Medical coders are charged with the responsibility of selecting correct codes for optimal reimbursement while protecting the medical practice from violations due to improper billing. This program provides an introduction to ICD-10-CM, CPT® and HCPCS Level II coding systems and explores essential coding concepts that directly impact reimbursement for healthcare services provided in an outpatient setting.
Who Should Attend?
- Those interested in pursuing a career as a medical coder
- Novice outpatient coders
- Managers, clinical and administrative staff seeking an overall understanding of the coder's role and responsibilities in the healthcare setting.
- Overview of the coding process
- The role of the medical outpatient coder
- Required training, skills, and abilities: analytical, clinical language, adherence to guidelines
- Ethics, professionalism, and responsibilities
- ICD-10-CM, CPT® and HCPCS coding references - what they are and how to use them
- Explore symbols, punctuation and abbreviations
- Explanation of add-on codes, modifiers, bundling and unbundling
- Coding to the highest degree of specificity
- Accurate translation of documentation that supports proper code selection
- How important is a coding certification?
- Which certifications are recognized/required as examples of coding expertise by CMS for their Provider Relations Research Specialists (PRRS) Contractors?
- What does auditing have to do with it? When, Why, Where and How is coding audited?
Recorded on June 20 and 27, 2017
Thomas Alan Stevens
CMC, CMIS, CMOM, CCS-P, CPC
Tom has more than 20 years of experience in medical practice management, coding, revenue recovery, compliance, and regulatory changes. He also has a long history teaching proper coding guidelines to both clinical and non-clinical staff. He has served as a consultant and coding analyst where he has facilitated proper documentation flow and been responsible for medical record compliance. He has hired, trained, and supervised coders for a variety of specialties including cardiology, pulmonology, nephrology, psychiatry, family practice, oncology and neurology. His in-depth experience has helped the medical practices with which he has been associated increase their overall profitability and improve documentation, coding, billing and collection protocols and accuracy. Tom’s warm and enthusiastic teaching style exhibits his genuine desire to engage his audience as he shares best practices from his collective experience and that of the PMI faculty. The ever-evolving face of medicine and the requirements placed on medical practices mandates that medical professionals up their game in acquiring and updating knowledge and strategies for effective medical practice management. Tom is a master at helping you do this.
This course is appropriate for beginners. The content covers basic coding principles for medical office professionals responsible for accurate coding and billing in an outpatient healthcare setting.