Degrees & Classes

Degrees & Classes

Medical Coding & Billing Generalist

Medical Coding & Billing Generalist Certificate

Train for a career as a medical records and health information technician, or a billing and posting clerk, through BTC’s Medical Coding & Billing Generalist program. Students will gain a broad base of knowledge in general office skills, along with the required background in medical insurance billing and coding procedures. Medical Coding & Billing Generalist graduates typically find jobs at hospitals, physician offices, insurance companies, extended care facilities and home health care firms.

Employment Information

59% BTC graduate placement rate

$34,362 starting annual wage

$44,789 average annual wage

$53,082 potential annual wage

Employment and wage data sources

Gainful Employment

Program Costs, Financing, and Outcomes

Gainful Employment Information

Jobs & Employment

Employment of medical records and health information technicians is expected to grow much faster than the average due to rapid growth in the number of medical tests, treatments, and procedures that will be increasingly scrutinized by third-party payers, regulators, courts, and consumers.

Computers are greatly simplifying the billing process and reducing the need for billing clerks, companies are putting greater emphasis on getting bills out faster in order to get paid more quickly. In addition, the fact that most billing clerks work in the fastest-growing sector of our economy (the health care sector) will generate more jobs for billing clerks in the future.

The average annual wage in this field is $36,285, with an earning potential of $45,219 annually.

About 73% of BTC Medical Coding & Billing Generalist students are employed within nine months of graduation. The typical entry-level annual wage for these graduates is $23,802, with an earning potential of about $45,219 per year.*

The estimated employment rate for this program is 76% within one year after graduation. The graduate starting median wage is $13 with a wage potential of $22-$23. Starting median wage and placement rates were retrieved from Wage potential was taken from

Potential Positions

Many jobs are in hospitals and the rest are mostly in offices of physicians, nursing care facilities, outpatient care centers, and home healthcare services. Insurance firms that deal in health matters employ a small number of health information technicians to tabulate and analyze health information. Public health departments also hire technicians to supervise data collection from healthcare institutions and to assist in research.


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Courses are from the 2017-18 Catalog


  • Quarter 1
  • BIO 105Essentials of Anatomy Physiology5 credits

    The student will develop a basic knowledge of the structure and function of the various body systems. The course emphasizes the essential structure and function of the normal human body, which will serve as a foundation of general understanding for future study in health occupations. Integration of each system to other systems and the whole organism as well as application of key concepts to health and disease are emphasized.

    Accuplacer Reading Comprehension and Sentence Skills score of 71 or higher.
  • BIO 127Diseases of the Human Body4 credits

    Introduction to the effects of system diseases on the human body. Course includes discussions of selected diseases, including causes and treatments. Course also includes an overview of principles of pharmacology and description/purposes of selected laboratory tests.

    Co-Requisite: BIO 105 (or BIOL& 241 and BIOL& 242) and HT 126.
  • BUS 100Electronic Math Applications3 credits

    Focuses on the application of the electronic calculator to business transactions and accounting activities. Students will develop speed on the 10-key by touch method. Note: This course meets the computation general education requirements for the medical coding and billing program only.

    Accuplacer Arithmetic score of 50 or MATH 090 with a C or better or instructor permission.
  • CAP 103Computerized Keyboarding2 credits

    A touch typing course for beginners as well as those needing to brush up on their keyboarding skills. Course covers learning to type alphabetic, figure, and symbol keys by touch.

  • OR

  • CAP 105Computerized Touch Keyboarding2 credits

    A touch typing course for beginners as well as those needing to brush up on their keyboarding skills. Course covers learning to type alphabetical keys by touch using proper technique. For off-campus work, a Windows-based computer is required.

  • (Students can take either CAP 103 or CAP 105, with CAP 103 being the minimum requirement.)

  • HT 126Fundamentals of Medical Terminology5 credits

    The student will gain a basic knowledge of medical word building. The course will address root words, prefixes and suffixes and terms which are used in diagnostic, operative, and symptoms relating to the various systems of the body. Emphasis on correct spelling and pronunciation of selected common eponyms.

    Accuplacer Reading Comprehension and Sentence Skills score of 71 or higher.
  • Quarter 2
  • HT 120Medical Insurance Billing5 credits

    This course focuses on insurance billing procedures, billing requirements in relation to insurance companies, clinics, and physicians’ offices; and insurance coding to include CPT and ICD-9-CM codes. Students will learn skills that will enable them to process insurance claims. Other subjects include basic health office duties as related to medical insurance, accounts receivable, and collection techniques.

