HINM 220 - Advanced Coding and Clinical Documentation Improvement

CE

Emphasis on management principles and techniques of clinical classification and reimbursement systems in health care settings. The course covers coding competency skills, coding quality control and compliance issues, clinical documentation improvement strategies and federal government compliance institutions. Other topics include reimbursement software applications, data definitions, data security, data compliance and regulatory requirements. PREREQUISITE(S): HINM 155 and HINM 165, or consent of program coordinator. One hour lecture, four hours laboratory each week.

3 semester hours

Course Outcomes:
Upon completion of this course, a student will be able to:

Apply diagnosis/procedure codes according to current guidelines.
Evaluate the accuracy of diagnostic and procedural coding.
Apply diagnostic/procedural groupings.
Evaluate the accuracy of diagnostic/procedural groupings.
Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings and discharge status.
Verify the documentation in the health record is timely, complete and accurate.
Apply policies and procedures for the use of data required in healthcare reimbursement.
Evaluate the revenue cycle managment processes.
Analyze current regulations and established guidelines in clinical classification systems.
Determine accuracy of computer-assisted coding assignment and recommend corrective action.
Identify discrepencies between supporting documentation and coded data.
Develop appropriate physician queries to resolve data and coding discrepencies.
Comply with ethical standards of practice.
Evaluate the consequences of a breach of healthcare ethics.

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