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Online Enrollment

Approved and Regulated by the Colorado Department of Higher Education,
Private Occupational School Board.

Please Note: This enrollment form is for STUDENTS NEW to Career Coders Online Campus.  If you are already enrolled, are taking classes, or have taken class online, do NOT use this form.  Instead,  please call the office to take additional classes: 970-663-0020.

* = Required Field

The following information is used for billing and identification only and will not be sold or used for any solicitation.  Your information is secured by HIPAA privacy policies.

Student Information
*First Name
*Last Name
*Street Address
Additional Address (e.g., Apt. No.)
*City
*State
*Zip
*Email Address
You must have an email address—Your email will be used for online access, correspondence, and classroom communication only.
*Home Phone () -
Cell Phone () -
Work Phone () -
*Preferred Method of Contact
*Your Time Zone
MyCareerCoders Information (Online Access)
Your User Name will be your email address.  Please select a password for your Online Access:
*Password
*Password Confirm
Program/Courses (Check all that apply)
*Please check all classes you are registering for.  These are in the recommended order of class completion.
1. Basic Anatomy and Medical Terminology
Online Self-paced Class. 12 weeks to complete.  Tuition: $599.00 + Book
Prerequisite: None
2. Introduction to Medical Billing and Coding
10 weeks.  Tuition: $1850.00 + Books
Online Live Class
Prerequisite: None, Medical Terminology and Anatomy recommended but not required.
3. CPC Certification Class
10 weeks.  Tuition: $1850.00 + Book (tuition does not include fees for AAPC national test or AAPC membership)
Online Live Class
Prerequisite:  Medical Terminology, Anatomy, Proficient in CPT, ICD-9, HCPCS, Modifiers, Medicare Rules and Regulations, Coding Concepts, HIPAA, High School Diploma
4. Basic Physician Auditing
Online Self-paced Class. 12 weeks to complete.  Tuition: $475.00 (textbook & materials included)
Prerequisite: None
Payment Method (How will you be paying?)
*Registration/Payments must be received 10 days prior to class start date
Check     Cash     Credit Card     Student Loan
Work Force/Gov Program     Other
Payments made to:
Career Coders, LLC, 292 Marcy Drive, Loveland, CO 80537
Credit Card Information (if paying by credit card)
To Pay by Credit Card—Call Career Coders, LLC at 970-663-0020 after submitting this form.
Consent
I fully understand and agree to comply with Career Coders, LLC terms and conditions by providing the information above and clicking the submit button below.



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