MCCCD Official Course Competencies:

HIM222  2007 Fall – 2011 Fall

Professional Practice in Medical Coding

1.

Follow professional practice guidelines as outlined by the Medical Coding Program. (I)

2.

Complete professional practice documentation including practice summaries and evaluations. (I)

3.

Code patient diagnoses using the International Classification of Disease (ICD) guidelines. (II)

4.

Code patient procedures using appropriate ICD and/or Current Procedural Terminology (CPT) coding guidelines. (II)

5.

Describe the flow of patient documentation within a healthcare setting. (III)

6.

Describe the use of coded information from initial patient encounter through the billing process. (III)

7.

Describe the techniques used to ensure coding quality as part of a compliance program. (IV)

MCCCD Official Course Outline:

HIM222  2007 Fall – 2011 Fall

Professional Practice in Medical Coding

I. Professional Practice

A. Guidelines

B. Summaries

C. Evaluations

II. Medical Coding Practices

A. ICD codes

1. Patient diagnosis

2. Inpatient procedures

B. CPT codes

1. Outpatient procedures

2. Outpatient code modifiers

C. Evaluation and management codes

D. HCPCS (Healthcare Common Procedural Coding System) codes

III. Data Development for Medical Coding

A. Patient documentation

B. Coded Information

IV. Coding Quality Compliance Techniques