Revenue Cycle Management & Medical Billing for Intermediates

About this course

Level up your revenue cycle management (RCM) and medical billing skills for US healthcare. This intermediate course turns real-world healthcare claims work into repeatable workflows—prior authorization, medical coding, clean claim creation ( CMS 1500 / CMS 1450 ), EDI (837/835), payment posting, denial management, and hands-on AR management/AR calling. You’ll practice reading medical records to support coding, prevent preventable denials, and navigate Medicare and commercial payer rules—then measure improvements with analytics and reconciliation.This course is designed to help learners with foundational billing experience apply intermediate RCM skills in real healthcare settings. Whether you’re working in billing, coding, A/R, payment posting, provider offices, or RCM operations, this program strengthens your command of end-to-end revenue processes—with a focus on practical usage, not theory.You’ll master intake through zero balance: verifying eligibility, capturing charges, linking medical coding to covered benefits, securing prior authorization, building clean claims, and tracking EDI transactions (837P/837I and 835). You’ll practice denial prevention, structured appeals, A/R calling scripts, and payment posting with reconciliation, including Medicare and multi-payer variance handling.Designed for intermediate learners, the course offers clear explanations, case-based exercises, and realistic examples from EHRs, claim forms, and payer remittances. No advanced clinical knowledge is required—just baseline billing familiarity and a willingness to practice.What You’ll LearnUnderstand and apply the end-to-end RCM lifecycleBuild compli

Course objectives

• Develop proficiency in creating clean claims
• Learn to navigate Medicare and commercial payer rules
• Enhance analytical skills for measuring improvements in revenue processes