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?


CredentialsRequired Fields for CEMC® Enrollment

Credentials:

AAPC Member ID:


Location and Payment**Required Fields

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


CPC Classes

January 16, 2018 Class
InstructorOrientationClasses
Rhonda Zollars
Tuesday 1/16/2018
5:30 - 7:30pm		Tuesdays: 1/16/2018 - 5/29/2018
5:00 - 9:00pm
 
 
January 18, 2018 Class
InstructorOrientationClasses
Bobby Kiesecker
Thursday 1/18/2018
5:00 - 7:00pm		Thursdays: 1/18/2018 - 5/31/2018
5:00 - 9:00pm
 
 
July 10, 2018 Class
InstructorOrientationClasses
Rhonda Zollars
Tuesday 7/10/2018
5:30 - 7:30pm		Tuesdays: 7/10/2018 - 11/20/2018
5:00 - 9:00pm

COC Classes

January 17, 2018 Class
InstructorOrientationClasses
Rhonda Zollars
Wednesday 1/17/2018
5:00 - 7:00pm		Wednesdays: 1/17/2018 - 5/30/2018
5:00 - 9:00pm
 
 
July 11, 2018 Class
InstructorOrientationClasses
Rhonda Zollars
Wednesday 7/11/2018
5:00 - 7:00pm		Wednesdays: 7/11/2018 - 11/21/2018
5:00 - 9:00pm

CPC Online Classes

January 18, 2018 CPC Online Course
InstructorOrientationClasses
Lynn M. Hosking
Thursday 1/18/2018
5:00 - 7:00pm		Thursdays: 1/18/2018 - 5/31/2018
5:00 - 9:00pm
 
 
July 12, 2018 CPC Online Course
InstructorOrientationClasses
Lynn M. Hosking
Thursday 7/12/2018
5:00 - 7:00pm		Thursdays: 7/12/2018 - 11/22/2018
5:00 - 7:00pm


Total Cost $3200 (includes CPC exam): Class size is limited and is on a first come, first served basis.A $250 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: Medical Dictionary or Online access to one (Optional- but highly recommend by instructors). 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 beth@advancedcodingservices.com or (602)-469-1193.
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 beth@advancedcodingservices.com or 602-469-1193.

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