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Medical - Coding

This document outlines a 13 module medical coding curriculum covering topics such as medical terminology, diagnostic and procedural coding, medical ethics, and evaluation and management coding. The modules range from 1 to 4 hours in duration. Key learning outcomes are listed for each module, including learning about medical terms, the ICD-10 and CPT coding systems, coding guidelines and rules, coding from various body systems, and real-world coding scenarios. The curriculum aims to teach students the skills needed for careers in medical coding and billing.

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Libi Farrell
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
28 views

Medical - Coding

This document outlines a 13 module medical coding curriculum covering topics such as medical terminology, diagnostic and procedural coding, medical ethics, and evaluation and management coding. The modules range from 1 to 4 hours in duration. Key learning outcomes are listed for each module, including learning about medical terms, the ICD-10 and CPT coding systems, coding guidelines and rules, coding from various body systems, and real-world coding scenarios. The curriculum aims to teach students the skills needed for careers in medical coding and billing.

Uploaded by

Libi Farrell
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Model Curriculum

Medical Coding Basics

1
S. Module Key Learning Outcomes Duration
NO
1 The World of Health Care • Learn about the daily activities in medical 1 hr
facilities.
• Learn about the responsibilities of Medical
coders and Billers,
• Learn about career opportunities available to
medical coding and billing specialists.
2 Medical Terminology Introduction: 3 hrs
• Learn how to use medical terms in new careers.
• Learn about root words, prefixes and suffixes
and learn how to derive word parts from
medical terms.
• Practice using a medical dictionary.

Medical Terminology: Dividing and Combining


Terms
• Learn to divide and combine difficult medical
words to help you understand and meanings of
these words.
• Learn how these medical terms are used to
describe diagnoses and procedures.

Medical Terminology: Abbreviations, Symbols and


Special Terms
• To recognize common medical abbreviations,
symbols and plural words. This lesson also
discusses special terms such as eponyms,
acronyms, homophones, and antonyms.

Documenting Medical Records:


• The role medical records play in a coding
specialist's job.
• Explore the importance of documentation in
medical records and learn to recognize the
various types of dictation formats and also
discusses how healthcare professionals manage
medical records.

2
3 Medical Ethics • Concepts of ethics, compliance, fraud and abuse 2 hrs
and teaches students how these concepts apply
to medial coding specialists.
• The importance of confidentiality when dealing
with medical records and discusses insurance
audits and the legal concepts involved.
4 Diagnostic Coding Introduction to Diagnostic Coding 2 hrs
• The actual coding process.
• History of the International Classification of
Diseases and the development of the ICD-10-CM
coding system.
• To identify main terms and sub terms and
describe coding pathways.

ICD-10-CM Coding Manual Introduction


• The structure of the coding manual as well as
the purposes of the various volumes within the
manual.
• Learn to handle abbreviations, cross references,
and punctuation when coding, and they gain an
introduction to Volumes I and II of the ICD-10-
CM.
5 ICD-10-CM Diagnosis Coding: • Learn the guidelines and rules of the diagnosis 2 hrs
Guidelines and Rules coding process.
• Learn how coders interact with the super bill and
claim forms and how the forms relate to the ICD-
9-CM.
6 ICD-10-CM Coding from • Start coding diagnoses. 2 hrs
Infections to Blood Diseases • Learn about infections, parasitic diseases, and
neoplasms, as well as how to code them. The
lesson also discusses the coding of endocrine,
nutritional, metabolic, and blood diseases.

ICD-10-CM Coding from Mental Disorders to the


Respiratory System
• More practice with diagnosis coding as they
learn about the nervous, circulatory, and
respiratory systems. This lesson also teaches
students about mental disorders and how to
code these disorders.

3
7 ICD-10-CM Coding from the • Learn about the digestive and genitourinary 4 hrs
Digestive System to Pregnancy systems.
• Practice coding diagnoses related to childbirth,
the puerperium and complications of pregnancy.

ICD-10-CM Coding from the Skin to Conditions of


the Perinatal Period
• Diagnosis coding of skin and subcutaneous
tissue.
• Learn about the musculoskeletal system,
congenital abnormalities, and conditions in the
perinatal period, as well as how to code related
diagnoses.
8 ICD-10-CM Coding from • Practice coding symptoms, signs, and ill-defined 2 hrs
Symptoms to Complications conditions, as well as injuries and poisoning.
9 Z Codes, S Codes and ICD-10- • Practice their new coding skills. 2 hrs
CM Coding Practicum • Diagnosis coding knowledge in real-world
scenarios.
• Learn how to apply V-codes and E-codes in
coding situations.
10 CPT Coding • Learn about the history of procedural coding and 2 hrs
how to differentiate between CPT and HCPCS
codes.
• This lesson also explains the structure and
format of the CPT coding manual, as well as the
basic steps of CPT coding.
11 CPT Coding from the • Learn to code procedures related to the 4 hrs
Integumentary System integumentary system Coding Biopsises, skin
lesions, excisions, burns, Breast procedures, skin
grafts etc.

CPT Coding from the Reproductive Systems to the


Operating Microscope

• About the male and female reproductive


systems.
• Learn to code maternity and childbirth
procedures, as well as procedures related to the
endocrine, nervous, visual, and auditory systems
also learn coding for microscopic procedures.

4
CPT Coding for Radiology, Pathology, Medicine and
Anesthesia

• About radiology terms, subsections, guidelines


and coding radiology procedures.
• Guidelines and coding information for pathology
and anesthesia are also included.
12 CPT Coding Evaluation and • Introduces students to evaluation and 4 hrs
Management Services management codes, an important area for
outpatient coders. Additionally, the lesson
covers documentation guidelines and evaluation
and management level sections and modifiers.

Comprehensive CPT Evaluation and Management


• Learn about evaluation and management coding
in this lesson.
• About the coding auditing process, as well as,
how encounter forms are used in a coding
specialist's work.
13 Comprehensive Surgery Coding • To practice procedure coding. 4 hrs
• Review of previously discussed CPT codes
specific to surgery, a major area of outpatient
medical coding.
14 Musculoskeletal Coding Comprehensive Musculoskeletal Coding 2 hrs
15 Digestive System Coding Comprehensive Digestive System Coding 2 hrs
16 Urology and Reproductive Comprehensive Urology and Reproductive system 2 hrs
system coding coding
17 Pulmonology and Comprehensive Pulmonology and Cardiovascular 2 hrs
Cardiovascular coding. coding.
18 CPT Coding for Radiology, Comprehensive CPT Coding for Radiology, Pathology 1 hr
Pathology
19 Anesthesia Coding Comprehensive Anesthesia Coding 1 hr
20 HCPCS Coding Comprehensive HCPCS Coding 1 hr

Grand Total : 45 hrs

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