In today's complex practice environment, certified coders are in high demand. More physicians need a Certified Medical Coder (CMC)® capable of understanding the complexities of the reimbursement process.
Advanced coding skills limit audit liability showing auditors, compliance officers, employees and peers that you have taken steps to attain advanced knowledge and skills.
The CMC validates your achievement and demonstrates superior knowledge as an advanced coding professional. It helps you to communicate with improved confidence with physicians, third-party payers, patients and business associates. Your skills as a CMC will help decrease claim denials and improve your practice's financial health.
Certified Medical Coders are employed in thousands of medical practices across the country. The CMC certification is recognized by CMS and leading healthcare groups nationwide.
Top 3 Reasons to Attend
- Communicate with improved confidence with physicians, third-party payers, patients and business associates.
- Certification signifies advanced knowledge and skills to auditors, compliance officers, employers, and peers.
- Certified Medical Coders are employed in thousands of medical practices across the country.
MM, CMC, CMIS, CMOM, CMCO, CMCA-E/M, CEMA
Pam has more than 20 years of medical practice
management, coding, reimbursement and compliance
experience. She has managed in medical practices ranging
from single to multi-specialty groups, including ASC.
She is an advocate of process improvement and
maximizing and empowering your employees to bring
about the "best practice" results for your organization.
She received her Master's in Management from University
of Phoenix. She maintains memberships in professional
organizations to support her continuing cycle of learning
in the ever-changing healthcare industry. Prior to joining
the PMI Instructor team she was an Adjunct Instructor
and served on three advisory boards at a community
college in San Antonio.
Providers need Certified Medical Coders capable of understanding the reimbursement cycle from encounter to claim.
- Certified professionals protect the practice’s financial health by helping to limit audit liability and decrease claim denials.
- Certification signifies advanced knowledge and skills to auditors, compliance officers, employers and peers.
- Earning certification improves confidence when communicating with physicians, third-party payers, patients and business associates
- Makeup and pronunciation of medical terms/words
- Key review of the human body systems, illustrations and review of anatomic position and directional terms
- Root words, prefixes, suffixes and supplemental terms
- Combined forms associated with medical conditions
- Definitions for common medical abbreviations
- Analysis of physician orders and narratives"
- Instruction on the guidelines, organization, and groupings of ICD-10-CM
- Accurate translation of medical terminology for diseases into codes
- Designation of symbols, punctuations, abbreviations, keywords, unspecified codes and other coding conventions
- ICD-10-CM subcategories, classifications and extensions
- Outline of the complete coding and reimbursement equation
- Primary vs. secondary code selection
- Diagnostic coding guidelines such as laterality, sequelae, etc.
- Differentiate between signs/symptoms and ill-defined conditions and a diagnosis
- Correct rules and guidelines for assigning codes for neoplasms, adverse effects, pregnancy, childbirth, wounds, burns, injuries, HIV/AIDS, etc.
- Unsubstantiated and borderline diagnoses
- Application of ICD-10 coding conventions
- How to determine the accurate diagnostic code order
- Proper use of tables
- Problem set coding exercises for hands-on comprehension
Procedural Coding - CPT® and HCPCS
- Key elements of physician documentation that drive the assignment of CPT codes
- Accurate code assignment through the application of coding guidelines
- HCPCS/CPT coding process and steps
- Format and conventions used in the HCPCS/CPT coding manuals
- Global and unbundled procedures, and their impact on coding in CPT
- Identify unlisted procedures and how to bill them
- Modifier usage for appropriate reimbursement and efficient claims processing
- Evaluation and management service types
- E/M guidelines and levels of service
- Medical record documentation as related to the application of E/M coding
- Bundled services guidelines for surgery coding
- New versus established patient guidelines
- Surgery coding guidelines
- Hands-on exercises coding common procedures and services provided by physicians
Ancillary Services & Advanced Coding
- Maternity and delivery services
- Types of radiology services
- Technical and professional component distinction
- Billing supervision and interpretation (S&I) services
- Laboratory procedure types
- Billing for qualitative detection versus quantitative detection
- Billing laboratory panel tests
- Types of pathology services
- Coding services in the medicine section
- Billing for administration of vaccines and immunizations
- Types of dialysis
- Guidelines used to assign ophthalmologic examinations
- Advanced coding problem set exercises