HIT 2014 - Medical Coding II

4 Credits

Diagnosis coding to include: case studies using more complex code assignments with ICD-10-CM/PCS- includes PPS application examples for ICD coding (DRG, RUGS, HHRG [Home Health Resource Group]) Introduction to Systematized Nomenclature of Medicine - Clinical Terms (SNOMED); a very high level overview of its role in the health care delivery system as the basis for an electronic health record - outlining its relationship to the administrative code sets currently used for billing and statistical reporting. Include definitions for crosswalks and maps used in the clinical coding process. The course is four credit hours.

Procedure Coding: RBRVS, APCs, ASC examples used including professional fee billing examples in coding. Case studies and more complex code assignments

Prerequisite: HIT 1014 Medical Coding I

Course Level Objectives
Upon successful completion of this course, the student will be able to:

1. Analyze documentation in the application of current coding guidelines using ICD-10 CM, ICD-10 PCS, and Current Procedural Terminology (CPT). (PLO 1, 2, 3, 6, 9)
2. Demonstrate effective communication skills, information technology skills, and interpersonal skills to solve coding problems using an encoder, both individually and as a team. (PLO 1, 3, 6, 8, 9)
3. Recognize unsupported diagnoses in previously coded charts or in Computer Assisted Coding suggested codes. (PLO 1, 2, 3, 6, 8, 9)
4. Use manual or electronic queries to physicians for clarification of diagnoses. (PLO 1, 3, 9)
5. Recognize potential for abuse in coded data. (PLO 2, 3, 6, 7, 9)
6. Discuss the purpose of HIPAA and how it relates to coders and other healthcare providers who access the patient’s health record. (PLO 3, 9