Outcomes

Upon successful completion, students will be able to:
1. Apply Diagnosis and Procedure codes according to current professional classification systems guidelines.
2. Identify complete health record according to organizational policies, external regulations and professional standards.
3. Analyze and interpret data and data sources for patient care (management, billing, reports, registries and other databases)
4. Use current concepts and government regulations to assign policies for data integrity and data exchange standards.
5. Apply healthcare legal terminology to identify the use of legal document, consents for treatment, retention and release of information, privacy and patient rights.
6. Apply confidentiality, privacy and security measures and policies and procedures for internal and external of and exchange to protect electronic health information.
7. Use payment methodologies and systems such as capitation, Prospective Payment Systems, case mix and health insurance policies to evaluate the revenue cycle management process.
8. Use billing processes and procedures such as claims, electronic data exchange, advanced beneficiary notice, charge master, coding and bill reconciliation process to support the reimbursement cycle.
9. Analyze managed care and accountable care organization strategies and their impact to the delivery of care setting.
10. Obtain Certified Coding Associate (CCA) through AHIMA (American Health Information Management Association), and/or Certified Professional Coder (CPC) through AAPC (American Association of Professional Coders).