Central Arizona College

HIM 139 ICD Coding for ICD-10 CM and PCS

Credit Hours: 2
Effective Term: Fall 2013
SUN#: N/A
AGEC: None

Credit Breakdown: 1 Lecture, 3 Labs
Times for Credit: 1
Grading Option: A/F
Cross-Listed:

Description: Coding nomenclature using ICD-10-CM and PCS implemented nationwide and effective 2014. Code sets for ICD-10 require higher level anatomy and physiology knowledge and increased levels of specificity. This course is only open to HIM students, graduates, and credentialed coders familiar with ICD-9 or with HIM Director consent.

Prerequisites: HIM138 and HCC116

Corequisites: None

Recommendations: None

Measurable Student Learning Outcomes
I. Domain: Healthcare Data Management A. Subdomain: Health Data Structure, Content and Standards 1. (Analysis Level) Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patient's progress, clinical findings and discharge status. B. Subdomain: Healthcare Information Requirements and Standards 1. (Application Level) Apply policies and procedures to ensure organizational compliance with regulations and standards. C. Subdomain: Clinical Classification Systems 1. (Application Level) Use and maintain electronic applications and work processes to support clinical classification and coding. 2. (Application Level) Apply diagnosis/procedure codes using ICD-10-CM. 3. (Evaluation Level) Evaluate accuracy of diagnostic/procedural groupings such as DRG, APC and others. 4. (Application Level) Adhere to current regulations and established guidelines in code assignment. 5. (Evaluation Level) Validate coding accuracy using clinical information found in the health record. 6. (Application Level) Use and maintain applications and processes to support other clinical classification and nomenclature systems, such as ICD-10-CM, SNOMED and others. 7. (Evaluation Level) Resolve discrepancies between coded data and supporting documentation. D. Subdomain: Reimbursement Methodologies 1. (Application Level) Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery. 2. (Application Level) Use established guidelines to comply with reimbursement and reporting requirements, such as the National Correct Coding Initiative. 3. (Synthesis Level) Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements, such as outpatient prospective payment systems.
Internal/External Standards Accreditation
The program will meet the competency standards set by the American Health Information Management Association (AHIMA) competencies for the CCA exam and the RHIT exam found at: http://www.ahima.org/certification/documents/rhit_exam_blueprint.pdf and http://www.ahima.org/certification/documents/CCA_Exam_Blueprint.pdf.