Diploma Type: C.C.
Major Code: HINFO-CC
Former CIP: 0317050607
This program prepares students for employment as Medical Coders and Health Insurance Specialists. The Medical Coder is responsible for assigning correct diagnostic and procedural codes based on medical documentation from patients' medical records to provide the data for medical insurance reimbursement and compliance. This program offers simulated practice where students manually and electronically prepare insurance claims and experience hands-on training with practice management software and an electronic health record.
The Medical Information Coder/Biller program content is comprehensive, covering both inpatient and outpatient coding and documentation principles. This requires knowledge and abilities in anatomy and physiology, pathophysiology, pharmacology, computer software, reimbursement, health insurance, ethics, legal and regulatory requirements and health information management.
Upon completion of the program, students are eligible to sit for the American Health Information Management Association (AHIMA) CCA, CCS and/or CCS-P certification examination and/or the American Academy of Professional Coders (AAPC) CPC-A and/or CPC-H certification examination.
The program can be completed in as little as five semesters and is offered entirely online. Completion of the program will provide students with 34 college credits, which may be applied to the Health Information Technology Associate in Science degree at Seminole State College.
Students must have access to a computer with Internet capabilities while enrolled in the program (computers with Internet access are available at all Seminole State campuses; see computer access regulations at www.seminolestate.edu/policies-procedures/policies).
Candidates must apply and be accepted to Seminole State College. To begin major courses (for example, Basic Medical Coding) all prerequisite and supporting courses must be completed. This certificate is upward compatible with the Associate in Science (A.S.) degree, Health Information Technology.
|HIM2211C||Computer Applications and Technologies in Healthcare|
This course provides an overview of healthcare information systems with a concentration on computerized health information management (HIM) functions. Students will be introduced to common software applications utilized to perform HIM processes. Emerging technology issues in healthcare will be explored. Lab fee required.
This course provides a thorough demonstration of the international classification of diseases ICD-10-CM. Students will understand general equivalency mapping for ICD-10 and the use of other vocabulary and classification systems such as SNOMED, DSM IV, ICD-O, RXNORM, and LOINC. Students will gain an in-depth understanding of the organization, structure, conventions and guidelines of ICD-10-CM in order to accurately code and sequence diagnoses. Students will learn the purpose and uses of diagnosis coding. The importance of the standards of ethical coding, coding compliance and maintaining patient privacy will be stressed.
|HIM2724||Basic Procedure Coding|
This course provides an introduction to the International Classification of ICD-10-PCS. Students will learn the key attributes of ICD-10-PCS, including the organization, structure, conventions, tables and will interpret healthcare data and apply coding guidelines for ICD-10-PCS code assignment. Students will differentiate between ICD-9-CM procedure codes and ICD-10-PCS codes and understand the use of code mapping between different classification systems for retrieval of historical data. The benefits of ICD-10 for health information exchange standards and interoperability will also be explored.
|HIM2940||Practicum Experience I|
This course allows the student to use software and other tools and resources to support clinical classification, coding and grouping following regulations and guidelines; validate coding accuracy based on documentation in the health record; apply guidelines applicable to reimbursement methodologies; compile data and review accuracy. The student will be able to demonstrate their employability skills and identify professional standards appropriate to healthcare workers.
|HIM2721C||Outpatient Coding and Electronic Physician Office|
This course is designed to provide a detailed approach to accurately using the physician's current procedural terminology (CPT) for proper coding in an outpatient setting. Students will continue to apply the skills acquired in HIM 2722 ICD-10-CM. Emphasis is placed on practical simulation of computer-assisted activities which are common to the daily routine of the electronic medical office. The practice management system and electronic health record is used as a typical example of computer programs that are available for efficient practice operations. Strong emphasis will be placed on regulatory compliance and auditing. Lab fee required.
This course focuses on the concepts and operation of the main components of word processor, electronic spreadsheet, database management and presentation software programs. Students will gain fundamental knowledge of a major software suite and learn skills that have practical applications in real world situations. Lab fee required.
This is an introductory course to the language of medicine utilized by healthcare professionals. Basic word structure and formation, medical terms, abbreviations, definitions and spelling are included. Major disease processes and pathological conditions of specific body systems will be discussed.
|HIM1000||Introduction to Health Information Management|
Students will learn the history, purpose and content as well as professional ethics and legal principles of the medical record and health information. Health Information Management department functions, workflow and quality considerations will be discussed. Students will compare the paper medical record to the electronic health record. Furthermore, course content includes an introduction to DHHS, CMS, HIPAA and Joint Commission, The Office of the National Coordinator for Health Information and professional organizations affiliated with health information, medical coding and medical documentation integrity.
This course provides an overview of all body system diseases and conditions including etiology, signs and symptoms, diagnostic treatment modalities, prognosis and prevention.
|Note: NUR 1210C may substitute for HIM 1433.|
This course will provide the student the opportunity to explore basic concepts regarding the most common therapeutic medications prescribed to treat the most common human disease conditions. The five rights of drug administration and causes of medication errors will also be identified in order to enhance medical record review.
|Note: NUR 1141C may substitute for HSC 1149.|
|HIM1453||Anatomy and Physiology|
This course is a presentation of the essential anatomy and physiology of the human body. All body organ systems are discussed in a format of lecture, diagrams and audio-visual material. The course will introduce some aspects of chemistry and microbiology as it relates to healthcare, although emphasis is not placed in these areas. A knowledge of the anatomy and physiology of the human body as a basis for later study of disease processes is an essential part of the curriculum for students in the health profession.
|Note: BSC 1084 or BSC 1020 or BSC2093C and BSC 2094C may substitute for HIM 1453)|
|General Education Courses|
This is a course in the process of expository writing. Students will read essays and compose papers that are unified, organized, logically developed and supported, clearly stated and well-focused. Research techniques are introduced and incorporated into at least one composition. This course partially satisfies the writing requirement of S.B.E. 6A-10.030. Students must pass the core assignments with a grade of "C" or higher.