Hospital Billing & Coding

Hospital Billing and Coding — MMTC

Course Overview

Learn to translate clinical diagnoses and procedures into standardized codes, manage patient payments and insurance claims, and navigate modern Social Health Authority (SHA/SHIF) billing workflows in Kenya.

2 WeeksDuration

40 HoursTotal Contact Time

MMTC CertificateOf Completion

KES 16,000Total Fee

What You Will Learn

Translating clinical diagnoses and procedures into standardized codes

Medical coding with ICD-10, CPT and HCPCS

Managing patient payments, intake and eligibility verification

Preparing, submitting and following up insurance claims

Modern SHA/SHIF billing workflows in Kenya

NHIF history and the transition to SHA under the SHIF Act 2023

Training combines classroom instruction with practical billing sessions, so you leave ready to process real claims.

Course Curriculum

Week 1

Health Insurance in Kenya

20 Hours

Module 1.1: History and need for health insurance — medical covers in Kenya, the burden of out-of-pocket spending, and why insurance is essential for UHC and health equity
Module 1.2: NHIF structure, benefits and reforms — registration, contributions, claim processes and e-claims, and the SHA transition under the SHIF Act 2023

Week 2

SHA Billing Procedures & Practice

20 Hours

Module 2.1: Introduction to the SHA framework — SHA 2011 structure, expenditure classifications, and its role in policy, planning and reporting
Module 2.2: Billing procedures in healthcare — patient intake, preauthorization, eligibility verification, ICD-10/CPT/HCPCS coding, invoicing and claim preparation

Who Should Attend

Target Audience

Health records and information officers
Billing clerks and front office personnel
Hospital administrators and accountants
Clinical officers and nurses
Healthcare practitioners in financing roles

Entry Requirements

Minimum: KCSE Certificate or equivalent
Preferred: Certificate, diploma, or relevant work experience in healthcare or administration
Recommended skills: Basic computer literacy for billing sessions

Assessment & Fees

Assessment & Certification

Continuous assessment: Class exercises, case analysis, and quizzes
Final assessment: Written test and practical billing exam (2 hrs)
Certification: Certificate of Completion from MMTC (with CPD points if applicable)

Course Fees

Registration FeeKES 2,500

Tuition FeeKES 12,000

Certification FeeKES 1,500

Total PayableKES 16,000

Includes course materials, practical sessions, and certification.

Why Study Hospital Billing and Coding at MMTC?

Current & Relevant

Covers the NHIF-to-SHA transition under the SHIF Act 2023, so you learn today's system.

Hands-On Practice

Practical billing sessions and a practical billing exam build real claims-processing skills.

Industry Coding Standards

Learn ICD-10, CPT and HCPCS, the coding systems used in claims preparation.

Recognised Certificate

Receive an MMTC Certificate of Completion, with CPD points where applicable.

Frequently Asked Questions

Hospital billing and coding is the work of translating clinical diagnoses and procedures into standardized codes, managing patient payments, and preparing insurance claims. This course teaches you to do it accurately using ICD-10, CPT and HCPCS, and to navigate modern SHA/SHIF billing workflows in Kenya.

The minimum requirement is a KCSE Certificate or equivalent. A certificate, diploma, or work experience in healthcare or administration is preferred, along with basic computer literacy for the billing sessions. The course suits records officers, billing clerks, administrators, accountants, clinical officers and nurses.

The course runs for 2 weeks, with 20 hours each week. Assessment includes continuous work (class exercises, case analysis and quizzes) and a final written test plus a 2-hour practical billing exam.

The total fee is KES 16,000: KES 2,500 registration, KES 12,000 tuition and KES 1,500 certification. This includes course materials and practical sessions. On completion you receive an MMTC Certificate of Completion, with CPD points if applicable.

Start Your Journey in Hospital Billing and Coding

Register today and learn to code accurately, manage claims and payments, and work confidently within SHA/SHIF billing workflows.