Certificate in Advanced Hospital Coding and CCS Prep Online Course

Utilize your knowledge of medical terminology and healthcare sciences

Certificate in Advanced Hospital Coding and CCS Prep Online Course

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US$2049

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Increase your coding skills and prepare to take the official certification exam to become a Certified Coding Specialist.

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) Program will fill in the gaps, making you a more marketable employee. These skills are essential to your successful completion of the American Health Information Management Association's (AHIMA) mastery-level credentialing exam, the Certified Coding Specialist (CCS).

If you're currently working in a physician’s office or billing service, this program will give you the edge you need to advance in the workplace. Most hospitals will only hire coders with previous exposure to facility coding or who are already certified. Training on-the-job is a luxury most hospitals are unable to offer. Coders of all levels must undergo continuing education to stay current with the constantly changing regulations.

The AHC program covers advanced, hospital-specific coding and billing procedures and is designed to help students meet the challenge of today's changing standards. This program will utilize your existing knowledge of medical terminology and healthcare sciences. Your coding skills will be heightened and focused, preparing you for employment testing and successful completion of the CCS exam. Upon registering, you are given six months to complete the program. 

When you've successfully completed this program, you'll:

  • Understand how health information travels within departments of a facility
  • Be able to define the roles and responsibilities of a coder in both in- and out-patient facilities
  • Know how to interpret health-record documentation using your knowledge of anatomy, physiology, clinical disease processes, and medical terminology
  • Accurately assign codes for diagnoses, conditions, problems, or other reasons for patient encounters 
  • Select codes according to Uniform Hospital Discharge Data Sets (UHDDS) definitions and official coding guidelines
  • Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify DRG assignment based on Prospective Payment System (PPS) definitions
  • Determine proper use of Modifiers, CPT vs. HCPCS Level II codes, and Medical Necessity (linking diagnosis to procedure or service)
  • Understand reimbursement methodologies and documentation rules and regulations
  • Identify the Charge Master and its components
  • Understand the CPT guidelines, with special emphasis on surgery coding

This program will help you become competent in these hospital-based coding areas:
Data Identification

  • Read and interpret health-record documentation to identify diagnoses and procedures
  • Apply your knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes
  • Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class

Coding Guidelines

  • Use current approved coding guidelines to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services
  • Apply knowledge of CPT format, guidelines, and notes to locate the correct codes or correctly use an unlisted procedure code for a patient encounter, and sequence the codes correctly

Regulatory Guidelines

  • Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to select accurate codes
  • Determine the appropriate principal diagnosis for patients who have more than one ailment
  • Use the Prospective Payment System to confirm a DRG assignment
  • Prevent fraud by maintaining approved coding principles and guidelines, including the National Correct Coding Initiative (CCI) 
  • Use the Ambulatory Surgery Center (ASC) Payment Groups to confirm ASC assignment and ensure appropriate reimbursement
  • Use the HCFA Common Procedural Coding System (HCPCS) to appropriately assign HCPCS codes for outpatient Medicare reimbursement

Coding

  • Understand which diagnoses, conditions, and procedures to exclude from coding
  • Apply your knowledge of ICD-10-CM instructional notations and conventions to locate, assign, and correctly sequence codes
  • Facilitate data retrieval by recognizing when more than one code is required to adequately classify a given condition

Data Quality

  • Clarify conflicting, ambiguous, or nonspecific information appearing in a health record by consulting the appropriate physician
  • Participate in quality assessment to ensure continuous improvement in ICD-10-CM/PCS and CPT coding and collection of accurate health data
  • Demonstrate ability to recognize potential coding-quality issues from an array of data
  • Apply policies and procedures on health-record documentation and coding that are consistent with official coding guidelines
  • Contribute to the development of facility-specific coding policies and procedures

Course Fast Facts:

  • This course is delivered 100% on-line and is accessible 24/7 from any computer or smartphone
  • Instructors lead each course and you will be able to interact with them and ask questions
  • You can study from home or at work at your own pace in your own time
  • You can download printer friendly course material or save for viewing offline
  • You will be awarded a certificate at completion of this course

Course Delivery

Upon enrolment, an automated welcome email will be sent to you (please check your junk email inbox if not received as this is an automated email), in order for you to access your online course, which is Available 24/7 on any computer or smart mobile device. New courses start every month to ensure that we have the correct ratio of students to tutors available, please ensure you select a starting date when you go through our shopping cart, at checkout. The course is easy to follow and understand.

