||This course is a continuation of coding guidelines using the current International Classification of Diseases. Students will practice assigning diagnosis codes to clinical information found in a health record while maintaining ethical coding standards. Current regulations and guidelines in code assignment will be covered. A Web-based coding system is introduced and utilized in diagnostic code assignment.
- Evaluate the accuracy of diagnostic coding using sample exercises and medical records.
- Utilize encoder software for assigning diagnosis codes.
- Determine accuracy of computer-assisted coding assignment and recommend corrective action.
- Verify the documentation in the health record is timely, complete and accurate.
- Develop appropriate physician queries to resolve data and coding discrepancies.
- Analyze documentation in the health record to ensure it supports the diagnosis and reflects the patient's progress, clinical findings and disharge status.
- Analyze current regulations and established guidelines in clinical classification systems.
- Comply with ethical standards of practice.
- Apply diagnosis codes according to current regulations and guidelines.
- Assess Medicare Severity Diagnosis Related Groups (MS-DRGs) and Ambulatory Patient Classifications (APCs) and their impact on reimbursement.
- Apply advanced coding concepts to chapter-specific guidelines including the assignment of principal and additional diagnoses in all applicable patient settings.
- Utlilize various coding references.
|MnTC goal areas:
« back to course outlines