Master Advanced RCM & Medical Billing (Level 3 of 5): contracting, underpayments, coding, EDI, denials, A/R, leadership.
Sub Category
- Management
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Objectives
- Build enterprise revenue integrity programs and governance dashboards
- Negotiate payer contracts; detect underpayments and drive recovery.
- Apply risk adjustment (HCC/RAF), quality, and value-based care levers.
- Lead advanced coding & documentation audits tied to medical records.
- Orchestrate enterprise EDI (837P/837I/835), edits, and clearinghouse rules.
- Engineer denial management at scale using CARC/RARC analytics and appeals.
- Optimize AR management: cash acceleration, worklists, A/R calling, escalation.
- Design automation & analytics for US healthcare RCM (RPA, SQL/BI), including payment posting KPIs.
Pre Requisites
- Solid intermediate background in RCM/medical billing (1–2+ years).
- Working knowledge of CPT/HCPCS, ICD-10-CM, CMS-1500 & CMS-1450 (UB-04).
- Familiarity with prior authorization, claim edits, healthcare claims, and ERA/EOBs.
FAQ
- Q. How long do I have access to the course materials?
- A. You can view and review the lecture materials indefinitely, like an on-demand channel.
- Q. Can I take my courses with me wherever I go?
- A. Definitely! If you have an internet connection, courses on Udemy are available on any device at any time. If you don't have an internet connection, some instructors also let their students download course lectures. That's up to the instructor though, so make sure you get on their good side!
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Coupon Code(s)