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marked as "Transfer" can be used towards a transfer degree: Associate of Science
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| HITT106 syllabus
|COURSE NUMBER: ||HITT106|
|COURSE TITLE:||ICD Coding|
|SEMESTER CREDIT HOURS:||4|
|STUDENT ENGAGEMENT HOURS:||198|
The course introduces the theory, structure, and organization of the International Classification of Disease using ICD-10-CM/PCS (International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System). Emphasis is placed on the importance of body structure, procedures, application of coding principles and official guidelines for coding and reporting. The student is introduced to diagnosis related groups Diagnosis Related Groups (DRGs) and their relationship to coding using the encoder. ICD-10-CM will be discussed as a legacy system only.
Completion of BIOL136
with a grade of C or better. Completion or current enrollment in HITT101
This course is not available for web registration.
STUDENT LEARNING OUTCOMES:
Upon completion of this course, students will be able to:
- Put into practice ICD-10-CM/PCS coding.
- Contrast the principles and application ICD-10-CM/PCS, Current Procedural Technology/The Healthcare Common Procedure Coding System (CPT/HCPCS), Diagnostic and Statistical Manual and Mental Disorders, 4th Edition (DSM-IV) in given situations.
- Evaluate a given case study and choose appropriate clinical vocabularies.
- Examine the purpose of coding and the role that Health Information Management (HIM) professionals play in proper coding.
- Apply proper use of the ICD-10-CM/PCS classification system when coding a diagnosis/procedure.
- Apply the ICD-10-CM/PCS conventions when coding a disease or procedure.
- Justify the choosing of a diagnosis as principle diagnosis, secondary diagnosis, and principle and secondary procedures.
- Use and maintain electronic applications and work processes to support clinical classification and coding.
- Put into practice the entering of data into a coding registry and abstract specific data.
- Adhere to current regulations and established guidelines in code assignment.
- Validate coding accuracy using clinical information found in the health record.
- Resolve discrepancies between coded data and supporting documentation.
- Demonstrate knowledge of Medicare and PPS rules by coding case in the proper sequence.
- Code primary health records ensuring that nonessential diagnoses and procedures are not coded.
- Evaluate health record documentation to ensure that all diagnoses and procedure codes are supported.
- Abstract data from charts into either a manual or computerized system without errors.
- Meet the coding domains as outlined by the American Health Information Management Association (AHIMA).
- Assign DRG codes using the DRG book or an encoder to the highest possible level.
- Enter diagnosis, symptoms and procedures into the encoder identifying the correct code based on health record documentation.
- Ensure physician documentation supports coding.
- Validate code assignment.
- Sequence codes correctly.
- Review the accuracy of abstracted data.
- Assign Present on Admission (POA) indicators.
- Review ICD-10-CM/PCS coding updates October 1st each year.
- Validate grouper assignment.
- Identify hospital acquired conditions (HAC).
- Create standards for coding productivity and quality.
- Apply all official current coding guidelines.
- Abstract data from health records.
- Query physician when additional clinical documentation is needed.
- Review and resolve coding edits (correct coding initiative, outpatient code editor, national coverage determination, and local coverage determination).
- Develop and manage a query process.
- Develop educational guidelines for provider documentation.
- Perform concurrent audits.
Chart Review & Abstraction
TEXTBOOK / SPECIAL MATERIALS:
See bookstore website for current book(s) at https://www.dacc.edu/bookstoreEVALUATION:
A percentage system will be used to determine student's grades. The point system will be based on workbook, course assignments, attendance, tests, quizzes, and final examination.
Students will be required to complete coding assignments prior to group discussions on proper coding.
90 - 100 = A
80 - 89 = B
70 - 79 = C
60 - 69 = D
59 & below = F
NOTE: Must receive C or better to pass
This course addresses the following domains of knowledge identified by the
American Health Information Management Association as indicators of entry-level
competency for Health Information Technology. See the student handbook for a
complete list of domains and subdomains.
Domain I. Data Content, Structure & Standards
Subdomain I.A. Classification Systems
- Apply diagnosis/procedure codes according to current guidelines
- Evaluate the accuracy of diagnostic and procedural coding
- Apply diagnostic and procedural groupings
- Evaluate the accuracy of diagnostic and procedural groupings
Subdomain I.B. Health Record Content and Documentation
- Analyze the documentation in the health record to ensure it supports the
diagnosis and reflects the patient’s progress, clinical findings, and discharge
- Verify the documentation in the health record is timely, complete, and
- Identify a complete health record according to organizational policies,
external regulations, and standards
- Differentiate the roles and responsibilities of various providers and
disciplines to support documentation requirements throughout the continuum of
Subdomain I.C. Data Governance
- Apply policies and procedures to ensure the accuracy and integrity of health
Subdomain I.D. Data Management
Subdomain I.E. Secondary Data Sources
Domain II. Information Protection: Access, Disclosure, Archival, Privacy &
Subdomain II.A. Health Law
Subdomain II.B. Data Privacy, Confidentiality & Security
Subdomain II.C. Release of Information
Domain III. Informatics, Analytics and Data Use
Subdomain III.A. Health Information Technologies
- Utilize software in the completion of HIM processes
Subdomain III.B. Information Management Strategic Planning
Subdomain III.C. Analytics and Decision Support
Subdomain III.D. Health Care Statistics
Subdomain III.E. Research Methods
Subdomain III.F. Consumer Informatics
Subdomain III.G. Health Information Exchange
Subdomain III.H. Information Integrity and Data Quality
Domain IV. Revenue Management
Subdomain IV.A. Revenue Cycle and Reimbursement
- Apply policies and procedures for the use of data required in healthcare
- Evaluate the revenue cycle management processes
Domain V. Compliance
Subdomain V.A. Regulatory
Subdomain V.B. Coding
- Analyze current regulations and established guidelines in clinical
- Determine accuracy of computer assisted coding assignment and recommend
Subdomain V.C. Fraud Surveillance
Subdomain V.D. Clinical Documentation Improvement
- Identify discrepancies between supporting documentation and coded data
- Develop appropriate physician queries to resolve data and coding
Domain VI. Leadership
Subdomain VI.A. Leadership Roles
Subdomain VI.B. Change Management
Subdomain VI.C. Work Design and Process Improvement
Subdomain VI.D. Human Resources Management
Subdomain VI.E. Training and Development
Subdomain VI.F. Strategic and Organizational Management
Subdomain VI.G. Financial Management
Subdomain VI.H. Ethics
- Comply with ethical standards of practice
Subdomain VI.I. Project Management
Subdomain VI.J. Vendor/Contract Management
Subdomain VI.K. Enterprise Information Management
|STUDENT CONDUCT CODE:||Membership in the DACC community brings both rights and responsibility. As a student at DACC, you are expected to exhibit conduct compatible with the educational mission of the College. Academic dishonesty, including but not limited to, cheating and plagiarism, is not tolerated. A DACC student is also required to abide by the acceptable use policies of copyright and peer-to-peer file sharing. It is the student’s responsibility to become familiar with and adhere to the Student Code of Conduct as contained in the DACC Student Handbook. The Student Handbook is available in the Information Office in Vermilion Hall and online at: https://www.dacc.edu/student-handbook|
|DISABILITY SERVICES:||Any student who feels s/he may need an accommodation based on the impact of a disability should contact the Testing & Academic Services Center at 217-443-8708 (TTY 217-443-8701) or stop by Cannon Hall Room 103. Please speak with your instructor privately to discuss your specific accommodation needs in this course.|