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Medical Coding Specialist

31-530-2 Technical Diploma (TD) 27 Credits Financial Aid Eligible Locations*: Appleton, Oshkosh

*Some general education courses may be available at multiple locations.

Medical coding specialists translate verbal descriptions of disease, injury and procedures into numerical designations. The accurate recording of this information is critical for the reimbursement of health care claims, medical statistics and research. You will gain an understanding of the anatomy, signs and symptoms of diseases, and medical procedures. You will also learn how to analyze medical records and assign codes to diagnoses and procedures. Upon completion, you could work in a variety of health care settings or for a health insurance company.

COURSE LIST

Occupational Specific (21 Credits)

Course Title
Course Number
Credits
Introduction to the Health Record
10-530-181
1
Prepares learners to illustrate the flow of health information in various health care delivery systems and within the health information department. Prepares learners to retrieve data from health records. Professional ethics, confidentiality and security of information are emphasized.
Prereq: ACCPL Reading >= 80 & Sentence >= 83 OR ACT Read >= 20 & English >= 18 OR Program Prep; Admission to Health Information Tech or Medical Coding; Coreq: Medical Terminology (10501101); Health Data Management (10530176)
Health Data Management
10-530-176
2
Introduces the use and structure of health care data elements, data sets, data standards, their relationships to primary and secondary record systems and health information processing.
Prerequisite: ACCPL Reading >= 80 & Sentence >= 83 OR ACT Read >= 20 & English >= 18 OR Program Prep; Corequisites: Intro to Health Record (10530181); Medical Terminology (10501101)
Human Disease for the Health Professions
10-530-182
3
Prepares learners to interpret clinical documentation that they will encounter in a variety of healthcare settings. Emphasis is placed on understanding the common disorders and diseases of each body system to include the etiology (cause), signs and symptoms, diagnostic tests and results, and medical treatments and surgical procedures.
ICD Diagnosis Coding
10-530-197
3
Prepares students to assign ICD diagnosis codes supported by medical documentation with entry level proficiency. Students apply instructional notations, conventions, rules, and official coding guidelines when assigning ICD diagnosis codes to case studies and actual medical record documentation.
Prerequisites: Basic Anatomy (10-806-189) with a 'C' or better OR General Anatomy & Physiology (10-806-177) with a 'C' or better; Corequisite: Intro to Health Record (10-530-181)
ICD Procedure Coding
10-530-199
2
Prepares students to assign ICD procedure codes supported by medical documentation with entry level proficiency. Students apply instructional notations, conventions, rules and official coding guidelines when assigning ICD procedure codes to case studies and actual medical documentation.
Prerequisites: Basic Anatomy (10-806-189) with a 'C' or better OR General Anatomy & Physiology (10-806-177) with a 'C' or better; Corequisite: ICD Diagnosis Coding (10-530-197) AND Intro to Health Record (10-530-181)
CPT Coding
10-530-184
3
Prepares learners to assign CPT codes, supported by medical documentation, with entry level proficiency. Learners apply CPT instructional notations, conventions, rules, and official coding guidelines when assigning CPT codes to case studies and actual medical record documentation.
Prerequisites: Basic Anatomy (10-806-189) with a 'C' or better OR General Anatomy & Physiology (10-806-177) with a 'C' or better; Corequisite: ICD Diagnosis Coding (10-530-197) AND Intro to Health Record (10-530-181)
Healthcare Reimbursement
10-530-185
2
Prepares learners to compare and contrast health care payers, illustrate the reimbursement cycle, and to comply with regulations related to fraud and abuse. Learners assign Diagnosis Related Groups (DRGs), Ambulatory Payment Classifications (APCs) and Resource Utilization Groups (RUGs) with entry-level proficiency using computerized encoding and grouping software.
Corequisites: ICD Procedure Coding (10530199); CPT Coding (10530184)
Applied Coding
10-530-195
2
Prepares students to assign ICD and CPT/HCPCS codes supported by medical documentation with intermediate level of proficiency. Students will prepare appropriate physician queries in accordance with compliance guidelines and will assign codes to optimize appropriate reimbursement.
Corequisites: CPT Coding (10-530-184); ICD Diagnosis Coding (10-530-197); ICD Procedure Coding (10-530-199)
Office Software Applications
10-106-121
3
Focuses on introductory features and applications of the Microsoft Office Suite. Students will apply introductory software features to the successful completion of business-related projects and scenarios.

Occupational Supportive (6 Credits)

Course Title
Course Number
Credits
Medical Terminology
10-501-101
3
Focuses on the component parts of medical terms: prefixes, suffixes and word roots. Students practice formation, analysis and reconstruction of terms. Emphasis on spelling, definition and pronunciation. Introduction to operative, diagnostic, therapeutic and symptomatic terminology of all body systems, as well as systemic and surgical terminology.
Basic Anatomy
10-806-189
3
Examines concepts of anatomy and physiology as they relate to health careers. Learners correlate anatomical and physiological terminology to all body systems.
Prereq: ACCPL Reading >= 54 & Sentence >= 83 OR ACT (Read/Sent) >= 18 OR Program Prep OR Not pursuing a degree. Personal/prof dev students who have not taken ACCUPLACER or ACT must consult with instructor.

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