MEDICAL CODING AND BILLING

AHIMA-approved training

Career Step

Prepares you for the growing field of healthcare reimbursement—employment is expected to grow by 22%—by teaching you the skills needed to earn industry credentials and start a rewarding career as a medical coder.
The medical coding and billing field offers a number of benefits, including:

Nationwide shortage – There’s a great need for well-trained medical coders nationwide—in fact, there are estimated to be 30% more positions than professionals! This shortage will only increase with all of the coming industry changes.
Healthcare security – The healthcare industry is one of the fastest growing in the country, and medical coding gives you a chance to enjoy that security from an office setting with many opportunities for promotions and advancement.
Competitive salaries and benefits – Medical coding and billing professionals enjoy competitive salaries as well as the potential for traditional employment benefits.

Программа

PROGRAM ORIENTATION (1 hour)
• Identify the elements, expectations, and requirements of the program.
• Navigate the program using the pages, menus, and buttons provided.
• Use the program tools, including the study planner, gradebook, and completion
report as well as be able to contact Career Step using various communication
tools, including phone, email, forums, chat rooms, and social media.
• Identify program-specific resources, including the 3M Encoder, as well as be
able to order their coding books with an understanding of the yearly coding
update schedule.
COMPUTER FUNDAMENTALS (7 hours)
• Identify basic computer hardware and interpret system requirements.
• Navigate a Windows operating system environment as well as install and
operate basic software utilities.
• Use a web browser to navigate between websites in multiple tabs or windows,
send and receive email, and access search engines to find information and
troubleshoot basic computer problems.
• Recognize basic technologies related to an office environment.
HEALTH INFORMATION MANAGEMENT (14 hours)
• Identify data sources by describing types of medical records and the
information found in each record.
• Describe the role medical records take in coding and billing.
• Describe the structure and use of health information.
• Identify record data collection tools.
• Discuss healthcare data sets.
• Discuss appropriate health record documentation.
• Describe data quality and integrity.
• Discuss health information systems, including specialty coding systems.
• Describe the archival, retrieval, and imaging systems used in health
information.
• Identify data retrieval, maintenance, security, and integrity processes.
• Discuss the evolution of the electronic health record (EHR) and the personal
health record (PHR).
HEALTHCARE DELIVERY SYSTEMS (4 hours)
• Explain the main structure and organization of healthcare services in the United
States.
• Differentiate between the various healthcare settings.
• Differentiate between healthcare providers.
• Identify the structure of hospitals in the United States.
• Explain the purpose of healthcare licensure, certification, and accreditation in
healthcare facilities.
• Differentiate between healthcare registries and their purpose.
• Identify the various stakeholders throughout the healthcare delivery systems.
• Describe current trends in healthcare delivery.
LEGAL AND COMPLIANCE (3 hours)
• Explain the legislative and regulatory processes in the United States.
• Describe the laws and regulations pertaining to health information.
• Define Health Insurance Portability and Accountability Act (HIPAA).
• Adhere to privacy and security policies.
• Identify the components of the Code of Ethics and Standards of Ethical Coding.NING OBJECTIVES
REIMBURSEMENT METHODOLOGIES (21 hours)
• Define commercial, managed care, and federal insurance plans.
• Identify various compliance strategies and reporting.
• Define and list payment methodologies and systems (such as capitation,
prospective payment systems, RBRVS, MS-DRGs).
• Describe the billing processes and procedures (such as claims, EOB, ABN,
electronic data interchange).
• Explain chargemaster maintenance.
• Describe regulatory guidelines.
• Discuss reimbursement monitoring and reporting.
MEDICAL TERMINOLOGY (50 hours)
• Spell, define, and pronounce medical terms.
• Engage in supplemental online and/or CD tools to enhance learning.
• Discuss concepts of building medical words using root/suffix/prefix.
