HIT 210 - Clinical Procedural Coding

 
Description
In this course, students explore the International Classification of Diseases (ICD) Procedure Coding System, Healthcare Common Procedure Coding System (HCPCS II) and Common Procedural Terminology (CPT) classification systems. An introduction to revenue cycle management and healthcare reimbursement is included.  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/HCPCS II 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. Resolve discrepancies between coded data and supporting documentation.
5. Apply classification systems, methodologies and approaches to assess data to identify patterns, trends or differences.
6. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services.
7. Evaluate code assignment for accurate reimbursement from payer sources.
8. Explain the remittance advice and payment process for revenue cycle management.

1. Inpatient clinical coding with the ICD-10-PCS
2. Ambulatory care clinical coding with the CPT and HCPCS II
3. Reimbursement concepts
4. Coding and corporate compliance

• Critical Thinking & Problem Solving
• Technological Competence

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