Recognition & Accreditation

All students who complete the course receive a certificate of completion with a passing score (for the online assessment) and will be issued a certificate via email.

  1. Introduction to the Hospital Facility and Medical Records
    1. The Hospital Revenue Cycle
    2. Understanding the Patient Billing Process
    3. Services Provided in the Facility Setting
    4. Career Opportunities in the Hospital Setting
  2. Hospital Coding Overview
    1. Principal Diagnosis
    2. Additional Diagnoses
    3. Coding Clinic
    4. ICD-10-CM Coding Guidelines
  3. Hospital Billing Process
    1. General Overview of the Billing Process
    2. Admission/Preadmission Process
    3. Insurance Carriers
    4. Capturing Patient Services
    5. Coding and Health Information Department
    6. Billing Department
    7. Collection and Payment Policies
  4. UB-04 Overview
    1. General Overview of the Hospital Billing Form
    2. Field-by-field Description of UB-04 with Code Values
  5. Inpatient Billing
    1. Prospective Payment System (PPS)
    2. Diagnosis Related Groups (DRGs)
    3. Medicare Claims Manual
    4. Joint Commission
    5. Uniform Hospital Discharge Data Set (UHDDS)
  6. Outpatient Coding
    1. Outpatient Record
    2. CPT and Modifiers
    3. Correct Coding Initiative (CCI) Edits
  7. Outpatient Billing
    1. Chargemaster
    2. Outpatient Prospective Payment System (OPPS)
    3. Ambulatory Payment Classifications (APCs)
    4. Outpatient Code Editor (OCE)
    5. Outpatient Billing and the UB-04
  8. ICD-10-CM
    1. Overview
    2. Alphabetic Index
    3. Neoplasm Table
    4. Table of Drugs and Chemicals
    5. Tabular List
    6. Conventions and Guidelines
  9. ICD-10-PCS
    1. Overview
    2. Code Structure
    3. Index
    4. Tables
    5. Root Operations
    6. Conventions and Guidelines
  10. Completion and Certification Preparation
    1. AHC Program Completion Steps
    2. AAPC Certifications
    3. AHIMA Certifications
    4. Preparing for the Case Studies
    5. Personal Preparation

Entry requirements

Students must have basic literacy and numeracy skills.

Minimum education

Open entry. Previous schooling and academic achievements are not required for entry into this course.

Computer requirements

Students will need access to a computer and the internet.

Minimum specifications for the computer are:

Windows:

  • Microsoft Windows XP, or later
  • Modern and up to date Browser (Internet Explorer 8 or later, Firefox, Chrome, Safari)

MAC/iOS

  • OSX/iOS 6 or later
  • Modern and up to date Browser (Firefox, Chrome, Safari)

All systems

  • Internet bandwidth of 1Mb or faster
  • Flash player or a browser with HTML5 video capabilities(Currently Internet Explorer 9, Firefox, Chrome, Safari)

Students will also need access the following applications:

Adobe Acrobat Reader

1.  Can I register for programs if I am an international student?

Yes, because our programs are online you never have to actually travel to the school. Most schools offer telephone or online registration.

2.  How long does it take to complete a program?


All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace. Upon registering, you're given six months to complete this program. 

3.  Do I have to buy additional materials?

If you don't have access to current coding books, you'll be responsible for obtaining them. Students who sit for the CCS exam will be responsible for paying AHIMA's examination fee.

4.  Does this program prepare for National Certification?


Yes, the Advanced Hospital Coding program prepares students to sit for the Certified Coding Specialist exam offered by AHIMA.

5.  Can I get financial assistance?


our courses are non-credit courses, so they do not qualify for federal aid. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses.

6.  What happens when I complete the program?


Upon successful completion of the program, you will be awarded a certificate of completion.

7.  Am I guaranteed a job?


our programs will provide you with the skills you need to obtain an entry-level position in most cases. We don't provide direct job placement services, but our facilitators and career counselors will help you build your resume and are available to give advice on finding your first job. Facilitators will also be available to use as a professional reference upon completion of the program. Potential students should always do research on the job market in their area before registering.

8.  Who will be my instructor?

Each student is paired up with a facilitator for one-on-one interaction. The facilitator will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance. All of our facilitators are successful working professionals in the fields in which they teach.

