Southeastern Community College

 

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  • Summary Sheet

 

Medical Coding and Billing - Provider Emphasis

The Medical Coding and Billing-Provider Emphasis Diploma provides the latest information related to medical coding, chart auditing and insurance reimbursement. Students in our medical coding classes learn the theory of medical coding, gain an understanding of medical coding fundamentals and incorporate this by using a laboratory practicum to work medical coding reports. The students will be trained in ICD-9, CPT, and HCPCS coding language. The medical billing and coding field continues to grow as new government regulations influence physician reimbursement. This course is affiliated with the American Academy of Professional Coders (CPC). Upon completion of the course students will be eligible to sit for certification as a Certified Professional Coder (CPC).

American Academy of Professional Coders certification exam: Southeastern Community College’s Coding and Billing Physician Emphasis graduates had an 80% pass rate for 2010-2011.
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Instructors and Staff
Deb Shaffer - Instructor, ext. 5213
Email: dshaffer@scciowa.edu
AAS, Mt. St. Clare College
ADN, Southeastern Community College
Megan Massner - Instructor, ext. 5203
Email: mmassner@scciowa.edu
Diploma, Southeastern Community College
Carla Pilkington - Instructor, ext. 1986
Email: cpilkington@scciowa.edu
AA, Southeastern Community College
BA, Buena Vista University
 

 

Medical Coding and Billing - Provider Emphasis

PREREQUISITES: BIO-163, Essentials of Anatomy & Psysiology

 

* Choose 1 class from the group of available classes for this semester.

 
 Fall Semester  Credit
  CPC-121 INTRODUCTION TO MEDICAL PROCEDURAL CODING     5.5
  CPC-126 DIAGNOSTIC CODING     4
  CPC-129 INTRODUCTION TO MEDICAL INSURANCE & BILLING     2
  HIT-320 HEALTH RECORDS MANAGEMENT     2
  HSC-114 MEDICAL TERMINOLOGY     3
  MAP-431 HUMAN RELATIONS     1
 
 Spring Semester   
  CPC-131 MEDICAL INSURANCE & BILLING II     3
  CPC-150 MEDICAL PROCEDURAL CODING     3
  CPC-160 APPLICATIONS OF PROCEDURAL CODING     2
  ENG-131 BUSINESS ENGLISH     3
  MAP-401 MEDICAL LAW AND ETHICS     1
  MAP-532 HUMAN BODY: HEALTH & DISEASE     3
 
 Summer Semester   
  CPC-810 MEDICAL CODING & BILLING EXTERNSHIP     2.5
  CPC-945 MEDICAL CODING & BILLING SEMINAR     1

Medical Coding and Billing - Provider Emphasis

 

CPC-121 - INTRODUCTION TO MEDICAL PROCEDURAL CODING

Lecture: 5Lab: 1Credit: 5.5

Description: This course prepares students for a career in medical coding in the medical office. Introduction to current procedural terminology (CPT) manual, HCPCS and medical coding compliance and guidelines. Corequisites: CPC-126; CPC-129

 

CPC-126 - DIAGNOSTIC CODING

Lecture: 3Lab: 2Credit: 4

Description: The course will prepare the student for application coding nuances and guidelines along with compliance as it is related to diagnostic coding. The student will be able to assign diagnostic codes reporting all applicable codes and sequence in accordance with the guidelines. Corequisites: CPC-120; CPC-129

 

CPC-129 - INTRODUCTION TO MEDICAL INSURANCE & BILLING

Lecture: 1Lab: 2Credit: 2

Description: This course is designed to assist students in understanding the complexities of current insurance and billing procedures in the medical office or clinic setting. The student will obtain a sound foundation of the nuances, guidelines and requirements involved. The student will be familiarized with claims submission for major medical insurance/reimbursement programs. Corequisites: CPC-121 & CPC-126.

 

CPC-131 - MEDICAL INSURANCE & BILLING II

Lecture: 2Lab: 2Credit: 3

Description: This course will discuss all aspects of insurance billing for today's health care plans. The latest information on HIPAA and OIG regualtions, diagnostic and procedural coding, and office and insurance collection strategies will be covered, ensuring preparation for real-world situations. Also covered will be the importance of the medical insurance specialist's role in filing clean claims, solving problems that do occur and collecting overdue payments. Prerequisites: HSC-114, MAP-145, MAP-431, CPC-120, CPC-125 and CPC-129. Corequisites: CPC-160 and CPC-150.

