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⇱ Revenue Cycle, Billing, and Coding | Coursera


Revenue Cycle, Billing, and Coding

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Gain insight into a topic and learn the fundamentals.
4.8

89 reviews

Beginner level

Recommended experience

6 hours to complete
Flexible schedule
Learn at your own pace

Gain insight into a topic and learn the fundamentals.
4.8

89 reviews

Beginner level

Recommended experience

6 hours to complete
Flexible schedule
Learn at your own pace

Build your Healthcare Management expertise

This course is part of the Johns Hopkins Medical Office Manager Professional Certificate
When you enroll in this course, you'll also be enrolled in this Professional Certificate.
  • Learn new concepts from industry experts
  • Gain a foundational understanding of a subject or tool
  • Develop job-relevant skills with hands-on projects
  • Earn a shareable career certificate from Johns Hopkins University

There are 4 modules in this course

Welcome to the Revenue Cycle, Billing, and Coding in Ambulatory Healthcare Management course! In this course, you will explore the essential aspects of revenue cycle management in ambulatory healthcare settings. Designed for those with little to no background in healthcare, this course provides you with a comprehensive understanding of the revenue cycle process, including registration, insurance, billing and coding basics, denials management, collections, and price transparency.

By the end of this course, you will have a comprehensive understanding of the revenue cycle billing and coding process in ambulatory healthcare management. Start your journey to acquire the knowledge and skills needed to navigate the complexities of registration, insurance, billing and coding, denials management, collections, and price transparency in the revenue cycle.

During the first module, we will focus on the crucial step of patient registration in the revenue cycle. You will learn about the importance of accurate and complete patient information, including demographics, insurance details, and consent forms. We will discuss the registration process, data collection methods, and strategies for ensuring data accuracy and integrity.

What's included

3 videos1 assignment

3 videosβ€’Total 14 minutes
  • Healthcare Revenue Cycle, Part 1β€’6 minutes
  • Healthcare Revenue Cycle, Part 2β€’4 minutes
  • Common Errors and How to Avoid Themβ€’5 minutes
1 assignmentβ€’Total 60 minutes
  • Module 1 Assessmentβ€’60 minutes

In this module, we will delve into the complexities of insurance in the revenue cycle. You will gain knowledge of different types of insurance, such as commercial insurance and federal insurance programs (e.g., Medicare and Medicaid). We will explore the insurance verification process, eligibility criteria, and common challenges in dealing with insurance providers.

What's included

7 videos1 assignment

7 videosβ€’Total 29 minutes
  • Managed Care, Part 1β€’5 minutes
  • Managed Care, Part 2: Common Managed Care Modelsβ€’4 minutes
  • Managed Care, Part 3: Common Managed Care Modelsβ€’4 minutes
  • Government Insurance Programs, Part 1β€’3 minutes
  • Government Insurance Programs, Part 2: Medicaidβ€’5 minutes
  • Commercial Insurance, Part 1β€’4 minutes
  • Commercial Insurance, Part 2β€’5 minutes
1 assignmentβ€’Total 60 minutes
  • Module 2 Assessmentβ€’60 minutes

The third module will focus on the fundamentals of billing and coding in the revenue cycle. You will learn about the Current Procedural Terminology (CPT) codes, International Classification of Diseases (ICD) codes, and Healthcare Common Procedure Coding System (HCPCS) codes. We will discuss the importance of accurate coding for proper reimbursement and explore coding guidelines and conventions.

What's included

7 videos1 assignment

7 videosβ€’Total 57 minutes
  • Tools and Resourcesβ€’10 minutes
  • International Classification of Diseases, Clinical Modification 10th Revision: ICD-10-CMβ€’8 minutes
  • Evaluation and Management (E/M) CPT Codesβ€’11 minutes
  • Surgery and Medicine CPT Codesβ€’11 minutes
  • Modifiersβ€’9 minutes
  • Operative Notesβ€’3 minutes
  • Medicare Physician Fee Scheduleβ€’4 minutes
1 assignmentβ€’Total 60 minutes
  • Module 3 Assessmentβ€’60 minutes

The final module of the course will cover denials management, collections, estimates, and price transparency in the revenue cycle. You will understand the common reasons for claim denials and learn strategies for appealing denials and minimizing their occurrence. We will discuss effective collections processes, including patient billing and payment options. Additionally, we will explore the importance of providing cost estimates and promoting price transparency to enhance patient satisfaction and financial accountability.

What's included

4 videos1 peer review

4 videosβ€’Total 11 minutes
  • Professional Fee Physician Reimbursement: Introductionβ€’1 minute
  • Denialsβ€’2 minutes
  • Paymentsβ€’7 minutes
  • Value Based Modelβ€’2 minutes
1 peer reviewβ€’Total 90 minutes
  • Revenue Cycle Improvement Planβ€’90 minutes

Earn a career certificate

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Instructors

Instructor ratings
4.7 (37 ratings)
Johns Hopkins University
6 Coursesβ€’37,525 learners

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Showing 3 of 89

EC
Β·

Reviewed on Mar 26, 2026

I learned a lot from this course. It's very useful

MN
Β·

Reviewed on Apr 1, 2025

i have received certificate, its helps in my career growth, Thank you

SP
Β·

Reviewed on Feb 26, 2026

It was a pleasant experience to learn and explore through this wonderful course.

Frequently asked questions

To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.

When you enroll in the course, you get access to all of the courses in the Certificate, and you earn a certificate when you complete the work. Your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.

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