9.  What software or hardware do I need in order to take online programs and what are the system requirements?

In order to take our online programs, you must have access to a computer and the Internet. You can access the program contents from any Web-enabled computer. You don't have to use the same computer to log-in to the program every time. We recommend that you have a word-processing program (Microsoft Word is best) and the latest version of Internet Explorer.

10.  Can I use a Mac?

Yes, you can use a Mac for this program.

11.  When can I start the program?

Our programs are all open enrollment. You can register and start the program as soon as you are ready.

Please note:
  Once the program curriculum is accessed online or through submission of a material shipment confirmation, refunds cannot be issued.

12.  What if I don't have enough time to complete my program within the time frame provided?

The time allotted to complete your program has been calculated based on the number of hours for each program, so don't worry too much about not completing in time. If, after a concerted effort, you are still unable to complete, your Student Advisor will help you work out a suitable completion date. Please note that a fee may be charged for an extension.

Ms. Dalgleish has worked in medical office administration, including billing and coding, for over 30 years. She holds a bachelor's degree in Business Information Systems and a master's degree in Leadership. She is an AHIMA Approved ICD-10-CM/PCS Trainer and is a member of the American Health Information Management Association (AHIMA) and the American Association of Healthcare Administrative Management (AAHAM). She owns her own consulting firm, AnnGrant Education Services, Inc. She is currently completing a textbook on the new ICD-10 coding system and is completing a bachelor’s degree in Health Information Management with a Registered Health Information Administrator (RHIA) certification.

Bunny Reeves is the senior ambulatory surgery coder at Maimonides Medical Center in Brooklyn, NY. She ensures that all charges are captured using appropriate CPT, ICD-9 codes, and modifiers.

Bunny has trained and supervised entry-level coders at St. Vincent Medical Center in Staten Island and currently trains student coders at Maimonides Medical Center. She has many years of experience in inpatient and professional coding.

In 2007, Ms. Reeves became a Certified Coding Specialist (CCS) through the nationally known organization, American Health Information Management Association (AHIMA).

Bunny is married with two children.

About this Course

Increase your coding skills and prepare to take the official certification exam to become a Certified Coding Specialist.

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) Program will fill in the gaps, making you a more marketable employee. These skills are essential to your successful completion of the American Health Information Management Association's (AHIMA) mastery-level credentialing exam, the Certified Coding Specialist (CCS).

If you're currently working in a physician’s office or billing service, this program will give you the edge you need to advance in the workplace. Most hospitals will only hire coders with previous exposure to facility coding or who are already certified. Training on-the-job is a luxury most hospitals are unable to offer. Coders of all levels must undergo continuing education to stay current with the constantly changing regulations.

The AHC program covers advanced, hospital-specific coding and billing procedures and is designed to help students meet the challenge of today's changing standards. This program will utilize your existing knowledge of medical terminology and healthcare sciences. Your coding skills will be heightened and focused, preparing you for employment testing and successful completion of the CCS exam. Upon registering, you are given six months to complete the program. 

When you've successfully completed this program, you'll:

  • Understand how health information travels within departments of a facility
  • Be able to define the roles and responsibilities of a coder in both in- and out-patient facilities
  • Know how to interpret health-record documentation using your knowledge of anatomy, physiology, clinical disease processes, and medical terminology
  • Accurately assign codes for diagnoses, conditions, problems, or other reasons for patient encounters 
  • Select codes according to Uniform Hospital Discharge Data Sets (UHDDS) definitions and official coding guidelines
  • Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify DRG assignment based on Prospective Payment System (PPS) definitions
  • Determine proper use of Modifiers, CPT vs. HCPCS Level II codes, and Medical Necessity (linking diagnosis to procedure or service)
  • Understand reimbursement methodologies and documentation rules and regulations
  • Identify the Charge Master and its components
  • Understand the CPT guidelines, with special emphasis on surgery coding

This program will help you become competent in these hospital-based coding areas:
Data Identification

  • Read and interpret health-record documentation to identify diagnoses and procedures
  • Apply your knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes
  • Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class

Coding Guidelines

  • Use current approved coding guidelines to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services
  • Apply knowledge of CPT format, guidelines, and notes to locate the correct codes or correctly use an unlisted procedure code for a patient encounter, and sequence the codes correctly

