HCIA 2432 Clinical Coding III

4.5 - 0.0 - 4.5

Prerequisite

(1) HCIA 2431

Course Description

Students gain a comprehensive foundation of inpatient hospital coding and inpatient classification systems for medical specialties. The course emphasizes ensuring accuracy of diagnostic related groups (DRG), and International Classification of Diseases, 10th Edition Procedural Classification System (ICD-10-PCS). The course also includes an in depth examination of healthcare reimbursement methodologies and revenue cycle management including the charge master. Students apply coding principles using an encoder and grouper. Students also identify and gain an understanding of Recovery Audit Contractor (RAC) audits, and the Office of Inspector General (OIG) audits. Students are introduced to Systematized Nomenclature of Medicine--Clinical Terms (SNOMED-CT), Center for Medicare and Medicaid Services (CMS) reimbursement methodologies, case mix, interpreting explanation of benefits (EOB) and remittance advice.