• Define common medical terms of major disease processes.
• Identify common diagnostic procedures.
• Discuss common laboratory tests.
• Define common abbreviations.
• Discuss common drugs and treatment modalities in body systems.
PATHOPHYSIOLOGY (50 hours)
• Identify common disease processes by human body system.
• Discuss common disease causes.
• Define common disease diagnoses, symptoms, and treatments for disease
processes.
• Identify common symptoms of disease processes important for coders.
ANATOMY AND PHYSIOLOGY (45 hours)
• Identify and describe the basic structure, organization, and functions of human
body systems.
• Identify anatomical structures of the body using anatomical orientation tools
such as labels and assessment.
• Discuss different online lookup tools such as Adam.
• Utilize anatomical plate work to enhance learning experience.
PHARMACOLOGY (30 hours)
• Define drug actions (absorption, distribution, metabolism, and excretion).
• Identify various drug classifications.
• Discuss the most commonly prescribed drugs.
• Review drug formulary.
• Match drugs to common conditions and laboratory findings.
INTRODUCTION TO CODING (11 hours)
• Discuss use of official coding guidelines.
• Define the difference between the inpatient and outpatient coding guidelines.
• Discuss coding compliance strategies including the physician query process.
• Identify auditing methods.
• Identify the principles and application of coding systems (International
Classification of Diseases ICD-9-CM and ICD-10-CM).
• Discuss automated coding software systems (CAC, encoders).
• Describe natural language processing.
• Compare classifications, nomenclatures, terminologies, and clinical
vocabularies (SNOMED-CT, ICD-O, CPT, DSM-IV).
• Describe the relationship between the Systematized Nomenclature of
Medicine (SNOMED) and the electronic health record.
• Apply ethical coding to practice cases.
• Discuss severity of illness systems, including MS-DRGs.
• Describe coding quality monitors.
DIAGNOSTIC CODING WITH ICD-9-CM – BLOCK 1 (38 hours)
• Navigate the ICD-9-CM code book and find official and additional coding
conventions.
• Fine and accurately construct diagnosis codes using the Alphabetic Index to
Disease, the Tabular List, the Table of the Neoplasms, and the Hypertension
Table.
• Identify the ICD-9-CM general coding guidelines.
• Implement the chapter-specific coding guidelines for chapters 1-10 of the
ICD-9-CM code book.
DIAGNOSTIC CODING WITH ICD-9-CM – BLOCK 2 (38 hours)
• Find and accurately construct diagnosis codes using the Alphabetic Index
to Disease, the Tabular List, the Table of Drugs and Chemicals, and the
Alphabetic Index of External Causes.
• Implement the chapter-specific coding guidelines for chapters 11-19 of the
ICD-9-CM code book.
• Accurately assign POA indicators to ICD-9-CM diagnosis codes reported in
the inpatient setting.
• Accurately construct and assign procedure codes by using the Alphabetic
Index of Procedures and the tabular List of Procedures.
CPT/HCPCS CODING – BLOCK 1 (40 hour)
• Navigate the CPT code book and identify the uses of the conventions,
index, numeric section, and appendices.
• Recognize modifiers that can be appended to CPT procedure codes, as well
as identify when their use is appropriate.
• Calculate and assign CPT Evaluation and Management codes.
CPT/PCPCS CODING – BLOCK 2 (40 hour)
• Identify the meaning and purposes of procedural code audits and how to
apply them.
• Apply the guidelines for the six main sections of the CPT codebook and
assign codes from each section.
• Identify the uses of CPT Category II and Category III codes.
• Navigate the HCPCS Level II codebook and apply its contents, including the
conventions, index, tabular list, levels of use, Table of Drugs and Biologicals,
and appendices.
• Describe the use of coding guidelines and reporting requirements.
• Practice case studies and more complex code assignments using CPT and
HCPCS Level II codes.
• Review examples of RBRVS, APCs, ASCs and E/M services.
CODING PRACTICUM (110 hour)
• Apply knowledge of coding to a variety of authentic coding scenarios to build
speed and accuracy.
• Demonstrate hands-on encoder use.
• Assign diagnostic groupings.
• Practice the use of official coding guidelines and reporting requirements.
• Practice case mix analysis.
• Apply codes to many types of records including inpatient, outpatient,
physician, emergency room, long-term care, and home health.
FINAL EXAM PREPARATION (1 hour)
