Laboratory Medical Billing, Coding & Compliance Masterclass

If you want practical, job-ready skills in medical billing, medical coding, revenue cycle management (RCM), A/R calling, payment posting, prior authorization, Medicare, HIPAA, health data, EHR, and US healthcare—this laboratory-focused course is for you. This course is designed to help learners of all backgrounds understand and apply laboratory medical billing and revenue cycle management in real-world healthcare settings. Whether you’re working in medical coding, billing, administration, or healthcare IT, this course builds a strong foundation in the lab billing workflow—from orders and requisitions to coding, claim submission, payment posting, and denial prevention.

You’ll learn how CPT/HCPCS and ICD-10-CM interact to support medical necessity, how payer rules (especially Medicare) shape coverage, and how to operationalize HIPAA-compliant processes across EHR and clearinghouse environments. The curriculum follows your course sections step-by-step: lab orders, coding, forms, payer-specific scenarios, audits, fraud prevention, technology, and “getting hired” pathways for laboratory billers. Designed to be beginner-friendly, the course includes clear explanations, downloadable templates, checklists, and realistic examples from EHRs, ERAs/EOBs, and lab billing documentation to reinforce learning.

No prior experience is required. What You’ll LearnMap the full laboratory RCM lifecycle from order to zero balanceApply CPT/HCPCS and ICD-10-CM to common lab services and diagnosesBuild clean claims (CMS-1500/837P) and reduce rejections/denialsManage prior authorizations, eligibility, and benefits verificationPost payments accurately; reconcile ERAs/EOBs and handle takebacksNavigate Medicare rules, NCDs/LCDs, ABNs, and payer editsUse dashboards to track A/R aging, first-pass yield, and KPIsOperate within HIPAA, fraud/waste/abuse, and audit-ready controlsCourse Features70+ bite-size videos aligned to the lab billing workflowRealistic case files: test panels, reflex testing, repeats, add-onsClean-claim checklists, medical-necessity tools, and denial playbooksMedicare policy walk-throughs (NCD/LCD), ABN examples, payer specificsHands-on templates for A/R follow-up, payment posting, and appealsTechnology module: clearinghouses, EHR interfaces, edits, and rules enginesCareer module: resume tips, interview questions, and starter portfolioWho This Course Is ForAspiring and current medical billers, coders, and lab RCM staffAR callers, payment posters, and denial/appeals specialistsPrior-auth teams, front office staff, and benefits coordinatorsLab managers, practice owners, and healthcare administratorsEHR/healthcare IT analysts supporting billing and claimsStudents entering US healthcare who want a lab billing nicheDisclosure: This course contains the use of artificial intelligence for clear voiceovers.