HIM 2243 - ICD 10 CM/PCS Coding

1. Conduct analysis to ensure that documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status
2. Apply diagnosis/in-patient procedure codes according to current nomenclature
3. Ensure accuracy of diagnostic/procedural groupings such as DRG, MSDRG, APC and so on to current regulations and established guidelines in code assignment
4. Validate coding accuracy using clinical information found in the health record
5. Describe the applications and processes to support other clinical classification systems
6. Resolve discrepancies between coded data and supporting documentation
7. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems in healthcare delivery
8. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, managed care and so forth.
9. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes.
10. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative
11. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems.
12. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and so on.

• Students develop higher order thinking skills.
• Students can write clear, coherent, well-organized documents, substantially free of errors.
• Students can use computers proficiently.
• Students demonstrate information literacy.