• Identify the steps they need to take to be eligible for and effectively prepare
for and access their final exam.
• Identify the format, restrictions, and policies of final exams, including
scoring, retakes, allowed resources, and time limits.
ICD-10 FASTTRACK
PROGRAM ORIENTATION (1 hour)
• Identify the elements, expectations, and requirements of the program.
• Navigate the program using the pages, menus, and buttons provided.
• Use the program tools, including the study planner, gradebook, and
completion report as well as be able to contact Career Step using various
communication tools, including phone, email, forums, chat rooms, and social
media.
• Identify program-specific resources and understand the yearly coding
update schedule.
ADVANCED ANATOMY AND PHYSIOLOGY (35 hour)
• Describe basic directional terms, general regions of the body, and levels of
structural organization of the human body as needed to assign correct and
complete diagnosis and procedure codes.
• Identify anatomic structures associated with body systems, including new
terms for ICD-10-CM and ICD-10-PCS.
• Contrast and compare human body systems and their designated body
system values for ICD-10-PCS.
ADVANCED PATHOPHYSIOLOGY (35 hours)
• Describe alterations in normal cellular and tissue function resulting from
disease processes.
• Discuss the etiology of common diseases, including chemical, genetic, and
infectious.
• Identify common disorders and diseases that affect each of the human body
systems in both children and adults.
• Describe systemic dysfunction as well as common signs and symptoms
caused by disease processes.
• Identify elements of ICD-10 code sets that relate to common conditions and
symptoms.
• Recognize instructional coding guidelines for common diseases.
ICD-10 CODING (65 hour)
• Describe the use of official coding guidelines and reporting requirements.
• Define the background of ICD-10-CM and ICD-10-PCS.
• Define and apply the General ICD-10-CM and ICD-10-PCS conventions and
guidelines.
• Define the Uniform Hospital Discharge Data Set (UHDDS).
• Practice basic coding process steps.
• Define and apply the ICD-10-CM chapter-specific coding guidelines to all 21
chapters in ICD-10-CM.
• Define and apply the root operation guidelines in ICD-10-PCS.
• Discuss the Present on Admission Indicator (POA).
• Define the ICD-10-PCS definitions and apply to coding common procedure
codes.
• Practice coding ICD-10-CM/PCS codes in many practice exercises.
• Navigate the ICD-10-CM and ICD-10-PCS codebooks.
• Locate and accurately construct diagnosis codes using the Alphabetic Index
to Diseases, the Tabular List, the Table of Neoplasms, the Table of Drugs
and Chemicals, and the Index to External Causes.
• Locate and accurately construct procedure codes using the Alphabetic Index
and Tables in the ICD-10-PCS classification.
• Identify the components of the Code of Ethics and Standards of Ethical
Coding.
• Apply ethical coding to practice cases.
FINAL EXAM PREPARATION (1 hour)
• Identify the steps they need to take to be eligible for and effectively prepare
for and access their final exam.
• Identify the format, restrictions, and policies of final exams, including
scoring, retakes, allowed resources, and time limits.

Ключевые слова

medical coder, medical billing


Характеристики курса

Вид образования
Формальное
Уровень формального образования
Дополнительное профессиональное
Язык обучения
Английский
Дисциплина
Здравоохранение
Авторы курса
AHIMA-approved training
Организация
Career Step
Валюта
USD
Стоимость курса
3395.0
Возможность передачи прав на ИС
Выходные знания, умения, навыки
to take the CCA or CPC national certification exam upon graduation
Профессия, специальность для которой курс имеет значение (атлас профессий)
medical coder
Входной тест
Формирование групп по уровню подготовленности
Присутствие преподавателей
Присутствие тьюторов
Присутствие фасилитаторов
Форма представления учебных материалов
элeктронный учебник
Наличие обратной связи в материалах
Наличие совместного обучения
Наличие форумов, дискуссий
Наличие вебинаров, видеоконференций
Наличие неформального общения, meetup
Интеграция с LMS
Учебная аналитика
Наличие сертификации
Наличие временных границ
Продолжительность
4 (месяцы)
Возможность войти после начала
Единица модуля
hours
Количество модулей в курсе
640
Возможность формирования собственной траектории, индивидуализации на курсе
Поддержка лиц с ограниченными возможностями

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