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HIM 210: Medical Coding and Billing 1: ICD-10

Course Description

This course will cover basic theory, practices and guidelines of the ICD-10-CM/PCS coding system and compare it to various existing and past coding systems such as CPT-4 and ICD-9-CM. Students will code diagnoses and procedures from simplistic to complex, including real or simulated patient records. Students will be introduced to encoders and the coding compliance process. (3 credits)

This course meets certain CAHIIM competencies for HIM Majors.

Prerequisites

  • BIO 212: Anatomy and Physiology
  • BIO 215: Pathophysiology
  • HCA 105: Medical Terminology

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Identify coding systems used for reimbursement.
  2. Identify the relationship between patient record documentation and accurate coding.
  3. Explain and interpret ICD-10-CM/PCS conventions and coding guidelines.
  4. Apply the steps involved in the proper coding process for each coding system.
  5. Explain the healthcare reimbursement process and the relationship to coding.
  6. Identify ethical, legal, and compliance issues as they relate to coding and reimbursement.
  7. Evaluate, implement and manage electronic systems for clinical classification and coding.
  8. Evaluate the accuracy of diagnostic and procedural coding.
  9. Construct and maintain processes, policies and procedures to ensure the accuracy of coded data based on established guidelines.
  10. Manage coding audits.
  11. Implement provider querying techniques to resolve coding discrepancies.
  12. Determine policies and procedures to monitor abuse or fraudulent trends.

General Education Outcomes (GEOs)

Please check the applicable GEOs for this course, if any, by outcomes at GEO Category Search, or by subject area at GEO Discipline Search.

Course Activities and Grading

Assignment(s)Weight

Discussions (Weeks 1-14)

10%

Activities, Assignments and Labs (Weeks 1-15)

40%

Quizzes (Weeks 1-14)

30%

Final Exam (Week 15)

20%

Total

100%

Required Textbooks

Available through Charter Oak's online bookstore

  • Schraffenberger, Lou Ann. Basic ICD-10-CM and ICD-10-PCS Coding - with Access Code. AHIMA Press, 2017. ISBN-13: 9781584265429
    Note: This textbook should be purchases new.
  • Castro, Anne B. ICD-10-PCS Code Book, 2017 (Orange). AHIMA Press, 2017. ISBN-13: 9781584265313
  • Castro, Anne B. ICD-10-CM Code Book, 2018. AHIMA Press, 2017. ISBN-13: 9781584265894
  • AHIMA Virtual Lab Access Code. (Good for one year from the date of purchase)

Note: Students need to purchase only one code/subscription to the AHIMA E-HIM Virtual Lab per year. A single code provides the access required for all Charter Oak State College HIM courses.

Course Schedule

WeekSLOsReadings and ExercisesAssignments

1

1,2,6

Topics: Introduction to Coding & Reimbursement

  • Reading:
    • Chapter 1
    • Chapter 2
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

2

2-5

Topics: Introduction to ICD-10-CM Diagnosis Coding and Infections and Parasitic Diseases

  • Reading:
    • Chapter 3
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

3

2,3,4

Topics: Neoplasms and Disorders of the Blood

  • Reading:
    • Chapter 5
    • Chapter 6
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

4

2,3,4

Topics: Endocrine System and Mental Health

  • Reading:
    • Chapter 7
    • Chapter 8
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

5

2,3,4

Topics: Nervous System, Eye and Adnexa, Ear

  • Reading:
    • Chapter 9
    • Chapter 10
    • Chapter 11
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

6

2,3,4

Topics: Circulatory and Respiratory Systems

  • Reading:
    • Chapter 12
    • Chapter 13
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

7

2,3,4

Topic: Digestive System

  • Reading:
    • Chapter 14
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignment
  • Complete Quiz

8

2,3,4

Topics: Skin and Musculoskeletal System

  • Reading:
    • Chapter 15
    • Chapter 16
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

9

2,3,4

Topics: Genitourinary System and Pregnancy

  • Readings:
    • Chapter 17
    • Chapter 18
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

10

2,3,4

Topics: Perinatal and Congenital Conditions

  • Readings:
    • Chapter 19
    • Chapter 20
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

11

2,3,4

Topics: Signs and Symptoms

  • Readings:
    • Chapter 21
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

12

2,3,4

Topics: Injury, Poisoning, and External Causes

  • Readings:
    • Chapter 22A
    • Chapter 22B
    • Chapter 23
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

13

2,3,4

Topics: Other factors Influencing Health; ICD-10-PCS Wrap Up

  • Readings:
    • Chapter 24
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

14

6,8

Topics: Advanced Coding and Health Information Technology; Coding Software Demo

  • Reading:
    • AHIMA Coding Practice Team. "Internet Resources for Accurate Coding and Reimbursement Practices." (AHIMA Practice Brief) Journal of AHIMA75, no.7 (July-August 2004): 48A-G.
    • 3M Introductory Guide and Tutorials
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz
  • Complete the Virtual Labs: 3M Encoder and QuadraMed Encoder

15

7,9-12

Topics: Coding Management, Quality, and Compliance

  • Reading:
    • American Health Information Management Association. "Developing a Coding Compliance Policy Document (Updated)." Journal of AHIMA (Updated March 2010)
    • AHIMA. "Managing an Effective Query Process" Journal of AHIMA 79, no.10 (October 2008): 83-88
    • Chapter 25
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Final Exam
  • Complete Course Evaluation

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.