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Advanced Hospital Coding and CCS Prep

Union County College

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855.520.6806
Career Training Program
Program Code: GES104
Hours: 80
Fees: $1895.00 USD

Overview

The Advanced Hospital Medical Coding Online Program and CCS Test Preparation Training Program will prepare you to take the American Health Information Management Association's (AHIMA) official certification exam to become a Certified Coding Specialist (CCS). This program covers advanced ICD-9 medical coding procedures and will help you meet the challenge of today's changing standards while learning and improving your coding skills.

This online certificate program is offered in partnership with major colleges, universities, and other accredited education providers.

Objectives

When you've successfully completed this program, you'll:

  • Understand how health information travels within departments of a facility
  • Be able to define the roles and responsibilities of a coder in both in- and out-patient facilities
  • Know how to interpret health-record documentation using your knowledge of anatomy, physiology, clinical disease processes, and medical terminology
  • Accurately assign codes for diagnoses, conditions, problems, or other reasons for patient encounters
  • Select codes according to Uniform Hospital Discharge Data Sets (UHDDS) definitions and official coding guidelines
  • Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify 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
  • Identify the Charge Master and its components
  • Understand the CPT guidelines, with special emphasis on Evaluation and Management (E & M) and surgery coding

This program will help you become competent in these hospital-based coding areas:

Data Identification

  • Read and interpret health-record documentation to identify diagnoses and procedures
  • Apply your knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes
  • Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class

Coding Guidelines

  • Use current approved coding guidelines to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services
  • Apply knowledge of CPT format, guidelines, and notes to locate the correct codes or correctly use an unlisted procedure code for a patient encounter, and sequence the codes correctly

Regulatory Guidelines

  • Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to select accurate codes
  • Determine the appropriate principal diagnosis for patients who have more than one ailment
  • Use the Prospective Payment System to confirm a DRG assignment
  • Prevent fraud by maintaining approved coding principles and guidelines, including the National Correct Coding Initiative (CCI)
  • Use the Ambulatory Surgery Center (ASC) Payment Groups to confirm ASC assignment and ensure appropriate reimbursement
  • Use the HCFA Common Procedural Coding System (HCPCS) to appropriately assign HCPCS codes for outpatient Medicare reimbursement

Coding

  • Understand which diagnoses, conditions, and procedures to exclude from coding
  • Apply your knowledge of ICD-9-CM instructional notations and conventions to locate, assign, and correctly sequence codes
  • Facilitate data retrieval by recognizing when more than one code is required to adequately classify a given condition

Data Quality

  • 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-9-CM 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

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