 

CPC-150 - MEDICAL PROCEDURAL CODING

Lecture: 3Lab: 0Credit: 3

Description: This course will discuss the background of CPT, HCPCS coding, modifier assignment, CPT guidelines and the assignment of codes, ICD-9 selection, medical necessity regulations, documentation guidelines, HIPAA law, and how to read, interpret, and audit a chart or operative record. Prerequisites: HSC-114, MAP-145, MAP-431, CPC-120, MAP-105 and BIO-163. Corequisite: CPC-160.

 

CPC-160 - APPLICATIONS OF PROCEDURAL CODING

Lecture: 0Lab: 4Credit: 2

Description: This course allows the student to apply knowledge of CPT, modifier assignment, HCPCS, ICD-9 selection, with medical necessity. Prerequisites: HSC-114, MAP-145, MAP-431, CPC-120, MAP-105 and BIO-163. Corequisite: CPC-150.

 

CPC-810 - MEDICAL CODING & BILLING EXTERNSHIP

Lecture: 0Lab: 10Credit: 2.5

Description: The student will be placed in a predetermined medical office, clinic or related facility, and work under the supervision of an office manager or coding/billing supervisor, and the program coordinator for a 160 hour minimum required practicum. Prerequisites: HSC-114, MAP-145, MAP-431, CPC-129, CPC-120, CPC-150, CPC-131, CPC-160, MAP-401 and MAP-532. Corequisite: CPC-945.

 

CPC-945 - MEDICAL CODING & BILLING SEMINAR

Lecture: 1Lab: 0Credit: 1

Description: This course prepares students for job readiness skills needed in their chosen career of medical coding and billing. The student will also be prepared to take a mock certification examination. Prerequisites: HSC-114, MAP-145, MAP-431, CPC-129, CPC-120, CPC-125, CPC-150, CPC-131, CPC-160, MAP-401 and MAP-532. Corequisite: CPC-810.

 

ENG-131 - BUSINESS ENGLISH

Lecture: 3Lab: 0Credit: 3

Description: This course teaches the fundamentals of written communication with focus on the elements of effectively written business documents. The emphasis is on the development of writing skills through a) exercises in grammar, mechanics, usage, and spelling and b) application of these skills in a variety of written business documents. Prerequisites: Mandatory COMPASS, ACT or AccuPlacer test score and madatory eWrite or WritePlacer score (per SCC Writing Scores & Mandatory Course Placement Chart), or a C- or above in ENG-061, College Preparatory Writing II. No waivers.

 

HIT-320 - HEALTH RECORDS MANAGEMENT

Lecture: 1Lab: 2Credit: 2

Description: Explores the role of the health information professional in the management of health records. The course emphasizes the components, regulations and maintenance life cycle of health information in paper and electronic formats. Examines purpose of accreditation and regulatory standards in development of health record practice guidelines and the evolving role of the computerized applications. Corequisites: HSC-114 Medical Terminology

 

HSC-114 - MEDICAL TERMINOLOGY

Lecture: 2Lab: 2Credit: 3

Description: This course is designed to study the basic language related to medical science with emphasis on word analysis, construction, definitions, pronunciations, spelling and standard abbreviations.

 

MAP-401 - MEDICAL LAW AND ETHICS

Lecture: 1Lab: 0Credit: 1

Description: This course is designed to expose the student to legal concepts of standard of care, scope of employment, criminal and civil acts, contract, negligence and ethical concepts.

 

MAP-431 - HUMAN RELATIONS

Lecture: 1Lab: 0Credit: 1

Description: This course includes the study of the fundamental principles related to human relations, self-improvement, professional appearance and attitudes, limitations, and behaviors. Principles of individualized client care and etiquette of the medical practice are emphasized.

 

MAP-532 - HUMAN BODY: HEALTH & DISEASE

Lecture: 3Lab: 0Credit: 3

Description: This course is designed to acquaint the student with the basic concepts and characteristics of disease processes, to impart basic knowledge of the etiology of the disease and to enable the student to understand the relationship between clinical signs and the disease process. Diagnostic tests and common treatments will be discussed. Concepts of Health promotion and client education will be emphasized. Prerequisite: BIO-163.

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