Course Code: GES167
Survey coding as a profession and understand the difference between hospital and provider services. You will examine a number of important factors that affect the coding profession including the hierarchy of providers, multiple payers, and medical records. You will also learn about important HIPAA laws and compliance rules.
Discover how medical terminology works and review the basics. You will get an introduction to anatomy and all the body systems. You will also be introduced to the ICD-10-CM coding layout, diagnosis codes, and official guidelines for coding and reporting that you will use throughout the course.
Examine codes for infectious diseases, neoplasms, the immune system, mental disorders, metabolic diseases, and many others. You will begin to understand the organization of medical codes as you survey coding involved with diseases of the nervous system, circulatory system, respiratory system, eye, and ear.
Learn codes associated with diseases of the skin, subcutaneous tissue, musculoskeletal system, and genitourinary system. You will also survey coding involved in pregnancy, childbirth, congenital malformations, and chromosomal abnormalities. Then, learn about the factors influencing health status and contact with health services.
Learn about the various types of risk adjustment models including HCC, HHS, CDPS, and the hybrid model. You will understand CMS star ratings and how they relate to quality of care. You will also examine the physician quality reporting system (PQRS) and the healthcare effectiveness data and information set (HEDIS). Finally, you will survey how risk adjustment relates to medical financial matters while learning about beneficiary calculations, audits, and ACOs.
Learn about data collection sources and coding in a DOS. You will discover how to code from medical documentation and consider credential issues. You will also learn about potential documentation barriers like uncertain diagnosis and differential diagnosis. You will survey risk adjustment diagnosis coding steps, learn the difference between acute and chronic, and consider risk factors and comorbidities.
This is not an instructor facilitated course; however, support will be provided through email, online forms, and phone.
There are no prerequisites to take this course. However, knowledge of medical terminology and anatomy (or AAPC courses) is strongly recommended.
The instructional materials required for this course are included in enrollment. The following textbooks will be shipped to you approximately 7-10 business days after enrollment:
Yes, ed2go courses are completely online. However, keep in mind that not all certifying bodies or industry-specific certifications are recognized internationally. Please review your country's regulations prior to enrolling in courses that prepare for certification.
Yes, you will be prepared to sit for the Certified Risk Adjustment (CRC™) Certification Exam offered by the American Academy of Professional Coders (AAPC). You will receive an exam voucher and AAPC membership after successful completion of the course and financial obligation.
This course is open enrollment, so you can register and start the course as soon as you are ready. Access to your course can take 24-48 business hours.
This course is self-paced and open enrollment, so you can start when you want and finish at your own pace. When you register, you'll receive six (6) months to complete the course.
The time allotted for course completion has been calculated based on the number of course hours. However, if you are unable to complete the course, contact your Student Advisor to help you work out a suitable completion date. Please note that an extension fee may be charged.
You may be assigned with an instructor or team of industry experts for one-on-one course interaction. Your support will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance. All of our instructors are successful working professionals in the fields in which they teach. You will be assigned to an Advisor for academic support.
Upon successful completion of the course, you will be awarded a certificate of completion. In addition, you will receive an exam voucher for the Certified Risk Adjustment (CRC™) Certification Exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the course and financial obligation.
This course will provide you with the skills you need to obtain an entry-level position in most cases. Potential students should always do research on the job market in their area before registering.
This course is non-credit, so it does not qualify for federal aid, FAFSA and Pell Grant. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses. Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements. Financing is available from select schools. Learn more: https://www.ed2go.com/career/financial-assistance
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American Academy of Professional Coders (AAPC)
The American Academy of Professional Coders (AAPC) is one of the world’s most recognized institutions for professional medical coders, with more than 175,000 members. The AAPC offers more than 30 certifications that include medical billing and coding, compliance, and management, among other topics. These certifications are an excellent way to prove you have a working knowledge of specific aspects of healthcare, and the skills you need to practice in the field. All AAPC certifications share a common goal: help everyone from beginners to experienced professionals advance their careers and contribute positively to the industry.