Online Training Course

Jan Hailey MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M

Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program. 

Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.

This program is designed to help coders, auditors, providers, clinical, and practice staff involved in learning or reviewing the basics of all aspects of medical coding. Consultants, compliance officers, and office managers may also benefit.

For maximum benefit and full participation, self-provided current CPT® and ICD-10-CM coding books are required to complete hands-on coding exercises. 

Before you code another claim, improve your understanding of the rules of coding and documentation. This course is an essential coding primer with detailed instruction and workbook exercises to quickly improve coding proficiency and accuracy. Get a comprehensive look at the complete reimbursement process for physician services. Receive hundreds of professional tips to make you a more efficient, versatile, and accurate coder. 

Course Overview

1. A comprehensive look at ICD-10 diagnostic coding, CPT®, HCPCS Level II coding systems
2. Use the language of coding to tell the story of the patient encounter
3. Maximize productivity when you learn to use your coding books more effectively
4. Learn the importance of documentation and proper code selection 

Participants will gain excellent comprehension in all the following areas:

• What payers want and why
• The role of each coding language and how they fit together
• Proper use of the CPT® & ICD-10-CM code books
• Review guidelines for selecting the appropriate level of E/M service
• How to read a source document
• How to locate a code from the index
• Definition of a new patient vs. established patient
• Understand the principles and importance of medical record documentation
• How to apply prolonged service codes for office and other outpatient services
• Benefits of basic medical terminology knowledge
• Tips for appending modifiers appropriately
• Valuable guidelines/conventions of coding that apply to all coders regardless of specialty
• Steps for coding unlisted procedures