Regulatory Guidelines

  • Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to select accurate codes
  • Determine the appropriate principal diagnosis for patients who have more than one ailment
  • Use the Prospective Payment System to confirm a DRG assignment
  • Prevent fraud by maintaining approved coding principles and guidelines, including the National Correct Coding Initiative (CCI) 
  • Use the Ambulatory Surgery Center (ASC) Payment Groups to confirm ASC assignment and ensure appropriate reimbursement
  • Use the HCFA Common Procedural Coding System (HCPCS) to appropriately assign HCPCS codes for outpatient Medicare reimbursement

Coding

  • Understand which diagnoses, conditions, and procedures to exclude from coding
  • Apply your knowledge of ICD-10-CM instructional notations and conventions to locate, assign, and correctly sequence codes
  • Facilitate data retrieval by recognizing when more than one code is required to adequately classify a given condition

Data Quality

  • Clarify conflicting, ambiguous, or nonspecific information appearing in a health record by consulting the appropriate physician
  • Participate in quality assessment to ensure continuous improvement in ICD-10-CM/PCS and CPT coding and collection of accurate health data
  • Demonstrate ability to recognize potential coding-quality issues from an array of data
  • Apply policies and procedures on health-record documentation and coding that are consistent with official coding guidelines
  • Contribute to the development of facility-specific coding policies and procedures

Course Fast Facts:

  • This course is delivered 100% on-line and is accessible 24/7 from any computer or smartphone
  • Instructors lead each course and you will be able to interact with them and ask questions
  • You can study from home or at work at your own pace in your own time
  • You can download printer friendly course material or save for viewing offline
  • You will be awarded a certificate at completion of this course

Course Delivery

Upon enrolment, an automated welcome email will be sent to you (please check your junk email inbox if not received as this is an automated email), in order for you to access your online course, which is Available 24/7 on any computer or smart mobile device. New courses start every month to ensure that we have the correct ratio of students to tutors available, please ensure you select a starting date when you go through our shopping cart, at checkout. The course is easy to follow and understand.

Recognition & Accreditation

All students who complete the course receive a certificate of completion with a passing score (for the online assessment) and will be issued a certificate via email.

  1. Introduction to the Hospital Facility and Medical Records
    1. The Hospital Revenue Cycle
    2. Understanding the Patient Billing Process
    3. Services Provided in the Facility Setting
    4. Career Opportunities in the Hospital Setting
  2. Hospital Coding Overview
    1. Principal Diagnosis
    2. Additional Diagnoses
    3. Coding Clinic
    4. ICD-10-CM Coding Guidelines
  3. Hospital Billing Process
    1. General Overview of the Billing Process
    2. Admission/Preadmission Process
    3. Insurance Carriers
    4. Capturing Patient Services
    5. Coding and Health Information Department
    6. Billing Department
    7. Collection and Payment Policies
  4. UB-04 Overview
    1. General Overview of the Hospital Billing Form
    2. Field-by-field Description of UB-04 with Code Values
  5. Inpatient Billing
    1. Prospective Payment System (PPS)
    2. Diagnosis Related Groups (DRGs)
    3. Medicare Claims Manual
    4. Joint Commission
    5. Uniform Hospital Discharge Data Set (UHDDS)
  6. Outpatient Coding
    1. Outpatient Record
    2. CPT and Modifiers
    3. Correct Coding Initiative (CCI) Edits
  7. Outpatient Billing
    1. Chargemaster
    2. Outpatient Prospective Payment System (OPPS)
    3. Ambulatory Payment Classifications (APCs)
    4. Outpatient Code Editor (OCE)
    5. Outpatient Billing and the UB-04
  8. ICD-10-CM
    1. Overview
    2. Alphabetic Index
    3. Neoplasm Table
    4. Table of Drugs and Chemicals
    5. Tabular List
    6. Conventions and Guidelines
  9. ICD-10-PCS
    1. Overview
    2. Code Structure
    3. Index
    4. Tables
    5. Root Operations
    6. Conventions and Guidelines
  10. Completion and Certification Preparation
    1. AHC Program Completion Steps
    2. AAPC Certifications
    3. AHIMA Certifications
    4. Preparing for the Case Studies
    5. Personal Preparation

Entry requirements

Students must have basic literacy and numeracy skills.

