SEF-EDGA6 - Advanced Hospital Coding
Course Description
This course will improve your diagnostic and procedural coding skills and increase your knowledge of clinical documentation, reimbursement in inpatient and outpatient settings, and data quality management. You will also be prepared to sit for the official certification exam to become a Certified Coding Specialist (CCS).Learner Outcomes
What you will learn
- Identify the roles and responsibilities of a coder in both inpatient and outpatient facilities.
- Abstract health information from clinical documentation using your knowledge of medical terminology, anatomy/physiology, and disease processes.
- Assign ICD-10-CM/PCS and CPT/ HCPCS Level II codes and modifiers in accordance with current coding guidelines.
- Understand reimbursement methodologies.
- Clarify conflicting, ambiguous, or missing information from health records by querying the physician.
- Participate in clinical documentation improvement initiatives to ensure accurate and complete health data.
Prerequisites
This is not an entry-level course. Before taking this course, you should have previous coding experience or education and have completed either the Certified Medical Administrative Assistant with Medical Billing and Coding course or the Medical Billing and Coding course.
Although it is not required, CCS exam candidates are recommended to meet one of the following qualifications:
- By Credential: RHIA®, RHIT®, or CCS-P® OR
- By Education with Experience: The following courses MUST be completed; anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD diagnostic/procedural, and CPT/HCPCS coding plus one (1) year of coding experience directly applying codes; OR
- By Experience: Minimum of two (2) years of related coding experience directly applying codes; OR
- By Credential with Experience: CCA® plus one (1) year of coding experience directly applying codes; OR
- Other Coding credential from other certifying organization plus one (1) year coding experience directly applying codes.
If you do not qualify for the CCS exam, you may still be eligible for the Certified Coding Associate (CCA®) an entry-level certification exam offered by AHIMA or the American Association of Professional Coders Apprentice level certification, the Certified Professional Coder Apprentice (CPC-A) or Certified Inpatient Coder (CIC™). This course will prepare you for those certifications as well, and you'll find more information about them in the Certification Prep lesson at the end of the course. Certification exams offered by AAPC and NHA are only available online to candidates located in the US. AHIMA only offers in-person exams in both the US and Globally.