    BIO 105, BIO 127, HT 126 (or HT 129) and typing speed of 45 wpm.
  • HT 135Pharmacology for the Medical Office2 credits

    This course will introduce students to the various forms of medications, drug classifications, administration routes and how they work. Students will also learn the terminology associated with each, for those medications commonly prescribed in the medical office setting.

    BIO 105 and HT 126
  • HT 230Medical Coding - ICD-103 credits

    Learn to assign codes in medical/health records to ensure accurate and complete reimbursement documentation. The focus will be on ICD-10 codes with some discussion of CPT codes.

    BIO 105, BIO 127, and HT 126 (or HT 129) with a minimum grade of C in each course
  • HT 240Medical Coding - CPT4 credits

    Course trains students to assign physician's Current Procedural Terminology (CPT) codes in medical/health records to ensure accurate and complete reimbursement documentation.

    BIO 105, BIO 127 & HT 126
  • CAP 101Introduction to Computer Applications5 credits

    Students will use a personal computer to demonstrate basic skills in Windows, Word, Excel, Access and PowerPoint. Students will also identify hardware components, demonstrate effective internet usage, and use the tools within the BTC learning management system. For off-campus, a Windows-based computer is required.

    Accuplacer score: 71 Reading.
  • Quarter 3
  • BUS 230Medical Office Procedures5 credits

    Medical Office Procedures is an introduction to healthcare administration. This course gives students transferable skills that will aid them in attaining employment within healthcare, as well as a global understanding of the differences within the various healthcare systems. A strong emphasis will be placed on interpersonal skills, appropriate communication and customer service skills when working in a diverse office team environment. The student will learn the duties in the medical office, computerized medical office procedures as well as exercises in judgment, independent action, and coping with interruptions. In addition to computerized appointment scheduling and billing, students learn about the major insurances with ICD and CPT coding. This course is designed to give an overview of the various areas within healthcare administration that most healthcare professionals will be expected to understand and know when seeking a job. Although healthcare operations may vary, a basic level of understanding in administration is vital for all healthcare professionals. (Note: this course meets the communications general education requirement for the medical coding and billing generalist program only).

    Accuplacer Reading Comprehension and Sentence Skills score of 71 or higher.
  • HT 265Medical Coding and Billing Practicum5 credits

    This course uses the information learned in medical insurance billing and coding, and demonstrate proficiency in billing and coding procedures. Students, using simulated patient records and various insurance forms, will practice patient account statements and records. Medical ethics and laws as they pertain to patient information will also be addressed.

    HT 230 and HT 240.
  • HT 270Excel for the Medical Office3 credits

    This course will teach the basics of MS Excel as it relates to functions commonly used in the medical office. Students will learn efficient use of a spreadsheet in order to create records pertinent to the medical office, such as patient and insurance information, operational and capital budgets, tracking quality indicators and productivity by person, and tracking delinquent and incomplete records by type. Text required.

    CAP 105 with a minimum grade of C
  • HT 275Medical Ethics5 credits

    Medical Ethics is a student centered course that is designed to help students understand the relevance of current ethical trends in health care. This course prepares students not only for healthcare ethics on a national level, but also an international level that relates to working with today’s diverse population. Through this students will gain an understanding of the challenges providers and healthcare workers face when treating patients who may be culturally diverse, have varying religious beliefs, or different in lifestyle choices, and the various psycho-social aspects of each as it relates to healthcare. Students will also attain an understanding of the complex business side of health care and how ethics plays a role in these daily transactions. Note: this course meets the human relations general education requirements for the medical coding and billing program generalist only.


Program Entry Information

Students are typically offered enrollment in the Medical Coding & Billing Generalist Program full-time once a year or in the part-time program at the start of each quarter on a space available basis. Some required courses are only offered once a year; full-time students who do not begin Fall quarter will not be able to complete the program in four (4) quarters.

Placement into Program

  • Accuplacer Reading Comprehension minimum score of 71 or a C grade in RDG 085, and Sentence Skills minimum score of 71 or a C grade in ENGL 092.
  • Accuplacer Arithmetic Test score of 50 or higher or a grade of C or better in MATH 090.

Pre-Program Course Requirements

  • None

  • This program typically begins in the fall quarter.

Program Outcomes

  • Graduates will have the skills and knowledge to organize, analyze, and technically evaluate health records for accuracy and completeness.
  • Graduates will be able to assign code numbers to diagnoses and procedures for indexing health data and processing claims and complex billing procedures based on various requirements of health plans and insurance companies.