Minimum education

Open entry. Previous schooling and academic achievements are not required for entry into this course.

Computer requirements

Students will need access to a computer and the internet.

Minimum specifications for the computer are:

Windows:

  • Microsoft Windows XP, or later
  • Modern and up to date Browser (Internet Explorer 8 or later, Firefox, Chrome, Safari)

MAC/iOS

  • OSX/iOS 6 or later
  • Modern and up to date Browser (Firefox, Chrome, Safari)

All systems

  • Internet bandwidth of 1Mb or faster
  • Flash player or a browser with HTML5 video capabilities(Currently Internet Explorer 9, Firefox, Chrome, Safari)

Students will also need access the following applications:

Adobe Acrobat Reader

1.  Can I register for programs if I am an international student?

Yes, because our programs are online you never have to actually travel to the school. Most schools offer telephone or online registration.

2.  How long does it take to complete a program?


All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace. Upon registering, you're given six months to complete this program. 

3.  Do I have to buy additional materials?

If you don't have access to current coding books, you'll be responsible for obtaining them. Students who sit for the CCS exam will be responsible for paying AHIMA's examination fee.

4.  Does this program prepare for National Certification?


Yes, the Advanced Hospital Coding program prepares students to sit for the Certified Coding Specialist exam offered by AHIMA.

5.  Can I get financial assistance?


our courses are non-credit courses, so they do not qualify for federal aid. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses.

6.  What happens when I complete the program?


Upon successful completion of the program, you will be awarded a certificate of completion.

7.  Am I guaranteed a job?


our programs will provide you with the skills you need to obtain an entry-level position in most cases. We don't provide direct job placement services, but our facilitators and career counselors will help you build your resume and are available to give advice on finding your first job. Facilitators will also be available to use as a professional reference upon completion of the program. Potential students should always do research on the job market in their area before registering.

8.  Who will be my instructor?

Each student is paired up with a facilitator for one-on-one interaction. The facilitator will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance. All of our facilitators are successful working professionals in the fields in which they teach.

9.  What software or hardware do I need in order to take online programs and what are the system requirements?

In order to take our online programs, you must have access to a computer and the Internet. You can access the program contents from any Web-enabled computer. You don't have to use the same computer to log-in to the program every time. We recommend that you have a word-processing program (Microsoft Word is best) and the latest version of Internet Explorer.

10.  Can I use a Mac?

Yes, you can use a Mac for this program.

11.  When can I start the program?

Our programs are all open enrollment. You can register and start the program as soon as you are ready.

Please note:
  Once the program curriculum is accessed online or through submission of a material shipment confirmation, refunds cannot be issued.

12.  What if I don't have enough time to complete my program within the time frame provided?

The time allotted to complete your program has been calculated based on the number of hours for each program, so don't worry too much about not completing in time. If, after a concerted effort, you are still unable to complete, your Student Advisor will help you work out a suitable completion date. Please note that a fee may be charged for an extension.

Ms. Dalgleish has worked in medical office administration, including billing and coding, for over 30 years. She holds a bachelor's degree in Business Information Systems and a master's degree in Leadership. She is an AHIMA Approved ICD-10-CM/PCS Trainer and is a member of the American Health Information Management Association (AHIMA) and the American Association of Healthcare Administrative Management (AAHAM). She owns her own consulting firm, AnnGrant Education Services, Inc. She is currently completing a textbook on the new ICD-10 coding system and is completing a bachelor’s degree in Health Information Management with a Registered Health Information Administrator (RHIA) certification.

Bunny Reeves is the senior ambulatory surgery coder at Maimonides Medical Center in Brooklyn, NY. She ensures that all charges are captured using appropriate CPT, ICD-9 codes, and modifiers.

Bunny has trained and supervised entry-level coders at St. Vincent Medical Center in Staten Island and currently trains student coders at Maimonides Medical Center. She has many years of experience in inpatient and professional coding.

In 2007, Ms. Reeves became a Certified Coding Specialist (CCS) through the nationally known organization, American Health Information Management Association (AHIMA).

Bunny is married with two children.

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Now Only US$2049 Save US$400 (16%)
OFF RRP US$2449
Delivery Method Online
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Course Summary

Course ID No.: 007GES104
Delivery Mode: Online
Course Access: 6 months to complete this program
Tutor Support: Yes
Time required: 80 Hours

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