Master RCM & Medical Billing (Level 4 of 5) for expert medical billers: prior auth, EDI, CMS-1500/1450, denials, A/R
Sub Category
- Management
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Objectives
- Architect enterprise revenue cycle management strategy and revenue integrity.
- Model payer contracts actuarially; detect underpayments and maximize reimbursement.
- Engineer FHIR/X12 interoperability, edits, and clearinghouse routing at scale.
- Operationalize 340B and split-billing; integrate pharmacy/PBM revenue cycle.
- Lead complex episodes (transplant, NICU, behavioral health, SUD) with risk controls.
- Drive value-based care ops (ACO/MSO/IPA) with quality, RAF, and leakage analytics.
- Build data science/MLOps pipelines for denials, AR management, and forecasting.
- Govern cybersecurity/privacy beyond HIPAA; lead RCM leadership and change.
Pre Requisites
- 3+ years in RCM/medical billing with team or project leadership experience.
- Command of medical coding, prior authorization, payment posting, and healthcare claims.
- Working knowledge of CMS-1500/CMS-1450, ERA/EOBs, edits, appeals, and payer policy.
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)