2009-2010 Career Planning Guide HEALTH CARE INFORMATION Medical Coding and Reimbursement Specialist Certificate of Proficiency
Shoreline Community College 16101 Greenwood Avenue North Shoreline, Washington 98133 Length of Program: 74-77 Credits Completion Award: Certificate of Proficiency Program Advisor: Donna Wilde, MPA, RHIA, CCS 206 546 4757 Room 2334 email@example.com Gloria Anderson, MAEd., RHIA, CCS 206-546-4707 Approximate Quarterly Costs Check quarterly class schedule for Tuition and fees Books $400 Application Fee $15 Enrollment: Fall entrance only for full-time students. A separate admissions process is required. Winter entrance on space available basis if requirements met. Part-time students welcome all quarters.
Room 2333 firstname.lastname@example.org
PROGRAM APPROVAL The Medical Coding and Reimbursement Specialist program at Shoreline Community College has received full approval from the American Health Information Management Association (AHIMA). PROGRAM DESCRIPTION: This is a totally online program The medical coding and reimbursement specialist reads and interprets the medical records of patients in all types of health care facilities to obtain detailed information regarding their diseases, injuries, surgical operations and other procedures. This specialist then assigns codes using ICD-9-CM (International Classification of Diseases – 9th Revision – Clinical Modification) and CPT (Current Procedural Terminology). They handle all components of claims processing including management of disputed, rejected and delayed claims. PROGRAM OUTCOMES Students who successfully complete this program should be able to: read and interpret medical records of patients; accurately assign diagnostic and procedural codes according to ICD-9-CM, ICD-10 and CPT, using federal coding compliance guidelines; complete insurance, CMS 1500 and UB 04 Medicare/Medicaid claim forms; apply privacy and security regulations for the release of confidential health/billing data, following HIPAA privacy requirements; use manual and computerized encoders and groupers systems to determine Diagnostic Related Groups (DRGs), Resource Based Relative Value Scale (RBRVS), and Ambulatory Payment Classification (APCs) Use personal computer software programs, as well as manual and automated accounting systems and electronic health record software. CAREER OPPORTUNITIES Graduates may be employed in physician and dental offices and clinics, insurance companies, hospitals and other health care facilities. POTENTIAL POSITIONS INCLUDE Medical Coder, Medical Reimbursement Specialist, Medical or Dental Coder-Biller, and Patient Account Representative. Entry-level salaries range from $30,000 - $38,000.
Every effort has been made to ensure the accuracy of the information of this publication. However, the information is subject to change without notice, and final career decisions are the responsibility of the reader.
MEDICAL CODING AND REIMBURSEMENT SPECIALIST Shoreline Community College: Certificate of Proficiency.
CERTIFICATIONS Graduates are eligible to write the American Health Information Management Association’s (AHIMA) Certified Coding Specialist – Physician’s Office (CCS-P) examination or the entry level Certified Coding Associate (CCA) for hospital inpatient coding. They are also eligible to write the American Academy of Professional Coders Certified Professional Coding (CPC) and CPC-H examinations. The AHIMA mastery-level Certified Coding Specialist (CCS) examination for in patient coding is also available. PROGRAM PREREQUISITES A separate initial admission process is required. Application and acceptance into Shoreline Community College does not assure acceptance into the Medical Coding and Reimbursement Specialist program. Space is limited. Contact an HCI program advisor for additional information. Early application to the program is advised. Please go to the program web site for further information. COURSE PREREQUISITES ESL 100 Academic ESL 3 or ENGL 100 Analytical Reading and Writing* MATH 080 Elementary Algebra* Basic computer literacy (MS Word, able to send and receive emails with attachments) * or equivalency on COMPASS test
PROGRAM REQUIREMENTS: Please Note: This is a totally online program (except for math and some English prerequisite courses) General Education Requirements Communications: ENGL& Quantitative Reasoning: CIS Human Relations: BUS Cr. English Composition I 5 Computer Applications* 5 Essentials of Human Rela 2 or BUS 104 Human Relations 5 or HCI 224 Mgmt Hlth Info Supvr. 5 *If needed or other course from Quantitative Reasoning list Other Medical Coding Specialist Program Requirements Cr. BIOL& 170 Human Biology 5 ACCT 101 Practical Acctg I 5 101 105 105 Medical Coding Specialist Requirements HCI 120 HCI 125 HCI 134 HCI 154 HCI 170 HCI 171 HCI 172 HCI 173 HCI 174 HCI 175 HCI 225 HCI 228 Cr. 4 5 5 5 4 5 4 5 3 5 5 2 Gr. ___ ___ ___
Gr. ___ ___ Gr. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Surv Health Care Delivry Hospital/Clinic Records Medical Terminology Med Reimburse Systems Legal Aspects Hlth Care Basic ICD-9-CM Coding CPT Coding Intermediate Med. Coding Pharmacology Human Diseases Computers in Health Care Medical Coding Practicum
Total Credits 74-77 ACADEMIC REQUIREMENTS Students completing the Medical Coding and Reimbursement Specialist certificate are required to maintain a final grade of 2.0 in all required courses. Strong English grammar skills are required for this career option. Since not all courses are offered each quarter and some courses are pre-requisite to others, students MUST meet with an HCI Advisor to develop a curriculum plan.