Title: Syllabus
Course: HIM 3600 - TAACCCT Grant

Advanced Diagnosis and Procedural Coding

Instructor

Name:
Phone/email:
Office Hours:

Texts

- A Guided Approach to Intermediate and Advanced Coding by Jennifer Lame and Glenna Young, 2014, Pearson Education, Inc.
- CPT Coding Manual. Chicago, IL:  AMA
- ICD-10-CM Coding Manual
- ICD-10-PCS Coding Manual

Supplemental texts

Certified Coding Specialist Exam preparation; or Certified Coding Specialist-Physician Based Exam preparation: Chicago, IL:  AHIMA Press

Course Description

This course is an advanced coding course designed for students with previous medical coding experience or previous medical coding courses.  This course explores the more complex areas of ICD and CPT coding in hospital, outpatient, and physician based settings.  Students will apply coding principles and guidelines related to complex diagnoses and procedures. Coding from actual patient records is emphasized. The use of coding references and coding software is integrated into the course.

Course Objectives

- Interpretation of health-record documentation using your knowledge of anatomy, physiology, clinical disease processes, and medical terminology.
- Evaluate the effect of code selection on Medicare-Severity Diagnosis Related Group (MS-DRG) assignment, and verify MS-DRG assignment based on Prospective Payment System (PPS) definitions.
- Determine proper use of Modifiers, CPT vs. HCPCS Level II codes, and Medical Necessity (linking diagnosis to procedure or service)
- Understand reimbursement methodologies and documentation rules and regulations
- Understand the Charge Master and its components
- Understand the CPT guidelines, with special emphasis on Evaluation and Management (E & M) and surgery coding
- Use   approved coding guidelines to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services
- Clarify conflicting, ambiguous, or nonspecific information appearing in a health record by consulting the appropriate physician
- Participate in quality assessment to ensure continuous improvement in ICD-10-CM, ICD-10-PCS, and CPT coding and collection of accurate health data
- Demonstrate ability to recognize potential coding-quality issues from an array of data
- Apply policies and procedures on health-record documentation and coding that are consistent with official coding guidelines
- Contribute to the development of facility-specific coding policies and procedures.
- Preparation for the Certified Coding Specialist—Physician-based (CCS-P) or Certified Coding Specialist is included in this program

Grading Scale

Percentage |  | Grade
94-100% | = | A
90-93% | = | A-
87-89% | = | B+
83-86% | = | B
80-82% | = | B-
77-79% | = | C+
73-76% | = | C
70-72% | = | C-
67-69% | = | D+
63-66% | = | D
60-62% | = | D-
Below 60% | = | E

Personal Emergencies

If you have an emergency during the semester, please contact me as soon as possible so that we can arrange a solution.  Please let me know before the assignment due date if possible.

Cheating/Coercion

INSTRUCTOR: Insert information from your institution's Policies & Procedures.

Student Accommodations

INSTRUCTOR: Insert information from your institution's Services for Students with Disabilities.