OST 260 Advanced Coding Methodologies

Lecture: 2 Lab: 2 Clinic: 0 Credits: 3

This course provides advanced instruction in a variety of emergent methodologies in medical coding. Topics include advanced outpatient coding, inpatient coding, risk adjustment coding, online encoder software, Correct Coding Initiatives (CCI), and advanced record abstraction. Upon completion, students should be able to perform advanced coding in a healthcare facility.

Pre-requisite(s): C or better in OST 247 and OST 248 .
Course is typically offered in Fall and Summer.
Course has transfer restrictions - 5 years

Student Learning Outcomes (SLOs)
At the completion of the course, the students should be able to do the following:

Employ the proper use of inpatient and outpatient (facility) terms, phrases, and abbreviations, as they apply to the healthcare industry.
Perform the advanced steps in processing insurance claim forms (UB04 and CMS1500), using the industry standard guidelines.
Employ the Official Guidelines for Coding and Reporting when interpreting medical statements and scenarios and assigning codes for inpatient and outpatient settings, using the current editions of the ICD, CPT and HCPCS manuals using the Correct Coding Initiatives (CCI).
Describe the usage of online EncorderPro software used by coding professionals.
Interpret the critical pieces in the billing and revenue cycle.
Differentiate healthcare payment methods on unit of payment, time-frame and risk adjustment.