HEALTH INFORMATION MANAGEMENT
HIM 2863 Professional Practice Experience in Coding
Text: No text is required for this course.
Course Description: Student’s final experience in the coding setting. Skills and learning from the classroom and laboratory are reinforces and practices in a simulated setting.
Performance Objectives:
1. Apply the official coding guidelines and conventions for both the ICD-9-CM and CPT coding systems for inpatient and outpatient charts.
2. Given a patient record, analyze the clinical situation and determine what diagnosis is the principal diagnosis, what other diagnoses should be coded, what procedure is the principal procedure and what other procedures should be coded by applying either the inpatient coding guidelines/rules or the outpatient coding guidelines/rules as appropriate.
3. Given a clinical coding scenario, apply the basic steps of the coding procedure using the ICD-9-CM system to correctly assign a code number with 98% accuracy.
4. Abstract patient information and input this information into the 3M HDM program.
Schedule:
Week 1 Review of official coding guidelines and conventions for ICD-9-CM and CPT coding systems for inpatient and outpatient charts.
Exam on coding conventions
Weeks 2-6 Coding and abstracting of outpatients charts: ERs, outpatient surgery, ancillary services, cardiac catheterizations, endoscopies and pathology.
Students will work in the HIM Lab independently coding and abstracting 10 of each patient record type.
Weeks 7-15 Coding and abstracting of inpatient charts: OB, newborn, medical, and surgical cases.
Students will work in the HIM Lab independently coding and abstracting 10 of each patient record type.
Grading:
Accuracy of coding diagnoses & procedures 40%
Accuracy of abstracting components 40%
Exam on coding conventions 20%