HIT 210 - Clinical Procedural Coding

 
Description
This course includes a comprehensive study of the International Classification of Diseases (ICD) Procedure Coding System and Common Procedural Terminology (CPT) classification systems used in the ambulatory care and inpatient setting. The relationship between coding practice and corporate compliance, Natural Language Processing (NLP) and Computer Assisted Coding (CAC) is emphasized. This course requires a per credit health career fee; check the tuition and fee schedule for the current rate.

1. Apply diagnoses and procedure codes using the ICD coding system and procedure codes using the CPT/Healthcare Common Procedure Coding System (HCPCS) coding systems.
2. Utilize current regulations and established guidelines in code assignments.
3. Validate coding and sequencing accuracy using clinical information found in the health record.
4. Determine accuracy of diagnostic and procedural groupings such as Ambulatory Payment Classifications.
5. Resolve discrepancies between coded data and supporting documentation.
6. Use and maintain electronic applications and work processes to support clinical classification and coding.
7. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services.
8. Perform data quality reviews to validate code assignment and coding compliance with reporting requirements.

1. Inpatient clinical coding with the ICD-10-PCS
2. Ambulatory care clinical coding with the CPT
3. Ambulatory payment classification assignment
4. Coding and corporate compliance
5. NLP and CAC

• Critical Thinking & Problem Solving
• Technological Competence

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