HITM2283 - Intermediate Diagnosis Coding

Competencies

1. Interpret proper phrases and terms of diseases, pathological conditions and systems of the body.
2. Verify documentation in the health record is timely, complete and accurate.
3. Abstract clinical information from medical documentation.
4. Utilize various coding references for diagnosis coding.
5. Determine the principal and secondary diagnoses from patient encounter documentation.
6. Apply diagnosis codes according to current regulations and guidelines.
7. Apply coding concepts to chapter-specific guidelines.
8. Comply with ethical standards of practice.
9. Identify the social determinants of health in clinical documentation.
10. Describe information systems utilized in the assignment of diagnosis codes.