HIT 186B - Advanced Outpatient Coding

Credits: 2

Description
Principles and application of coding systems utilized for outpatient healthcare facilities and physician coding using ICD, CPT, and HCPCS Level II. Emphasizes use of encoders; assigning codes to complex case studies; auditing more complex codes including evaluation and management, radiology, laboratory, and surgical; and introducing the student to APC code assignment.

Student Learning Outcomes

Discuss basic principles of coding systems (ICD-9-CM Volume III and ICD-10-PCS, CPT 4, HCPCS).
Analyze policies and procedures to ensure organizational compliance with regulations and standards.
Adhere to the legal and regulatory requirements related to the health information management.
Verify the documentation in the health record is timely, complete, and accurate.
Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status to accurately apply ICD, CPT, and HCPCS Level II codes.
Apply diagnosis/procedure codes according to current guidelines for services rendered during outpatient facility and physician encounters according to guidelines and ethical practice.
Evaluate the accuracy of diagnostic/procedural medical codes and groupings outpatient and physician records according to current guidelines and regulations and develop appropriate physician queries to resolve data and coding discrepancies.
Utilize practice management and HIM (Health Information Management) systems such as encoders in coding.
Evaluate revenue cycle processes

Prerequisite: HIT 119B and HIT 165B and HIT 184B and HIT 185B all with a grade of C or higher