HIM 220: Advanced ICD Coding

Course Description

This course will focus on intermediate to advanced principles and application of the ICD-10-CM and ICD-10-PCS coding systems. Students will code more complex procedures using case studies along with real or simulated patient records. Advanced coding concepts related to hospital DRGs, case mix index, severity of illness systems will be covered. Students will be introduced to SNOMED, coding quality monitor reporting, crosswalks, and maps. A focus on coding compliance strategies will be included. (3 credits)

Prerequisite

  • HIM210: Clinical Classification Systems I

Student Learning Outcomes (SLOs)

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

  1. Apply the steps involved in the proper coding processes for ICD-10-CM/PCS.
  2. Assign diagnosis codes according to official coding guidelines.
  3. Sequence diagnosis and procedure codes according to official coding guidelines.
  4. Consult reference materials to facilitate code assignment.
  5. Apply and promote standards of ethical coding.
  6. Explain and interpret factors that impact reimbursement (e.g., severity of illness systems, case mix index, present on admission status indicators, and medical necessity).
  7. Describe the uses and functions of classifications, taxonomies, nomenclatures, terminologies, clinical vocabularies, and code sets such as SNOMED-CT, LOINC, DSM-V, and ICD-O.
  8. Explain connection between coding and quality reporting.

Course Activities and Grading

Note: A "C" grade or higher must be earned to pass this course.

Letter GradePercentage
A93.0-100.0 
A -90.0-92.9 
B+87.0-89.9 
B83.0-86.9 
B -80.0-82.9 
C +77.0-79.9 
C73.0-76.9 
F72.99% and below



AssignmentsWeight

Discussions (30 Pts, Weeks 1-2, 4-8)

21%

Written Assignments (50 pts, Weeks 1-7)

35%

Quizzes (30 pts, Weeks 1-7)

21%

Virtual Lab Assignment (30 Pts, Week 3)

3%

Final Exam (200 pts, Week 8)

20%

Total

100%

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Palkie & Walraven. Basic ICD-10-CM and ICD-10-PCS Coding, 2024. AHIMA Press, 2024. ISBN-13: 9781584269380
  • Palkie & Walraven. Basic ICD-10-CM and ICD-10-PCS Coding Exercises, 2024. AHIMA Press, 2024. ISBN-13: 9781584269403
  • Castro, Anne B. ICD-10-PCS Code Book, 2024. AHIMA Press, 2024. ISBN-13: 978-1-58426-947-2
  • Castro, Anne B. ICD-10-CM Code Book, 2024. AHIMA Press, 2024. ISBN-13: 978-1584269465 [Spiral Bound Version]
  • AHIMA Medical Coder 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 Medical Coder Virtual Lab per year. A single code provides the access required for all Charter Oak State College HIM courses.

Additional Resources

  • Schraffenberger and Palkie.Basic ICD-10-CM and ICD-10-PCS Coding. AHIMA Press, 2022. ISBN-13: 9781584268390

    • OPTIONAL for reference: This book was required in HIM 210 Clinical Classifications I and does not need to be repurchased.

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,2,3,5

Topics: Coding Ethics and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 1-3
  • Review Getting Started information
  • Review course syllabus
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Introduce yourself in discussion forum
  • Participate in discussion
  • Take quiz
  • Complete written assignment

2

1,2,3,4

Topics: Coding Resources and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 4-6
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Participate in discussion
  • Take quiz
  • Complete written assignment

3

1,2,3,4,6

Topics: Severity of Illness and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 7-9
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Complete Virtual Lab assignment
  • Take quiz
  • Complete written assignment

4

1,2,3,4,6

Topics: Case Mix Index and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 10-12
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Participate in discussion
  • Take quiz
  • Complete written assignment

5

1,2,3,4,6

Topics: Present on Admission, Medical Necessity, and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 13-15
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Participate in discussion
  • Take quiz
  • Complete written assignment

6

1,2,3,4,7

Topics: Crosswalks, SNOMED, and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 16-19A
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Participate in discussion
  • Take quiz
  • Complete written assignment

7

1,2,3,4,8

Topics: Compliance, Quality, and Advanced ICD-10 Coding

  • Reading:
    • Basic ICD-10-CM and ICD-10-PCS Coding Exercises, Chapters 19B-21
  • Practice assigned chapters coding exercises
  • Review the lecture material
  • Participate in discussion
  • Take quiz
  • Complete written assignment

8

1-8

Topics: Course Wrap-Up and Final Exam

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

Final Exam

Covers all course content areas

SLOs 1, 2, 3, 4, 5, 6, 7, and 8

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.