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AHE 230 - Advanced Outpatient Coding and Auditing
Credits: 5
Variable Credit Course: No
Lecture Hours: 55
Lab Hours: 0
Worksite/Clinical Hours: 0
Other Hours (LIA/Internships): 0
Course Description: Advanced application of the principles of diagnostic and procedural coding and auditing practice using ICD-10-CM, CPT, and HCPCS codes in coding exercises and abstracted medical records in various healthcare settings.
Prerequisite: AHE 221 and AHE 222 with a C or higher. Concurrent enrollment in AHE 240 required.
Strongly Recommended:
Special Requirements:
Meets FQE Requirement: No
Integrative Experience Requirement: No
Student Learning Outcomes
- Follow current established guidelines in outpatient diagnostic code assignment.
- Apply outpatient procedure and diagnosis codes using patient charts.
- Validate coding accuracy using clinical information found in patient record.
- Using audit forms, review assigned CPT, HCPCS, and ICD-10-CM codes on patient records and resolving any discrepancies.
- Provide rationale for any coding changes based on supporting documentation.
- Demonstrate proficiency in coding in hospital outpatient and clinic services, physician practice encounters, home health services, and long-term care.
- Critique a variety of coding systems, including CPT, HCPCS, ICD-10, as well as DRG.
Course Contents
- CPT Evaluation and Management (E/M) coding in various patient settings.
- CPT coding for Anesthesia, General Surgery, Pathology and Laboratory, Radiology and Medicine.
- ICD-10-CM coding per body system.
Instructional Units: 5
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