Medical Billing and Coding

This program does not require approval under the Ontario Career Colleges Act, 2005

The Medical Billing & Coding Certificate Course at Springfield College introduces the administrative systems and principles used to prepare, verify, submit, and track healthcare billing information. The course emphasizes Ontario medical billing concepts, diagnosis and service coding, electronic medical records (EMR), and accurate claims documentation.

Learners explore OHIP eligibility and billing, the Schedule of Benefits, International Classification of Diseases (ICD) terminology, claims processing, and billing for workplace or third-party insurers. Different learning options may include additional EMR and bookkeeping topics.

Course Highlights

Introduction to OHIP billing, eligibility verification, and claims workflows.
Working knowledge of common coding and medical billing terms.
Exposure to electronic medical records and digital billing processes.
Overview of WSIB, reciprocal billing, and third-party payment scenarios.
Options advertised for basic billing, EMR with OHIP billing, and EMR with bookkeeping.
Flexible online, in-class, or blended delivery options subject to availability.

Career Prospects and Opportunities

This certificate can strengthen billing and records-management skills for individuals with medical office experience or related education. It may support applications for entry-level administrative roles, but the certificate alone does not guarantee eligibility for specialist coding or regulated positions.

Related Career Pathways

Medical Billing Assistant
OHIP Billing Clerk
Healthcare Administrative Assistant
Medical Office Receptionist
Medical Records Support Clerk
Clinic Billing and Accounts Assistant
Patient Services Administrator

Potential Employment Settings

Physicians’ offices and specialty clinics
Medical billing and administrative service providers
Diagnostic and allied health practices
Outpatient and community healthcare organizations

Skills Acquisition

Learners can develop skills to:

Recognize the main elements of an Ontario medical billing claim.
Understand basic OHIP eligibility and verification concepts.
Identify common billing codes, diagnostic terminology, and documentation requirements.
Support routine claims submission, review, and correction procedures.
Distinguish OHIP, WSIB, reciprocal, and third-party billing pathways.
Navigate common EMR-related administrative workflows when included in the chosen option.
Maintain accurate records and protect confidential health information.
Assist with routine billing reconciliation and bookkeeping where applicable.
Communicate billing questions and discrepancies professionally.

Duration and Admission Requirements

Course Duration: To be confirmed by Springfield College. The current public listing does not give a single duration or total-hours figure.

Course Options: Basic; EMR with OHIP Billing & Coding; and EMR, Bookkeeping & OHIP Billing & Coding.

Course Delivery: Online, in-class, and blended options are advertised, with weekday or weekend scheduling subject to availability.

Admission Requirements: Specific academic prerequisites, language proficiency expectations, and supporting documents should be confirmed with Springfield College admissions.

Healthcare Billing Foundations: Understand the roles of billing, coding, documentation, and administrative staff.
OHIP Eligibility and Verification: Explore health card eligibility, verification processes, and billing considerations.
Physician Registration and Provider Information: Understand the role of professional registration and common provider billing identifiers.
Ontario Schedule of Benefits: Introduction to physician fee schedules, service descriptions, and billing rules.
Medical and Diagnostic Codes: Familiarity with commonly used service codes and ICD-related diagnostic terminology.
Claims Preparation and Submission: Collect required details, complete forms, and understand electronic submission basics.
Claims Review and Payment: Recognize rejected claims, corrections, remittance information, and payment reconciliation.
Automated Response and Eligibility Systems: Introduction to applicable automated verification and response tools.
Reciprocal Medical Billing: Overview of interprovincial billing concepts and related administrative processes.
WSIB and Third-Party Billing: Differentiate workplace injury and private or third-party claims from routine OHIP billing.
Electronic Medical Records (EMR): Review digital records, data entry, privacy, and integration with office billing workflow.
Medical and Dental Claim Documentation: Recognize variations in forms, coverage, and billing procedures.
Bookkeeping and Billing Reconciliation: For applicable course options, track accounts, receipts, and office financial records.
Privacy and Professional Responsibilities: Handle personal health information accurately and confidentially.