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General Information

Course ID (CB01A and CB01B)
HTEC D076A
Course Title (CB02)
Advanced Medical Coding I
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2021
Course Description
This course introduces advance concepts and guidelines from the (AHA) American Hospital Association, (AHIMA) American Health Information Association, and (AMA) American Medical Association: ICD-10-CM Coding System.
Faculty Requirements
Course Family
Not Applicable

Course Justification

This CTE course belongs on the Health Technologies Insurance and Coding Certificate of Achievement. It is a major preparation requirement in the discipline for using ICD-10-CM and to develop an understanding of coding and classification systems in order to assign valve diagnostic and/or procedures codes.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Letter Grade
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Transferable to CSU only

Units and Hours

Summary

Minimum Credit Units
1.5
Maximum Credit Units
1.5

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours1.02.0
Laboratory Hours1.50.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
12.0
Laboratory
18.0
Total
30.0
Course Out-of-Class Hours
Lecture
24.0
Laboratory
0.0
NA
0.0
Total
24.0

Prerequisite(s)

HTEC D072.

Corequisite(s)

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Lecture and visual aids

Quiz and examination review performed in class

Discussion of assigned reading

Coding exercises in the class

Assignments

  1. Reading:
    1. Required readings from the text as preparation for class discussion and application of concepts in written analysis
    2. Assignments from the text and supplemental sources in preparation for class discussion
  2. Coding:
    1. Complete coding assignments from the textbooks.
    2. Applying the coding guidelines and sequencing of codes.

Methods of Evaluation

  1. Quizzes-Objective/Subjective quizzes that test comprehension of course material on a routine basis and help identify areas that may need extra attention, evaluated using a rubric.
  2. Final Exam-Written test requiring the student to demonstrate their ability to summarize, integrate and critically analyze concepts throughout the course, evaluated using a rubric.

Essential Student Materials/Essential College Facilities

Essential Student Materials: 
  • None.
Essential College Facilities:
  • None.

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
Buck, Carol. "Step-by-Step Medical Coding". Elsevier, 2019.
"CPT Professional Edition". American Medical Association, 2019.
"ICD-10". Optum360, 2019.
"HCPCS Level II". Optum360, 2019.

Examples of Supporting Texts and References

AuthorTitlePublisher
None.

Learning Outcomes and Objectives

Course Objectives

  • Determine the history of ICD-10-CM Coding System
  • Analyze the advance purpose of ICD-10-CM Coding Systems books
  • Interpret coding conventions and guidelines from AHA, AMA, and AHIMA Associations
  • Identify the correct sequence of ICD-10-CM codes according to (AHA) American Hospital Association, (AMA) American Medical Association, and (AHIMA) American Health Information Management Association
  • Recognize the (PPS) Prospective Payment Systems; reimbursement methodologies
  • Evaluate hypothetical patient situations, analyze treatments information to code the diagnoses
  • Describe the ethical standards practice while coding
  • Apply the generic components of the content, use and structure of health care data and data sets and how these components relate to primary and secondary diagnostic codes
  • Recognize coding knowledge in the medical reimbursement and payment systems appropriate to all health care settings (acute, ambulatory, long-term care, behavioral health) and manage care
  • Identify the CPT Manual, coding conventions and guidelines

CSLOs

  • Demonstrate ability to code diagnosis and procedures using ICD-10 and CPT Coding Systems.

Outline

  1. Determine the history of ICD-10-CM Coding System
    1. Explain the principle coding systems that link the medical profession and the insurance system
    2. Identify four purposes of numerical diagnostic and procedural coding
  2. Analyze the advance purpose of ICD-10-CM Coding Systems books
    1. Categorize and identify patient diseases
    2. Compare the different guidelines for inpatient and outpatient visits.
  3. Interpret coding conventions and guidelines from AHA, AMA, and AHIMA Associations
    1. Measure the structure and conventions of the classifications.
    2. Evaluate the structure and conventions of the general guidelines.
  4. Identify the correct sequence of ICD-10-CM codes according to (AHA) American Hospital Association, (AMA) American Medical Association, and (AHIMA) American Health Information Management Association
    1. Review ten steps for coding from the electronic medical record
    2. Demonstrate the guidelines of sequencing of ICD-10-CM and CPT4 codes for outpatient visits.
  5. Recognize the (PPS) Prospective Payment Systems; reimbursement methodologies
    1. Practice reimbursement formulas
    2. Name reimbursement methodologies for services rendered.
  6. Evaluate hypothetical patient situations, analyze treatments information to code the diagnoses
    1. Analyze treatments according to different patient scenarios
    2. Apply the difference of coding with ICD-10-CM and CPT4 systems for inpatient admissions and outpatient visits
  7. Describe the ethical standards practice while coding
    1. Rate the dignity, status, integrity, competence and standards of the profession
    2. Record properly the diagnosis coding and reporting of outpatient visits and inpatient admissions.
  8. Apply the generic components of the content, use and structure of health care data and data sets and how these components relate to primary and secondary diagnostic codes
    1. Review primary diagnostic codes
    2. Name the secondary diagnostic codes
  9. Recognize coding knowledge in the medical reimbursement and payment systems appropriate to all health care settings (acute, ambulatory, long-term care, behavioral health) and manage care
    1. Estimate medical reimbursement and payment services for acute care
    2. Describe medical reimbursement and payment services for an ambulatory care
    3. List medical reimbursement and payment services for long term care
    4. Assess the medical reimbursement and payment services for behavioral health care
  10. Identify the CPT Manual, coding conventions and guidelines
    1. Prepare the Place-Of-Service codes for professional claims
    2. Recognize when add-on codes and modifiers are needed

Lab Topics

  1. Coding Patient Medical Records
  2. Researching medical conditions, diagnosis by way of ICD-10 coding book
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