HIM 210: Clinical Classification Systems I

Course Description

This course will cover basic theory, practices, and guidelines of the ICD-10-CM/PCS coding system. 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. 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

AssignmentsWeight

Discussions (25 points, Weeks 1-8)

20%

Quizzes (20 points, Weeks 1-7)

30%

Written Assignments (50 points, Weeks 1-7)

35%

Auditing and Compliance Plan Assignment (50 points, Week 7)

5%

VLAB Assignments (55 points each, Week 8)

11%

Final Exam (150 points, Week 8)

15%

Total

100%

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Schraffenberger, Lou Ann. Basic ICD-10-CM and ICD-10-PCS Coding, 2022. AHIMA Press, 2022. ISBN-13: 978-1-58426-839-0
  • Castro, Anne B. ICD-10-PCS Code Book, 2022. AHIMA Press, 2021. ISBN-13: 9781584268468
  • Castro, Anne B. ICD-10-CM Code Book, 2022. AHIMA Press, 2021. ISBN-13: 9781584268437
  • 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

1-6

Topics: Introduction to Coding & Reimbursement and Coding Guidelines

  • Reading:
    • Chapter 1
    • Chapter 2
    • Chapter 3
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

2

1-5

Topics: Infectious and Parasitic Disease, Neoplasms, Disorders of the Blood, and Endocrine System

  • Reading:
    • Chapter 4
    • Chapter 5
    • Chapter 6
    • Chapter 7
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

3

1-5

Topics: Mental Health, Nervous System, Eye and Adnexa, and Ear

  • Reading:
    • Chapter 8
    • Chapter 9
    • Chapter 10
    • Chapter 11
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

4

1-5

Topics: Circulatory, Respiratory, Digestive, and Skin

  • Reading:
    • Chapter 12
    • Chapter 13
    • Chapter 14
    • Chapter 15
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

5

1-5

Topics: Musculoskeletal, Genitourinary, Pregnancy, and Perinatal

  • Reading:
    • Chapter 16
    • Chapter 17
    • Chapter 18
    • Chapter 19
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

6

1-5

Topics: Congenital Conditions, Signs and Symptoms, Injury and Poisoning

  • Reading:
    • Chapter 20
    • Chapter 21
    • Chapter 22a
    • Chapter 22b
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignments
  • Complete Quiz

7

1-5, 8-10

Topics: External Causes, Other Factors Influencing Health, ICD-10 PCS Wrap-Up, Coding Management, Quality, and Compliance

  • Reading:
    • Chapter 23
    • Chapter 24
    • Chapter 25
    • American Health Information Management Association. “Developing a Coding Compliance Policy Document (Updated).” Journal of AHIMA (Updated March 2010)
    • AHIMA. “Defining the Core Designated Clinical Documentation Set for Coding Compliance.” 2012
  • Read assigned chapters
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Chapter Assignment
  • Complete Quiz

8

1-7

Topics: Advanced Coding and Encoder Demo and Final Exam

  • Reading:
    • Encoder Guides and Tutorials
  • Read encoder tutorials
  • Review the Lecture material
  • Participate in the Discussions
  • Submit encoder 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.