Laboratory Medical Billing, Coding & Compliance Masterclass

Master lab billing, coding, Medicare rules, denials, compliance & RCM workflows for pathology, genetic & clinical labs.

Description

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 Learn

• Map the full laboratory RCM lifecycle from order to zero balance

• Apply CPT/HCPCS and ICD-10-CM to common lab services and diagnoses

• Build clean claims (CMS-1500/837P) and reduce rejections/denials

• Manage prior authorizations, eligibility, and benefits verification

• Post payments accurately; reconcile ERAs/EOBs and handle takebacks

• Navigate Medicare rules, NCDs/LCDs, ABNs, and payer edits

• Use dashboards to track A/R aging, first-pass yield, and KPIs

• Operate within HIPAA, fraud/waste/abuse, and audit-ready controls

Course Features

• 70+ bite-size videos aligned to the lab billing workflow

• Realistic case files: test panels, reflex testing, repeats, add-ons

• Clean-claim checklists, medical-necessity tools, and denial playbooks

• Medicare policy walk-throughs (NCD/LCD), ABN examples, payer specifics

• Hands-on templates for A/R follow-up, payment posting, and appeals

• Technology module: clearinghouses, EHR interfaces, edits, and rules engines

• Career module: resume tips, interview questions, and starter portfolio

Who This Course Is For

• Aspiring and current medical billers, coders, and lab RCM staff

• AR callers, payment posters, and denial/appeals specialists

• Prior-auth teams, front office staff, and benefits coordinators

• Lab managers, practice owners, and healthcare administrators

• EHR/healthcare IT analysts supporting billing and claims

• Students entering US healthcare who want a lab billing niche

Disclosure: This course contains the use of artificial intelligence for clear voiceovers.

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