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HIM 211: Medical Coding and Billing 2: CPT

Course Description

This course will cover basic theory, practices and guidelines of the Current Procedural Terminology coding system and an overview of HCPCS. Students will code procedures from simplistic to complex, including real or simulated patient records. Students will evaluate coding software and perform a coding audit.

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. Verify that documentation in the health record supports the encounter.
  4. Explain and interpret CPT conventions and coding guidelines.
  5. Apply the steps involved in the proper coding process for each coding system.
  6. Explain the healthcare reimbursement process and the relationship to coding.
  7. Identify ethical, legal, and compliance issues as they relate to coding and reimbursement.
  8. Evaluate, implement and manage electronic systems for clinical classification and coding.
  9. Evaluate the accuracy of procedural coding.
  10. Explain the purpose of HCPCs coding.

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

Assignments

Weight

Discussions (Weeks 1-8)

10%

Written Assignments & Exercises (Weeks 1-7)

35%

Quizzes (Weeks 1-6)

30%

Final Exam (Week 8)

25%

Total

100%

Required Textbooks

Available through Charter Oak's online bookstore

  • Bowie, Mary Jo. (2019). Understanding Current Procedural Terminology and HCPCS Coding Systems. 6th Edition. Delmar Publications. ISBN-13: 9781337397513
  • CPT Coding Manual 2018 - Professional Edition. (2018). American Medical Association. ISBN-13: 978-1-62202-600-5

Course Schedule

(Note: Course week runs Monday 12:00 am EST - Sunday 11:59 pm EST)

Week

SLOs

Readings and Exercises

Assignments

1

1-6

Topics: Introduction to Current Procedural Terminology and Modifiers

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

2

1-5

Topics: Evaluation and Management; Documentation Guidelines; Anesthesia; Surgery; Integumentary System

  • Reading:
    • Chapter 3
    • Chapter 4
    • Chapter 5
    • Appendix IV
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Complete the Chapter Reviews
  • Complete Quiz

3

1,2,4,5

Topics: Musculoskelatal System; Respiratory System, Cardiovascular System; Hemic and Lymphatic Systems

  • Reading:
    • Chapter 6
    • Chapter 7
    • Chapter 8
    • Chapter 9
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Complete the Chapter Reviews
  • Complete Quiz

4

1,2,4,5

Topics: Mediastinum and Diaphragm; Digestive System; Urinary System; Male Genital System

  • Reading:
    • Chapter 10
    • Chapter 11
    • Chapter 12
    • Chapter 13
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Complete the Chapter Reviews
  • Complete Quiz

5

1,2,4,5

Topics: Female Genital System; Maternity Care and Delivery; Endocrine System; Nervous System

  • Reading:
    • Chapter 14
    • Chapter 15
    • Chapter 16
    • Chapter 17
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Complete the Chapter Reviews
  • Complete Quiz

6

1,2,4,5

Topics: Eye and Ocular Adnexa; Auditory System and Operating Microscope; Radiology; Pathology and Laboratory; Medicine

  • Reading:
    • Chapter 18
    • Chapter 19
    • Chapter 20
    • Chapter 21
    • Chapter 22
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Complete the Chapter Reviews
  • Complete Quiz

7

7,8,9,10

Topics: HCPCS Codes; Coding Software Practice

  • Reading:
    • Chapter 23
    • Review for Final Exam
  • Read assigned chapters
  • Participate in the Discussions
  • Complete the Coding Software Lab
  • Complete the Chapter Review

8

1-10

Topic: Final Exam

  • Reading:
    • Review for Final
  • Participate in the Discussion
  • Complete Final Exam
  • Complete Course Evaluation

Final Exam
Chapters 1-23
SLOs 1-10

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.