Course Abstract Details

HIT-222, Advanced Coding Concepts

Credits: 6

Course Description

HIT-222, Advanced Coding Concepts, uses more complex case studies to examine code assignment of diagnoses and procedures using ICD-9-CM, CPT-4, and HCPCS Level II in a variety of healthcare settings. Topics include interpretation of medical records, introduction to prospective payment systems, grouper methodology, and alternate diagnosis coding systems such as Systemized Nomenclature of Medicine (SNOMED). Prerequisite: exemption/completion of HIT-121 and HIT-122, both with a "C" grade or better. Six hours lecture each week. Six credits. Six billable hours.

Course Objectives and Grading Information

MAJOR COURSE OBJECTIVES:  On completion of this course, the student will be able to: 

1. Apply knowledge gained in the study of biology, human disease, pharmacology, and basic coding classes for accurate coding of intermediate and advanced inpatient, ambulatory surgery, and physician-based cases. (GE.2, PG.1, PG.4, PG.5) 

2. Recognize the contents of the health record as it appears in various settings and specialties in both paper and electronic formats. Demonstrate the ability to extrapolate pertinent information consistent with approved coding rules and guidelines in coding diagnosis and procedures. (GE.2, PG.2, PG.4, PG.5) 

3. List the different conditions and elements required for correct assignment of Diagnostic Related Groups (DRG) under both the MS-DRG and APR-DRG grouping schemes. (PG.5) 

4. Describe the key characteristics of the Inpatient Prospective Payment Systems (IPPS) and the Outpatient Prospective Payment System (OPPS). (PG.5) 

5. Apply UHDDS definitions and sequencing rules to ensure the most accurate DRG assignment for inpatient cases. (PG.4, PG.5) 

6. Demonstrate proficiency in using the encoder to perform diagnosis and procedure coding, respond to online code edits, and perform DRG or other grouping. (GE.4) 

7. Define the use for other coding classification systems such as SNOMED. (PG.2)    

Learning Goals

The abbreviations in parentheses represent Learning Goals which have been identified for this course and program of study:

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