Laboratory Medical Billing, Coding & Compliance Masterclass

Master lab billing, coding, Medicare rules, denials, compliance & RCM workflows for pathology, genetic & clinical labs.

What you'll learn
- End-to-end laboratory revenue cycle management (RCM)
- CPT/HCPCS coding for lab tests and panels
- ICD-10-CM diagnosis coding for medical necessity
- Clean claim creation: CMS-1500/837P and payer portals
- Prior authorization, eligibility, and benefits verification
- Payment posting, ERA/EOB reconciliation, and denials
- Medicare lab billing rules, NCD/LCD coverage and ABNs
- KPI dashboards for A/R, rejections, and compliance monitoring

Requirements
- Basic computer skills
- Interest in US healthcare billing or RCM operations
- Internet access; ability to view PDFs
- No prior coding experience required (beginner-friendly)

Description
If you want practical, job-ready skills inmedical billing,medical coding,revenue cycle management (RCM),A/R calling,payment posting,prior authorization,Medicare,HIPAA,health data,EHR, andUS healthcare—this laboratory-focused course is for you.

This course is designed to help learners of all backgrounds understand and applylaboratory medical billing and revenue cycle managementin real-world healthcare settings. Whether you’re working in medical coding, billing, administration, or healthcare IT, this course builds a strong foundation in thelab billing workflow—from orders and requisitions to coding, claim submission, payment posting, and denial prevention.

You’ll learn how CPT/HCPCS and ICD-10-CM interact to support medical necessity, how payer rules (especiallyMedicare) shape coverage, and how to operationalizeHIPAA-compliantprocesses across EHR and clearinghouse environments. The curriculum follows your course sections step-by-step: lab orders, coding, forms, payer-specific scenarios, audits, fraud prevention, technology, and “getting hired” pathways for laboratory billers.

Designed to be beginner-friendly, the course includes clear explanations, downloadable templates, checklists, and realistic examples from EHRs, ERAs/EOBs, and lab billing documentation to reinforce learning. No prior experience is required.

What You’ll Learn

Map the full laboratory RCM lifecycle from order to zero balance

Apply CPT/HCPCS and ICD-10-CM to common lab services and diagnoses

Build clean claims (CMS-1500/837P) and reduce rejections/denials

Manage prior authorizations, eligibility, and benefits verification

Post payments accurately; reconcile ERAs/EOBs and handle takebacks

Navigate Medicare rules, NCDs/LCDs, ABNs, and payer edits

Use dashboards to track A/R aging, first-pass yield, and KPIs

Operate within HIPAA, fraud/waste/abuse, and audit-ready controls

Course Features

70+ bite-size videos aligned to the lab billing workflow

Realistic case files: test panels, reflex testing, repeats, add-ons

Clean-claim checklists, medical-necessity tools, and denial playbooks

Medicare policy walk-throughs (NCD/LCD), ABN examples, payer specifics

Hands-on templates for A/R follow-up, payment posting, and appeals

Technology module: clearinghouses, EHR interfaces, edits, and rules engines

Career module: resume tips, interview questions, and starter portfolio

Who This Course Is For

Aspiring and current medical billers, coders, and lab RCM staff

AR callers, payment posters, and denial/appeals specialists

Prior-auth teams, front office staff, and benefits coordinators

Lab managers, practice owners, and healthcare administrators

EHR/healthcare IT analysts supporting billing and claims

Students entering US healthcare who want a lab billing niche

Disclosure: This course contains the use of artificial intelligence for clear voiceovers.

Who this course is for:
- Medical billers, coders, and RCM specialists entering lab billing
- AR callers, payment posters, and denial management teams
- Front-office, prior-auth, and benefits verification staff
- Lab managers, phlebotomy supervisors, and practice owners
- Healthcare IT/EHR analysts supporting billing workflows
- Students pursuing careers in US healthcare revenue cycle
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