Standard

 

 R State Standard         £ Institutionally Developed          College:   n/a

 

HIT 1410 - Coding and Classification II –ICD Coding Advanced

Course Description

This course is a continuation of HIT 1400 (Coding and Classification I). This course provides the student with case studies for in-depth review of inpatient and outpatient record formats as found in current healthcare settings. Advanced coding skills and use of industry applications to apply coding and billing standards will be the focus to develop auditing and compliance strategies in the work setting.

 

Competency Areas

Hours

Health Data Structure, Content and Standards 

Class

2

Clinical Classification Systems

D. Lab

2

Reimbursement Methodologies

P. Lab/O.B.I.

0

 

Credit

3

 

Prerequisite:

HIT 1400

Corequisite:

 

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.

Clinical Classification Systems

 

10

20

 

 

Apply principles and conventions of coding systems (such as ICD-9-CM, ICD-10, DSM-IV)

 

 

 

 

Evaluate Coding Compliance Strategies, Auditing and Reporting ( CCI plans)

 

 

 

Health Data Structure, Content and Standards

5

10

 

 

Validate Coding accuracy using clinical information found in the health record.

 

 

 

 

 Resolve discrepancies between coded data and supporting documentation.

 

 

 

Reimbursement Methodologies

5

10

 

 

Group diagnostic and procedural codes into reimbursement classification systems (DRG, MS DRG) Group with an encoder

 

 

 

 

Support accurate billing through coding, charge master, claims management, and bill reconciliation processes.

 

 

 

 

Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment system (PPS) in healthcare delivery.

 

 

 

 

Understand how to compile patient data and perform data quality reviews to validate coded assignment and compliance with reporting   requirements such as outpatient prospective payment systems.

 

 

 

 

Suggested Resources

 

Media
Print
Audio/Visual
Web
Other

 

Print

ICD-9-CM Manual, Volumes 1, 2, & 3. Current Edition

Faye Brown (2008) ICD-9-CM Coding Handbook, without answers, Chicago: AHA Press. ISBN#155643384

CCS review guide – ISBN/ISSN: 978-1-58426-205-3

 

Posted: 02/17/10