Medical Coding Online Registration

Advanced Coding Services
Registration Form for
Professional Medical Coding Curriculum

Personal Information**Required Fields

**First Name
**Last Name

**Address (Line 1)

Address (Line 2)

**City

**State
  
**Zip Code

**Primary Phone Number

Alternate Phone Number
  

**Email


Education**Required Fields

**Are you 18 yrs or older or will be at start of class?
  

**Do you have high school diploma or GED?
Note: Students will need to provide proof of education at Orientation.
  

**Do you have a working knowledge of and are you comfortable with medical terminology and anatomy? How did you gain that knowledge?


Location and Payment**Required Fields

**Please select your desired Course Location (see locations below)


CPC Classes

January 10, 2012 Class
InstructorOrientationClasses
Susan Ward
Tuesday
1/10/2012
5:30 - 7:30pm		Tuesdays
1/17/2012 - 6/12/2012
5:30 - 9:30pm
 
 
January 19, 2012 Class
InstructorOrientationClasses
Bobby Kiesecker
Thursday
1/19/2012
5:30 - 7:30pm		Thursdays
1/26/2012 - 6/14/2012
5:30 - 9:30pm
 
 
Winter 2012 Class
InstructorOrientationClasses
Laura Hill
Saturday - TBASaturdays - TBA
 
 
June 19, 2012 Class
InstructorOrientationClasses
Susan Ward
Tuesday
6/19/2012
5:30 - 7:30pm		Tuesdays
6/26/2012 - 11/13/2012
5:30 - 9:30pm
 
 
June 28, 2012 Class
InstructorOrientationClasses
Bobby Kiesecker
Thursday
6/28/2012
5:30 - 7:30pm		Thursdays
7/12/2012 - 11/22/2012
5:30 - 9:30pm

CPC-H Classes

January 23, 2012 CPC-H
(6 Week Course for CPC Coders only.)
InstructorOrientationClasses
Lorrie Price
Monday
1/23/2012
5:30 - 7:30pm MST		Mondays
1/30/2012 - 3/10/2012
5:30 - 9:30pm MST

CPC Online Classes

January 11, 2012 Class
InstructorOrientationClasses
Lynn M. Hosking
Wednesday 1/11/2012
5:30 - 7:30pm MST		Wednesdays
1/18/2012 - 6/6/2012
5:30 - 9:30pm MST
 
 
June 20, 2012 Class
InstructorOrientationClasses
Lynn M. Hosking
Wednesday 6/20/2012
5:30 - 7:30pm MST		Wednesdays
6/27/2012 - 11/14/2012
5:30 - 9:30pm MST

CPC-H Online Classes

January 12, 2012 CPC-H Online Course
InstructorOrientationClasses
Jill Tom
Thursday
1/12/2012
5:30 - 7:30pm MST		Thursdays
1/19/2012 - 6/14/2012
5:30 - 9:30pm MST

Anatomy and Medical Terminology (8 Week) Classes

October 3, 2011 Anatomy and Medical Terminology (8 Week) Course
InstructorOrientationClasses
Dr. Daniel C. Mosbrucker
TBAMondays
10/3/2011 - 11/21/2011
5:30 - 9:30pm MST
 
 
January 9, 2012 Anatomy and Medical Terminology (8 Week) Course
InstructorOrientationClasses
Dr. Daniel C. Mosbrucker
Mondays
1/9/2012 - 3/12/2012
5:30 - 9:30pm MST

Anatomy and Medical Terminology (20 Week) Classes

January 4, 2012 Anatomy and Medical Terminology (20 Week) Course
InstructorOrientationClasses
Dr. Daniel C. Mosbrucker
Monday
1/4/2012
5:30 - 7:30pm MST		Mondays
1/11/2012 - 5/23/2012
5:30 - 9:30pm MST


Total Cost $2500 (includes CPC exam): Class size is limited and is on a first come, first served basis.A $200 deposit with the registration is recommended in order to secure your place in the class of your choice. All students MUST attend orientation.


**Preferred Method of Payment

**Preferred Payment Amount
  

Comments

Note: Students are required to provide their own 2011: ICD-9, CPT and HCPCS manuals. Please plan on allowing approximately six to eight hours of home study time per week. For more information email or call Advanced Coding Services at dorie@advancedcodingservices.com or (928) 853-3465.
Online Enrollment

Step 1) Complete the Online Registration Form and click "Submit" at the bottom of the form.

Step 2) Once your form has been reviewed a representative of Advanced Coding Services will contact regarding your enrollment status and payment options.

Step 3) Make your minimum required Class Deposit ($200.00) to secure your enrollment in the class.


If you have any questions you can contact Advanced Coding Services at dorie@advancedcodingservices.com or 928-853-3465.

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