Medical Coding I

Clinical Coding training Provided by Medics Occupational Skills Training
This course is designed and provided by Medics for those seeking to continue the journey of a clinical coding career. It includes nationally recognized clinical coding skill set with recognition of prior learning for those who have already achieved competency in medical language application and use. It includes explanations, theory, practice exercises for abstracting and coding. And also, it encourages students to develop their self-learning skills, analyze coding standards, teaching workplace mentoring and develops coders to undertake more advanced coding activities. It is designed for those seeking to continue the journey of a clinical coding career.
Mode of delivery
Medical Coding is a Hybrid course (synchronous and asynchronous) designed to help participants progress with flexibility, tutor support and chat facilities. Online with tutor support (participants don’t have to work on their own). That means participants are expected to attend virtual classes and spend some time at home completing a Hybrid Assignment each week. The course is split into weeks with specific course material and assignments that build on one another each week as you progress through the course. The skills are taught as modules, including electives. Participants may progress at their own rate and start whenever you wish. Suggested pace of 1 module every week each of which will take students approximately 15 hours to complete.
Structure and what to expect
In order to help participants prepare for cortication exams, quiz-taking & discussion will be arranged in weekly basis. To also help participants prepare for the rigor and self-mastery necessary to thrive in the medical coding workforce, participants must also learn to manage their own time and stay on top of their list of projects.
Program Objectives
Upon completion of the course, participants will be able to:
• distinguish definitions of different medical term components and identify the meaning for various medical acronyms and abbreviations using short answer tests.
• show comprehension of anatomical and physiological information learned on multiple choice tests.
• locate and identify medical diagnoses by translating them into ICD-10-CM codes.
• locate and identify medical diagnoses by translating them into ICD-10-CM codes.
• locate and identify medical procedures, supplies, and services by translating them into CPT and HCPCS codes.
• identify information abo order to complete job applications; create a resume, cover letter, thank you letter to use to obtain employment.
• demonstrate understanding of correct coding guidelines by completing coding simulations and reviews.
• demonstrate understanding of appropriate workplace relationships by reading articles and responding to thought-provoking questions.
• demonstrate understanding of the role and responsibilities of a clinical coder
• Identify and evaluate clinical data from simple medical records (abstract data from records for clinical coding)
• Assign codes to clinical data as required for morbidity reporting
• Apply knowledge of medicine and healthcare systems as required for accurate clinical coding of simple records
• Enter coded data into computer systems
Program Topics

Section 1
The Business of Medicine
o Coding as a Profession
o The Hierarchy of Providers
o The Different Types of Payers
o Understanding RBRVS
o Medical Necessity
o The Need for Privacy and Security
o Fraud and Abuse
o Need for Compliance Rules and Audits
o The OIG Work Plan

Section 2
Medical Terminology and Anatomy Review
o Introduction
o Medical Terminology
o Integumentary System
o Musculoskeletal System
o Cardiovascular System
o Lymphatic System
o Respiratory System (Pulmonary System)
o Digestive System
o Urinary System
o Reproductive Systems
o Nervous System
o Endocrine System
o Hematologic (Hemic) System
o Immune System

Section 3
Introduction to ICD-10-CM
o Introduction
o Overview of ICD-10-CM Layout
o Steps to Look Up a Diagnosis Code
o ICD-10-CM Official Guidelines for Coding and Reporting
o Section 22: Codes for Special Purposes (U00–U85)
o Diagnosis Coding Guidelines for Outpatient Reporting

Section 4
Introduction to CPT®, Surgery Guidelines, HCPCS Level II, and Modifiers
o Introduction to CPT®
o National Correct Coding Initiative (NCCI)
o Sequencing CPT® Codes
o CPT® Assistant
o CPT® Category II Codes – Performance Measurement
o CPT® Category III Codes
o CPT® Appendices
o Surgery Guidelines
o HCPCS Level II
o HCPCS Level II Modifiers
o Modifiers

Section 5
Integumentary System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding

Section 6
Musculoskeletal System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II
o Modifiers

Section 7
Respiratory, Hemic, & Lymphatic Systems; Mediastinum, and Diaphragm
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II
o Modifiers

Section 8
Cardiovascular System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o Modifiers
o HCPCS Level II

Section 9
Digestive System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II Coding
o Modifiers

Section 10
Urinary System and Male Genital System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II
o Modifiers

Section 11
Female Reproductive System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II Coding
o Modifiers

Section 12
Endocrine and Nervous System
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II
o Modifiers

Section 13
Eye and Ocular Adnexa, Auditory Systems
o Eye: Introduction and Anatomy
o Ear: Introduction and Anatomy
o ICD-10-CM Coding
o CPT® Coding
o Medicine Codes
o HCPCS Level II
o Modifiers

Section 14
Anesthesia
o Introduction
o Types of Anesthesia
o Anesthesia Providers
o Anesthesia Coding Terminology
o Postoperative Pain Management
o ICD-10-CM Coding
o CPT® Coding
o Anesthesia-Related Teaching Rules

Section 15
Radiology
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o Types of Radiological Services
o The Components of a Radiology Service
o Diagnostic Ultrasound
o Radiologic Guidance
o Breast, Mammography
o Bone/Joint Studies
o Radiation Oncology
o Nuclear Medicine
o HCPCS Level II Coding
o Modifiers

Section 16
Pathology and Laboratory
o Introduction
o Anatomy and Medical Terminology
o ICD-10-CM Coding
o CPT® Coding
o HCPCS Level II Coding
o Modifiers

Section 17
Evaluation and Management
o Introduction and Objectives
o E/M Services Defined
o CPT® E/M Services Guidelines
o E/M Service Categories
o Choosing the E/M Service Level
o Diagnosis Coding for E/M Services

Section 18
Medicine
o Introduction
o Anti-infective Immunizations
o Vaccines and Toxoids
o Psychiatry
o Biofeedback
o Dialysis and End Stage Renal Disease Services
o Gastroenterology
o Ophthalmological Services & Special Otorhinolaryngologic Services
o Cardiovascular Services
o Home and Outpatient International Normalized Ratio (INR) Monitoring Services
o Noninvasive Vascular Diagnostic Studies
o Pulmonary Studies
o Allergy and Immunology
o Endocrinology & Neurology and Neuromuscular Procedures
o Medical Genetics and Genetic Counseling Services
o Central Nervous System Assessments/Tests
o Hydration, Therapeutic, Prophylactic, Diagnostic Injections/Infusions and Chemotherapy,
o Highly Complex Drugs, or Highly Complex Biologic Agent Administration
o Photodynamic Therapy & Special Dermatological Procedures
o Physical Medicine and Rehabilitation
o Education and Training for Patient Self-Management
o Non-Face-to-Face Nonphysician Services
o Special Services, Procedures, and Reports
o Qualifying Circumstances for Anesthesia & Moderate  Sedation
o Other Services and Procedures
o Home Health Procedures and Services
o Home Infusion Procedures
o Medication Therapy Management Services