opens doors to local and international job opportunities in the growing healthcare industry. Enroll today to advance your career!
Contact Information
Technical Education and Skills Development Authority (TESDA)
Office Address: BLDG 8, TESDA Gate 2, TESDA Complex, East Service Rd., South Superhighway, Taguig, Metro Manila.
Email Address: contactcenter@tesda.gov.ph
Telephone Number: 8887-7777
SMS Hotline: 0917-479-4370 (text only)
Website: https://www.tesda.gov.ph/
Facebook Page: https://www.facebook.com/TESDAOfficial