Events

 
SMTWTFS
View all »

Tutoring

Medical Coding Specialist Certificate

Last updated 5/30/2014

Certificate Code 5584

Program Contacts:
QC Campus
Peter Richards, 309-796-5610, richardsp@bhc.edu


The Medical Coding Specialist Certificate is to prepare students for employment in the health care information management area. This certificate enables the student to be employed by coding departments, physicians’ offices, health care clinics, emergency care clinics, chiropractic offices, psychiatric clinics, health insurance companies and HMO offices. The opportunity for Internet coding work is possible after experience is gained.

The Medical Coding Specialist job entails the translation of diagnoses, procedures, services and supplies into numeric/alpha-numerical components for statistical reporting and reimbursement. The Medical Coding Specialist can expect team working experience with medical billing specialists and medical transcriptionists and others on the health care team; this person will need special training in medical terminology, anatomy and physiology as well as a thorough understanding of CPT-4 procedure and ICD-9/10 diagnosis coding; also necessary knowledge includes an in-depth understanding of third-party reimbursement and overage policies, the review and the abstract of in-patient and out-patient medical records, the ability to utilize new coding standards, HIPAA regulations, the ability to resolve insurance carrier rejects and denials related to coding and coverage issues.

To deliver these special skills in this program, this curriculum provides both classroom instruction and hands-on experience in the form of an internship. The internship will be for one semester- minimum 15 hours a week, for a total of 240 hours.

Medical Coding Specialist Certificate
Certificate Code 5584
Course of Study Outline – Suggested Courses (Credit Hours)
First Semester
BE 141 — Computerized Keyboarding I (3)
BIOL 150 — Medical Terminology (3)
BE 100 — Orientation to Work Environment (3)
HIM 156 — Introduction to Health Insurance (3)
HIM 257 — Procedures and Diagnosis Coding I (3)

Second Semester
HIM 200 — Advanced Medical Terminology (3)
HIM 251 — Medical Office Procedures (3)
HIM 258 — Procedures & Diagnosis Coding II (3)
Elective (3)

Third Semester
HIM 254 — Law, Liability and Medical Ethics (3)
HIM 261 — Seminar (1)
HIM 265 — Internship (3)

Minimum total hours required for Certificate (33)

Courses for this program include: »

BE 100 Work Environment Orientation
2 cr. hrs.;
2 lecture hours; 0 lab hours per week.
This course is intended to introduce the facts, skills, strengths, and career goals necessary for success in the business education curricula.

BE 141 Computerized Keyboarding I
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Keyboard mastery and document formatting using a current word processing software package.

BIOL 150 Medical Terminology
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: 83 or above on COMPASS reading test or REA 098 “C” or better.
This course presents the principles of medical word construction through identification of root words, prefixes, suffices, combining forms, and methods of building medical terms. Emphasis is placed on correct medical word spelling, pronunciation, and definition, while introducing terminology specific to various body systems. The course is intended to prepare students to classify medical information for use in medical coding, billing, and reporting.

HIM 156 Introduction to Health Insurance
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Introduce students to health insurance industry; present step-by-step procedures for generating, processing, and submitting health insurance claims to commercial, private, and governmental health insurance programs.

HIM 200 Advanced Medical Terminology
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: BIOL 150 “C” or better.
Building a strong medical vocabulary, emphasis on extensive medical specialties anatomy, diagnostic and treatment procedures, progress of student from word recognition to usage in medical reports.

HIM 251 Medical Office Procedures
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: BE 141 or equivalent.
Administration of the medical office; insurance, professional and business records.

HIM 254 Law Liability and Medical Ethics
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
A careful examination of health legislation and health policy implementation. Student will become aware of legal aspects of handling information and ethics involved in management of medical information. Case studies will be used to provide problem solving.

HIM 257 Procedures and Diagnosis Coding I
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: BIOL 150 or concurrent enrollment.
Coding (CPT-4) (ICD-9/10) is the translation of diagnoses, procedures, services, and supplies into numeric/ alphanumeric components for statistical reporting and reimbursement.

HIM 258 Procedures & Diagnosis Coding II
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisites: BIOL 150 “C” or better, HIM 257 “C” or above, or instructor consent.
Advanced coding (CPT-4) (ICD-9/10) including surgical, in-patient, out-patient, multiple diagnoses, and procedures.

HIM 261 Seminar
1 cr. hr.;
1 lecture hour; 0 lab hours per week.
Prerequisite: Concurrent enrollment in HIM 265.
Discussion of internship activities, challenges, team opportunities and problems.

HIM 265 Internship
3 cr. hrs.;
0 lecture hours; 40 lab hours per week.
Prerequisites: Instructor consent and concurrent enrollment in HIM 261.
Supervised field program, providing work experience in offices for students enrolled in Health Information Management.


Gainful Employment

Gainful employment is one important measure that students and parents should pay attention to as they examine colleges and programs. All non-degree programs must be designed to lead to gainful employment in a recognized occupation in order to be deemed eligible for federal student aid. These programs are generally less than 2 years in length and result in a certificate.

Medical Coding Specialist Certificate