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A Certified Professional Coder (CPC) translates a healthcare provider's analysis and procedural phrases into codes, or alpha numeric designations. It is necessary for CPCs to understand the health records and their content in order to conduct proper research and provide the correct coding. With five required courses, individuals will become Certified Professional coders. Students will learn medical language, terminology, and abbreviations, the basics of biology and anatomy, and the overall guidelines for coding. The program also includes a review for the CPC exam, an Advanced Coding workshop, and a mock CPC exam. Students are eligible to take the exam, administered at Housatonic Community College after completion of the Medical Coding courses.
Required to Earn Certification:
Students will learn the medical language, terminology, and abbreviations used by physicians. An overview of diseases of the human body includes discussion of possible causes and cures. All students must have their own home personal computer with internet access.
Throughout this course, students will be presented with a general survey of the anatomy and physiology of 10 human body organ systems including skeletal, cardiovascular, respiratory, nervous, digestion, and reproduction. In addition, there will be an overview of selected associated human diseases including discussion of the biology of cancer.
Parallel: Medical Terminology
This course emphasizes the basic transformation of verbal descriptions of diseases, injuries, and procedures into numeric designations (coding) by the provider rendering medical care. Today medical codes are utilized to facilitate payment of health services to evaluate utilization patterns and to study the appropriateness of health care costs. To be fairly and adequately reimbursed in a timely fashion by third party payers, physicians and their reimbursement specialists must understand and correctly use these codes. Upon successful completion of this course students will understand and list the purpose of the ICD9-CM, apply coding conventions when assigning codes, identify characteristics of Vol. 1 & 2. Students will also gain further knowledge and understanding of coding as it applies to all body systems.
Prerequisite: Medical Terminology & Orientation to Human Anatomy and Biology
Medical coding is the use of procedure codes that relate to what the physician does or when he sees a patient. Coding is done by hospitals, physicians, dentist, nursing homes, insurance carriers, government and many more areas. The codes are used on claims forms sent to the insurance carriers so that payment can be made. CPT is strictly outpatient coding and is the major coding skill for most job positions. There are codes for each area or specialty that a physician is trained in, such as anesthesia codes, surgical, medicine specialties, radiology, Durable Medical Equipment and pathology and visit codes. The student will learn the concept of assigning a code, purpose for using modifiers, how to support the proper CPT code with the ICD-9 codes and prep themselves for the CPC (Certified Professional Coders) Exam. Each CPT code allows a fee to be paid to the physician. The CPT book has guidelines for using each code which will also be learned. Knowing how to pick up details is important. Coding can be fun and rewarding!
Part 1, Operative reports (Advanced Coding) – Students will use the advanced coding knowledge they have acquired to code Operative Reports, Emergency Department Reports, Discharge Summaries, Clinic and Office Chart Notes, Radiology Reports, and CT Scan Reports. Students will practice reading doctor’s notes and then apply a code. Local review policies will be reviewed to understand why a Dx code will support a procedure.
Part 2, CPC Exam Review – A comprehensive review of medical terminology, abbreviations, anatomy, coding, and guidelines will be completed with understanding of application of guidelines for coding. Part 2, Mock CPC Exam – Mock CPC exams will be taken to improve understanding of guidelines and timing in preparation for the actual exam.
Part 3, CPC Exam – Students with satisfactory completion of the Medical Coding course will be eligible to take the Certified Professional Coder (CPC) exam. This exam is required for those students who wish to become Certified Professional Coders. Students must score a passing rate of 71% or better. The exam fee is in addition to the course fee. The instructor will provide information for exam payment and membership.Prerequisite: Medical Coding ICD-9 and HCPC & Medical Coding CPT