Coding Specialist, Advanced Certificate

Curriculum code: HLTH.CRT.C48

Outcomes

Create and maintain patient medical records.

Schedule and register patients accurately, following established policies.

Assign CPT, ICD-10 and HCPCS codes to patient encounters, applying and mastering all applicable coding guidelines.

Apply the concepts of medical necessity for test and services ordered.

Create and submit accurate and complete insurance claim forms for processing and reimbursement.

Verify charges and post payments.

Examine the revenue cycle by identifying each step in the process and the responsibilities of the coder and biller.

Assign codes for multiple types of services interpreting medical documentation while applying coding guidelines and regulatory principles obtained from coding manuals and/or online resources

Program Overview

Completing this group of courses may satisfy requirements for a coding position in a non-acute health care setting. The student may make written application to the Office of Admissions and Registration to receive written verification of completion of the certificate program.

Students in health career programs are advised to consult the Code of Campus Affairs and Regulations, section 11.4. This regulation concerns completion of all courses in health career curricula being completed with a grade of C or better.

Program Requirements

Major Courses

HLTH 1223Pathopharmacology for Health Careers

3

HLTH 1312Medical Terminology

2

HLTH 1343ICD-10-CM/PCS

3

HLTH 1353Basic CPT Coding

3

HLTH 1363Insurance Procedures

3

HLTH 1372Ethical and Legal Issues

2

HLTH 1381Healthcare Delivery Systems

1

HLTH 1492Coding Practicum

2

HLTH 2401Coding Specialist Internship

1

Total Credit Hours:20

General education

COSC 1513Introduction to Information Processing

3 Credits

BIOL 1564Intro to Anatomy & Physiology

4 Credits

BSNS 2311Successful Customer Service

1 Credit

MATH 1213Business Mathematics

3

Total Credit Hours:11

Total Credit Hours: 31

Suggested Course Sequence

Fall semester

BIOL 1564Intro to Anatomy & Physiology

4 Credits

BSNS 2311Successful Customer Service

1 Credit

COSC 1513Introduction to Information Processing

3 Credits

HLTH 1312Medical Terminology

2

MATH 1213Business Mathematics

3

Spring semester

HLTH 1223Pathopharmacology for Health Careers

3

HLTH 1343ICD-10-CM/PCS

3

HLTH 1353Basic CPT Coding

3

HLTH 1372Ethical and Legal Issues

2

HLTH 1381Healthcare Delivery Systems

1

Summer semester

HLTH 1363Insurance Procedures

3

Fall semester

HLTH 1492Coding Practicum

2

HLTH 2401Coding Specialist Internship

1

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