Course Description
This course will cover basic theory, practices and guidelines of the ICD-10-CM/PCS coding system and compare it to various existing and past coding systems such as CPT-4 and ICD-9-CM. Students will code diagnoses and procedures from simplistic to complex, including real or simulated patient records. Students will be introduced to encoders and the coding compliance process. (3 credits)
This course meets certain CAHIIM competencies for HIM Majors.
Prerequisites
- BIO 212: Anatomy and Physiology
- BIO 215: Pathophysiology
- HCA 105: Medical Terminology
Student Learning Outcomes (SLOs)
Upon successful completion of the course, the student will be able to:
- Identify coding systems used for reimbursement.
- Identify the relationship between patient record documentation and accurate coding.
- Explain and interpret ICD-10-CM/PCS conventions and coding guidelines.
- Apply the steps involved in the proper coding process for each coding system.
- Explain the healthcare reimbursement process and the relationship to coding.
- Identify ethical, legal, and compliance issues as they relate to coding and reimbursement.
- Evaluate, implement and manage electronic systems for clinical classification and coding.
- Evaluate the accuracy of diagnostic and procedural coding.
- Construct and maintain processes, policies and procedures to ensure the accuracy of coded data based on established guidelines.
- Manage coding audits.
- Implement provider querying techniques to resolve coding discrepancies.
- Determine policies and procedures to monitor abuse or fraudulent trends.
Course Activities and Grading
Note: A "C" grade or higher must be earned to pass this course.
| Letter Grade | Percentage |
| A | 93.0-100.0 |
| A - | 90.0-92.9 |
| B+ | 87.0-89.9 |
| B | 83.0-86.9 |
| B - | 80.0-82.9 |
| C + | 77.0-79.9 |
| C | 73.0-76.9 |
| F | 72.99% and below |
| Assignments | Weight |
|---|---|
Discussions (Weeks 1-14) | 10% |
Activities, Assignments and Labs (Weeks 1-15) | 40% |
Quizzes (Weeks 1-14) | 30% |
Final Exam (Week 15) | 20% |
Total | 100% |
Required Textbooks
Available through Charter Oak State College's Book Bundle
- Palkie & Walraven. Basic ICD-10-CM and ICD-10-PCS Coding, 2024. AHIMA Press, 2024. ISBN-13: 9781584269380
- Castro, Anne B. ICD-10-PCS Code Book, 2024. AHIMA Press, 2024. ISBN-13: 978-1-58426-947-2
- Castro, Anne B. ICD-10-CM Code Book, 2024. AHIMA Press, 2024. ISBN-13: 978-1584269465 [Spiral Bound Version]
- AHIMA VLab Medical Coder. (Good for one year from the date of purchase)
- Note: Students need to purchase only one code/subscription to the AHIMA VLab Medical Coder per year. A single code provides the access required for all Charter Oak State College HIM courses.
Course Schedule
| Week | SLOs | Readings and Exercises | Assignments |
|---|---|---|---|
1 | 1,2,6 | Topics: Introduction to Coding & Reimbursement
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2 | 2-5 | Topics: Introduction to ICD-10-CM Diagnosis Coding and Infections and Parasitic Diseases
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3 | 2,3,4 | Topics: Neoplasms and Disorders of the Blood
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4 | 2,3,4 | Topics: Endocrine System and Mental Health
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5 | 2,3,4 | Topics: Nervous System, Eye and Adnexa, Ear
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6 | 2,3,4 | Topics: Circulatory and Respiratory Systems
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7 | 2,3,4 | Topic: Digestive System
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8 | 2,3,4 | Topics: Skin and Musculoskeletal System
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9 | 2,3,4 | Topics: Genitourinary System and Pregnancy
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10 | 2,3,4 | Topics: Perinatal and Congenital Conditions
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11 | 2,3,4 | Topics: Signs and Symptoms
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12 | 2,3,4 | Topics: Injury, Poisoning, and External Causes
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13 | 2,3,4 | Topics: Other factors Influencing Health; ICD-10-PCS Wrap Up
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14 | 6,8 | Topics: Advanced Coding and Health Information Technology; Coding Software Demo
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15 | 7,9-12 | Topics: Coding Management, Quality, and Compliance
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COSC Accessibility Statement
Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.
COSC Policies, Course Policies, Academic Support Services and Resources
Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.