ICD-10-CM

Course Description

Medical coding is not the same thing is medical billing. Many people lump them together as one career, but they are actually two separate careers.
We prepare our students for professional medical coding certification exams in Certified Coding Specialist (CCS) through AHIMA and Certified Professional Coder (CPC) through AAPC. We recommends that our enrollees obtain both credentials as soon as they can following course graduation in order to increase medical coding job options. Many of coders work from home as medical coders, some even in their first medical coding job. Let us help you reach the goal you have set for yourself, whether that goal is to work on-site or at home as a professional medical coder.
The Inpatient Medical Coding Course includes training in ICD-10, the ICD-10-CM/PCS classification systems.
Important Note: Medical code books, medical coding textbooks, and other materials for the medical coding program are NOT included but we may provide some additional resources.
Inpatient Coding Course facilitates learning by:
- Structuring coding as the foundation and focus of each module throughout the course, from the very beginning to the end.
- Integrating coding, medical language, and the basic sciences in carefully planned lessons so that students begin using what they are learning right away.
- Emphasizing instructor to student interaction and instruction to facilitate mastery of concepts and accuracy in coding.
Some of the benefits of the Coding program include:
- Structured assistance in developing scheduling and pacing skills in a production coding environment.
- Minimal technological requirements.
- Emphasis on research, reference, and self-learning skill development to enable successful work and advancement in the coding field.
- Inpatient and outpatient ICD-10 coding are taught as separate modules, enabling students to grasp the distinction between the two.
Inpatient Course covers the following:
Healthcare Data Content & Structure
Reimbursement Methodologies
Procedure & Diagnosis Coding for Inpatient Services
Clinical Practice Simulation

Healthcare Data Content & Structure
An introduction to the purpose, structure and content of medical records used in inpatient, outpatient, and alternative care settings. Examines medical record storage, numbering and filing systems, data collection, indexes and registers. Provides an overview of the legal aspects of health information, including state and federal law, confidentiality of information, the HIPAA privacy and security provisions, and requirements for release of protected health information.
Reimbursement Methodologies
A study of reimbursement and payment systems for all types of healthcare systems and managed care. Includes prospective payment systems, charge master maintenance, DRGs, APCs, ASC Groups, RBRVS, third-party payers, EOB, Quality Improvement Organizations, managed care/capitation, and compliance. Covers billing and insurance procedures, contracts, and regulatory requirements, coding and claims processing for health plans, medical office management software, submission of paper and electronic claims, auditing and monitoring the coding process, and identification of fraudulent billing practices.
Procedure & Diagnosis Coding for Inpatient Services
An introductory study of the ICD-10-CM diagnosis coding system with a focus on physician services coding. Emphasis is on developing a thorough grounding in the content and use of the ICD-10-CM code book, including Official Coding Guidelines and Coding Conventions, as well as on study of medical conditions and their coding. Through close instructor interaction, students develop the ability to recognize when physician query is necessary and they are encouraged and guided toward achieving at least 95% accuracy in code selection. This unit also includes an introduction to professional ethics and responsibilities, the DSM-V code set, and other code sets commonly used in healthcare settings.
ICD-10-PCS coding systems with a focus on inpatient coding rules and scenarios. Emphasis is on expanding knowledge of the ICD-10-CM code book with a study of diseases and conditions typically encountered in hospital situations, on correct sequencing, and on procedural coding using ICD-10-PCS code set. The unit covers Prospective Payment Systems (DRGs, RUGs, etc.). Through close instructor interaction, students develop the ability to recognize when physician query is necessary and they are encouraged and guided toward achieving at least 95% accuracy in code selection.
Clinical Practice Simulation
This unit provides coding practice similar to what would be experienced in a variety of healthcare settings. Emphasis is on maintaining accuracy while developing speed in the coding process.

Suggested Pre-requisites
Medical Terminology
Anatomy and Physiology
Pathophysiology
Pharmacology

Course Content

Intro to ICD-10-CM
Diagnosis Coding Conventions
Intro to ICD-10 Coding Guidelines
General ICD-10 Coding Guidelines
ICD-10 Guidelines: Chapters 1 - 21
Competency Questions for each chapter
ICD-10-CM Self Assessment Test (100 questions)

ICD-10-PCS Structure & Characteristics
Section
Body System
Root Operation
Body Part
Approach
Device
Qualifier
Root Operations in More Detail - Part 1
Root Operations in More Detail - Part 2
Body System Case Coding
ICD-10-PCS Self Assessment Test (100 questions)

Depending on your prior educational and work experience background, this course may take you longer or shorter than the estimated one hundred forty four (144.0) hours identified for CE credit.

You may enter and leave the course as many times as you'd like, but once you submit the 100-question Final Self-Assessment Test you will no longer have access to the course.

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