Inpatient facility coding represents one of the most lucrative and high-demand sectors within the administrative allied health field. This Advanced Hospital Coding and CCS Prep course provides the strategic edge you need to either bridge knowledge gaps in your current hospital role or successfully transition from a physician's office to a complex inpatient setting. By transforming your foundational knowledge of medical terminology and anatomy into advanced, facility-specific mastery, you will develop the specialized skills required to navigate the intricate reimbursement models and data quality standards unique to large-scale healthcare systems. Stay ahead of evolving industry standards and prove your expertise.
Because hospital coding is a specialized, credential-heavy profession, this program is meticulously designed to prepare you for the industry's most respected benchmarks. You will dive deep into advanced ICD-10-PCS and DRG assignments, ensuring you meet the high standards of accuracy required by top-tier employers. Upon completion, you will receive a voucher for the AHIMA Certified Coding Specialist (CCS) exam, providing a direct pathway to the gold-standard certification needed to secure advanced positions and maximize your marketability in the global healthcare market.
Please note: We would like to inform you that AHIMA (American Health Information Management Association) has recently undergone a system transition to the new MYAHIMA Hub. This transition has had an impact on our ability to provide vouchers to you for membership and certification exams. We understand the importance of these vouchers in supporting your educational journey and career advancement. Please be assured that AHIMA is actively prioritizing the resolution of this issue. They are working diligently to address the technical challenges associated with the system transition. We are in close communication with AHIMA and will promptly fulfill all exam voucher requests as soon as AHIMA has implemented a solution. Our team is committed to providing you with the support and resources you need to succeed in your membership and certification exam endeavors. We apologize for any inconvenience this may cause and appreciate your patience during this time of transition. We will continue to provide updates as we receive them from AHIMA. Thank you for your understanding. If you have any further questions or concerns, please do not hesitate to reach out to us. We are here to assist you.
Instructor(s):Carline Dalgleish
Carline Dalgleish has worked in medical office administration for over 30 years. She holds a bachelor's degree in Business Information Systems, a master's degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and also owns her own consulting firm.
Bunny Reeves
Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island's St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).
Requirements:
Hardware Requirements:
- This course can be taken on either a PC or Mac.
Software Requirements:
- PC: Windows 8 or later.
- Mac: macOS 12 or later.
- Browser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.
- Adobe Acrobat Reader.
- Software must be installed and fully operational before the course begins.
Other:
- Email capabilities and access to a personal email account.
Instructional Material Requirements:
The following eBooks will be provided to you approximately 7-10 business days after enrollment:
- Coding and Reimbursement for Hospital Inpatient Services (1yr access to eBook)
The following item is included with the course and will be provided to you approximately 7-10 business days after enrollment:
- Professional Review Guide Online for the CCS/CCS-P Examination (1yr digital access)
The following materials are required for the Advanced Hospital Coding & CCS Prep Course. Before purchasing, please check the AHIMA website for the Allowable Code Books List for the CCS certification examination. You will need the current year''s version of:
- Current Procedural Terminology (CPT) (not included)
- Healthcare Professional Coding System (HCPCS) Level II (not included)
- ICD-10-CM (not included)
- ICD-10-PCS (not included)
Please note: You will receive a digital book if the physical book is on backorder.
Hide Syllabus
Lesson 1
- Hospital Structure, Billing, and Insurance
- Introduction
- Hospital Structure and Organization
- Revenue and Reimbursement
- Payment Methods
- Cost Controls
- Healthcare Payers
- UB-04 and CMS-1500 Claim Forms
- Ethics and HIPAA Administrative Simplification
- Introduction
- Ethics
- HIPAA Privacy and Security Rules
- Electronic Data Interchange
- HIPAA Safeguards
- Fraud and Abuse
- Inpatient Acute Care Diagnosis Coding
- Introduction
- Uniform Hospital Discharge Data Set (UHDDS)
- Medical Record Documentation
- Electronic Health Record (EHR)
- ICD-10-CM Layout and Navigation
- ICD-10-CM Guidelines
- Diagnostic Coding Steps
- Regulatory Guidelines and Reporting Requirements for Inpatient Care
- Introduction
- ICD-10-CM Chapter-Specific Guidelines
- Principal and Additional Diagnoses
- Diagnosis-Related Groups (DRGs)
- Inpatient Prospective Payment Systems (IPPS)
- Complications and Comorbidities (MCC and CC)
- Present on Admission (POA) and Hospital-Acquired Conditions (HAC)
- Reporting Requirements and Physician Queries
- ICD-10-PCS Inpatient Procedure Coding
- Introduction
- ICD-10-PCS Organization and Structure
- ICD-10-PCS Root Operations
- ICD-10-PCS Guidelines
- ICD-10-PCS Sections
- Outpatient Coding: CPT and HCPCS Level II
- Introduction
- Outpatient Reimbursement Systems
- Outpatient Prospective Payment System (OPPS)
- Ambulatory Payment Classifications (APCs)
- Outpatient Code Editor (OCE)
- National Correct Coding Initiative (NCCI)
- CPT Code Categories
- Evaluation and Management (E/M) Codes
- Anesthesiology, Surgery, Radiology, Pathology/Laboratory, and Medicine Sections
- CPT Appendices
- Modifiers
- HCPCS Level II
- Data Quality, Compliance, and Auditing
- Introduction
- Data Quality
- Clinical Documentation Improvement (CDI)
- Coding Compliance
- Internal and External Coding Audits
- Career Roadmap
- Introduction
- Succeeding in a Gig Economy
- Your Skills and Qualifications
- Resume and Cover Letter
- Using Email and Social Media
- Connecting with Others
- The Interview
- Salary Negotiation
- CCS Exam Preparation
- Introduction
- Exam Eligibility
- The CCS Exam
- Coding Review Resources
Hide Syllabus