This course will improve your diagnostic and procedural coding skills and increase your knowledge of clinical documentation, reimbursement in inpatient and outpatient settings, and data quality management. You will also be prepared to sit for the official certification exam to become a Certified Coding Specialist (CCS).
- This course can be taken on either a PC or Mac.
- PC: Windows 8 or later.
- Mac: macOS 10.6 or later.
- Browser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.
- Adobe Acrobat Reader.
- Software must be installed and fully operational before the course begins.
- Email capabilities and access to a personal email account.
Instructional Material Requirements:
The following textbooks are included with the course and will be shipped to you approximately 7-10 business days after enrollment:
- Coding and Reimbursement for Hospital Inpatient Services (1yr access to e-Book)
- Professional Review Guide Online for the CCS/CCS-P Examination (1yr digital access)
The following materials are required for the Advanced Hospital Coding & CCS Prep Course. Before purchasing, please check the AHIMA website for the Allowable Code Books List for the CCS certification examination. You will need the current year's version of:
- Current Procedural Terminology (CPT) (not included)
- Healthcare Professional Coding System (HCPCS) Level II (not included)
- ICD-10-CM (not included)
- ICD-10-PCS (not included)
Please note: You will receive a digital book if the physical book is on backorder.
Facility coding (hospital coding) is one of the best-paying sectors of the coding profession. If you're already performing some aspect of facility coding, the Advanced Hospital Coding (AHC) course will fill in the gaps, making you a more marketable employee. If you're currently working in a physician's office or other ambulatory care setting, this course will give you the edge you need to advance in the workplace.
Hospital coding is rarely an entry-level position, and most hospital coders are required to be certified. AHC covers advanced, hospital-specific coding and billing procedures and is designed to help you meet the challenge of today's changing standards. This course utilizes your existing knowledge of medical terminology and healthcare sciences. Upon completion, you will receive a voucher to take the Certified Coding Specialist (CCS) exam. Certification exams offered AHIMA only offers in-person exams in both the US and Globally.
- Hospital Structure, Billing, and Insurance
- Hospital Structure and Organization
- Revenue and Reimbursement
- Payment Methods
- Cost Controls
- Healthcare Payers
- UB-04 and CMS-1500 Claim Forms
- Ethics and HIPAA Administrative Simplification
- HIPAA Privacy and Security Rules
- Electronic Data Interchange
- HIPAA Safeguards
- Fraud and Abuse
- Inpatient Acute Care Diagnosis Coding
- Uniform Hospital Discharge Data Set (UHDDS)
- Medical Record Documentation
- Electronic Health Record (EHR)
- ICD-10-CM Layout and Navigation
- ICD-10-CM Guidelines
- Diagnostic Coding Steps
- Regulatory Guidelines and Reporting Requirements for Inpatient Care
- ICD-10-CM Chapter-Specific Guidelines
- Principal and Additional Diagnoses
- Diagnosis-Related Groups (DRGs)
- Inpatient Prospective Payment Systems (IPPS)
- Complications and Comorbidities (MCC and CC)
- Present on Admission (POA) and Hospital-Acquired Conditions (HAC)
- Reporting Requirements and Physician Queries
- ICD-10-PCS Inpatient Procedure Coding
- ICD-10-PCS Organization and Structure
- ICD-10-PCS Root Operations
- ICD-10-PCS Guidelines
- ICD-10-PCS Sections
- Outpatient Coding: CPT and HCPCS Level II
- Outpatient Reimbursement Systems
- Outpatient Prospective Payment System (OPPS)
- Ambulatory Payment Classifications (APCs)
- Outpatient Code Editor (OCE)
- National Correct Coding Initiative (NCCI)
- CPT Code Categories
- Evaluation and Management (E/M) Codes
- Anesthesiology, Surgery, Radiology, Pathology/Laboratory, and Medicine Sections
- CPT Appendices
- HCPCS Level II
- Data Quality, Compliance, and Auditing
- Data Quality
- Clinical Documentation Improvement (CDI)
- Coding Compliance
- Internal and External Coding Audits
- Career Roadmap
- Succeeding in a Gig Economy
- Your Skills and Qualifications
- Resume and Cover Letter
- Using Email and Social Media
- Connecting with Others
- The Interview
- Salary Negotiation
- CCS Exam Preparation
- Exam Eligibility
- The CCS Exam
- Coding Review Resources
What you will learn
- Identify the roles and responsibilities of a coder in both inpatient and outpatient facilities
- Abstract health information from clinical documentation using your knowledge of medical terminology, anatomy/physiology, and disease processes.
- Assign ICD-10-CM/PCS and CPT/ HCPCS Level II codes and modifiers in accordance with current coding guidelines.
- Understand reimbursement methodologies
- Clarify conflicting, ambiguous, or missing information from health records by querying the physician
- Participate in clinical documentation improvement initiatives to ensure accurate and complete health data
How you will benefit
- Acquire the skills to successfully complete the American Health Information Management Association's (AHIMA) mastery-level credentialing exam, the Certified Coding Specialist (CCS)
- Increase your earning potential in coding by learning a new skill set
- Take advantage of booming employment and advancement opportunities in medical coding
- Become an essential part of the healthcare industry
Carline Dalgleish has worked in medical office administration for over 30 years. She holds a bachelor's degree in Business Information Systems, a master's degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and also owns her own consulting firm.
Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island's St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).