Course Description
This course will focus on intermediate to advanced principles and application of the Current Procedural Terminology (CPT) and HCPCS Level II coding systems. Students will code more complex procedures using case studies along with real or simulated patient records. Procedural groupings (APC, RUGs) will be explored as well as RBRVS. Students will examine professional fee billing examples related to coding and apply it to real-world scenarios. A focus on Evaluation and Management services and coding in ambulatory surgical centers will be included. (3 credits)
Prerequisite
- HIM 211: Clinical Classification Systems II
Student Learning Outcomes (SLOs)
Upon successful completion of the course, the student will be able to:
- Apply policies, regulations, and standards to the management of information. (I.2, 3)
- Identify policies and strategies to achieve data integrity. (I.3, 3)
- Explain the use of classification systems, clinical vocabularies, and nomenclatures. (I.5, 2)
- Determine diagnosis and procedure codes and groupings according to official guidelines. (IV.1, 5)
- Evaluate revenue cycle processes. (IV.2, 5)
- Evaluate compliance with regulatory requirements and reimbursement methodologies (IV.3, 5)
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 |
|---|---|
Check Your Understanding Case Studies (15 Pts, 6 assignments) | 15% |
Weekly Coding Case Study Exercises (100 Pts, 7 assignments) | 55% |
Procedural Groupings Quiz (50 Pts, Week 4) | 5% |
HCPCS coding assignment (50 Pts, Week 7) | 5% |
Final Coding Exercise (110 Pts, Week 8) | 20% |
Total | 100% |
Required Textbooks
Available through Charter Oak State College's Book Bundle
Koesterman, J. L. (2022). Buck's the next step: Advanced Medical Coding and Auditing, 2023/2024 edition. SAUNDERS. ISBN-13: 9780323874113
- CPT 2024 - Professional Edition, Formats: Spiral Edition: 2023 New Edition, ISBN 13: 978-1-64016-284-6
- AHIMA Medical Coder Virtual Lab Access Code. (Good for one year from the date of purchase)
- Note: Students need to purchase only one code/subscription to the AHIMA Medical Coder Virtual Lab per year. A single code provides the access required for all Charter Oak State College HIM courses.
Additional Resources
Course Schedule
Week | SLOs | Readings and Exercises | Assignments |
1 | 3,4 | Topics: Evaluation and Management Services
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2 | 3,4 | Topics: Radiology, Pathology & Laboratory
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3 | 3,4 | Topics: Medicine and Integumentary System
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4 | 1-6 | Topics: Cardiovascular system and Digestive system, hemic/lymphatic system, and mediastinum/diaphragm
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5 | 3,4 | Topics: Musculoskeletal and Respiratory systems
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6 | 3,4 | Topics: Urinary, Male Genital, and Endocrine systems and Female genital system and maternity care/delivery
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7 | 4,5,6 | Topics: Nervous System, Eye and Auditory systems, and Anesthesia
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8 | 3,4 | Topics: Putting it all together
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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.