Coding and Reimbursement Specialist

Degree offered

Certificate of Achievement in Coding and Reimbursement Specialist

Credits required 29


Patricia Dent

Program contact

Jill Flanigan, Acting Department Chair and Assistant Professor in Health Information Management and Medical Coding, ext. 2329

Program Code: MC

Concentration Code: HCI

Program Goal Statement

The Coding and Reimbursement Specialist program is designed to prepare the student to take an active, professional role in the coding and reimbursement process for services performed by hospitals, physician and non-physician practitioners, and other health care entities such as skilled nursing facilities, home health agencies, and acute rehabilitation hospitals. The Coding and Reimbursement Specialist Certificate is designed to build a sequence of medical reimbursement and coding related courses to satisfy a specific skill for employment and career advancement. This program is intended to provide a strong foundation in healthcare reimbursement and coding. The graduate will be prepared to ensure that medical services and diagnoses are correctly identified and coded and that the necessary clinical documentation is present for claims completion. The Coding and Reimbursement Specialist will attain the skills needed to interact with physicians, clinical staff, third-party payers, and patients. Satisfactory completion of the program qualifies the graduate to seek credentials from the American Academy of Professional Coders or the American Health Information Management Association.

Program Information 

  • The change of program name better reflects current industry trends and the future employment direction of medical coding specialists. The field of medical coding has expanded and a coder is now responsible for more compliance monitoring and reimbursement issues within healthcare than ever before. Students are required to obtain a "C" or better in all program specific (HCI) courses (HLT 106 and BIO 115).
  • This certificate prepares students for CCA, CCS, and CCS-P certification examinations offered by the AHIMA (American Health Information Management Association), and/or certification examination CPC, CPC-H offered by AAPC (American Academy of Professional Coders) certification options.
  • Two program options: Fall River day or New Bedford evening (hybrid model with online classroom learning). Fall admission only.

Program Requirements

General Courses

BIO 115Survey of Human Anatomy and Physiology

4 credits

ENG 101Composition I: College Writing

3 credits

HLT 106Medical Language

3 credits

Total Credit Hours:10


Program Courses

HCI 111Introduction to Healthcare Information Management

3 credits

HCI 145Coding & Reimbursement Specialist PPE

1 credit

HCI 237Human Disease Processes and Procedures

3 credits

HCI 239International Classification of Disease Coding

3 credits

HCI 240International Class of Disease/PCS

3 credits

HCI 242Coding of Procedures and Healthcare Reimbursement

3 credits

HCI 249Advanced Medical Coding(Short)

3 credits

Total Credit Hours:19


To enroll in the Health Information Management degree program, substitute BIO 233 and BIO 234 for BIO 115.

Related Programs

Health Information Management degree (Medical Records)

Special Requirements for the Program

Admission Requirements

Applicants must have a high school diploma or a state-approved high school equivalency.  Prerequisites for high school graduates include:

  •  Completion of high school Chemistry or Biology with laboratory component with a grade of "C" or greater.
  • High School Algebra I (or higher level mathematics in high school or college) with a grade of "C" or greater.

Accepted applicants must have a physical exam, proof of immunizations or titres.  A TB test is required each year.  Health insurance is required.  Students are responsible for associated costs.  Students should plan on scheduling for a twenty-five hour professional practice experience (PP). Students must provide their own transportation to professional practice sites. 

Individual healthcare facilities may have additional requirements for professional PPE.

Criminal Offender Record Information and Sex Offender Registry Information Checks

Upon admission to the program, all students must undergo a Criminal Offender Record Information (CORI) check and a Sex Offender Registry Information (SORI) check.  These checks are required due to potential unsupervised contact with children, the disabled, or the elderly during a clinical experience.  Students found to have certain criminal convictions or pending criminal actions will be presumed ineligible for clinical placement.  The College is authorized by the Commonwealth's Department of Criminal Justice to access CORI records.  Sex Offender checks shall be performed pursuant to Massachusetts General Laws, Chapter 6, Sections 178C-178P.

For more information regarding the College's CORI/SORI check process, please contact the Human Resource Department at (508) 678-2811, ext. 2194.

A positive CORI/SORI check may prevent individuals from working in contracted health facilities which could prevent students from completing the program objectives.

Grade Requirements

Students must receive a minimum grade of “C” (73) in all required Medical Coding courses (HCI), HLT 106, and BIO 115. Failure to earn a “C” (73) or better in required courses requires a repeat of that course, which may affect the time to complete the certificate.

Recommended Course Sequence

BIO 115, HLT 106, HCI 111, HCI 239, HCI 242

Contact your program director or your advisor for course sequencing recommendations.

Recommended Course Sequence

ENG 101, HCI 237, HCI 249, HCI 240, HCI 145

Contact your program director or your advisor for course sequencing recommendations.

Gainful Employment Program Disclosure

In accordance with Federal regulations published in the Federal Register on October 29, 2010, Bristol Community College discloses information about student costs, tuitions, fees and employment statistics to various governing bodies to ensure certification and oversight.

See: Gainful Employment Information

Link to the main site.