Central Arizona College

Coding and Reimbursement Certificate

Semester Hours: 34
Effective Term: Fall 2020

Prerequisites: MAT082, CIS120
Corequisites: None

Program Description: The Coding and Reimbursement Certificate prepares entry-level medical coders and reimbursement specialists. The competencies covered in this program include revised coding standards, health records, data content, accreditation standards, reimbursement methodologies, privacy, confidentiality, legal and ethical issues.

The Certificate prepares students to sit for the Certified Coding Associate (CCA) credentialing exam from AHIMA at the national level, as well as the AMBA Certified Medical Reimbursement Specialist (CMRS).

Recommended Proficiencies: None

Course Requirements
Coding and Reimbursement Certificate Total Credits: 34 Pre-Program Requirements: Students must apply for admission to the Coding and Reimbursement Certificate program with the HIM Director. HESI score of 70% or higher required. High School diploma or GED required. Students accepted in to the Coding and Reimbursement Certificate program may then request permission from the director to enroll in courses with an HIM prefix. Prerequisite: CIS120 Survey of Computer Information Systems (3) MAT082 Basic Arithmetic (3) Core Requirements (34) BIO160 Introduction to Human Anatomy and Physiology (4) HCC116 Medical Terminology (3) HCC162 Basic Pharmacology for Health Occupations (3) HCC173 Pathophysiology (3) HIM115 Health Information Technology I (2) HIM121 Legal Aspects of Health Information (3) HIM131 Introduction to Insurance and Insurance Billing I (3) HIM138 ICD Coding (3) HIM158 CPT Coding (3) HIM161 Introduction to Insurance and Insurance Billing II (3) HIM175I Practicum Coding and Reimbursement (4) Elective (Optional) HIM208 Advanced Coding (2) Other Requirements Students must earn: - a grade of "C" or better in all required courses; - a cumulative grade point average (CGPA) of at least a 2.0 on a 4.0 scale; - a minimum of 3 earned CAC credits numbered 100 or above; -a minimum of 34 semester credits.
Program Measurable Student Learning Outcomes
1. (Analysis Level) Identify, differentiate, and explain the structures and functions of the human body. (CSLO 2) 2. (Application Level) Apply skills of coding nomenclature required by industry standards. (CSLO 2) 3. (Comprehension Level) Define and discuss medical terms relating to diagnoses and procedures. (CSLO 2,4) 4. (Evaluation Level) Evaluate health information management concepts and health care systems. (CSLO 1,2,3,4) 5. (Analysis Level) Categorize utilization of pharmaceuticals. (CSLO 2,4) 6. (Evaluation Level) Examine, compare and contrast disease processes as correlated to diagnostic documentation in a multicultural health care system. (CSLO 1,2,4) 7. (Synthesis Level) Synthesize and apply reimbursement methodologies to collected information as required for treatment, payment, and information. (CSLO 1,2,4) 8. (Synthesis Level) Apply for certificate completion at CAC and complete the application for the credentialing exam. (CSLO 2,3)
Standards for Program
CAHIIM FOR AHIMA As outlined in the Standards and Interpretations for Accreditation of AAS HIT Programs for AHIMA. http://cahiim.org/accredstnds.html also http://www.ahima.org/certification/CCA, see Candidate Guide under Helpful Resources.