What is Medical Coding?
Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
Difference Between Medical Coding and Medical Billing ?
The main task of a medical coder is to review clinical statements and assign standard codes using CPT®, ICD-10-CM, and HCPCS Level II classification systems. Medical billers, on the other hand, process and follow up on claims sent to health insurance companies for reimbursement of services rendered by a healthcare provider.
Medical Coders work in a variety of settings and their individual workday may differ depending on the size of the facility, type of physician, type of specialty etc.
A medical coder usually begins the workday by reviewing the previous days’ batch of patient notes for evaluation and coding. The type of records and notes depends on the clinical setting (outpatient or facility), and may require a certain degree of specialization.
Selecting the top note on the billing sheet on the stack, the coder begins reviewing the documentation to understand the patient’s diagnoses assigned and procedure performed during their visit. Coders also abstract other key information from the documentation, including physician names, dates of procedures and other information. Coders rely on regulatory coding guidelines and good documentation to assign the correct code.
Growing Demand for Certified Medical Coders
There is a high demand for medical coders and billers in today’s job market. With the increase in the United States aging population, along with the implementation of ICD-10 in 2014, there is and will continue to be an added demand for medical billing and coding professionals to assist the provider community with the increase in patient encounters and medical chart reviews that will require the services of these highly trained professionals.
Covid has accelerated the growth of the United States healthcare Industry and now is a great time to prepare yourself to meet the industry demand by becoming a Certified Professional Coder (CPC)
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Course Curriculum
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Module 1: Anatomy, physiology & Medical Terminology
Detailed review of Anatomy of each Organ system, physiology and understanding Medical Terminology associated with each of these topics
Practices with scenarios, exercises, Quizzes and assessments -
Module 2: ICD-10-CM Coding
ICD-10-CM Overview, ICD Conventions, General Guidelines, Chapter specific guidelines
Practice with case scenarios, ICD exercises, Quizzes on each chapter & Assessments -
Module 3: CPT Coding
Introduction to CPT Coding, AMA Guidelines, Evaluation & Management, Anesthesia, Radiology, Surgery, Pathology, Medicine sections
Modifiers, LCDs & Medical necessities
Category II & III codes
Practice with case scenarios, exercises in each specialty, quizzes & Assessments -
Module 4: HCPCS Coding
Introduction to HCPCS coding, Guidelines, sections, how to find codes for supplies & Drugs -
Module 5: Case Studies
Practice with case studies & scenarios, Medical Records overview & application of coding guidelines to charts -
Module 6: Exam Preparation
Practice questions & Mock Tests
How to prepare for exams
Time Management – Tips & suggestions
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Module 7: Soft skill Training
Corporate etiquettes
Communication Training
Behavioural Training
Career orientation
Corporate readiness program
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