MEDR1234

This is a lecture- and lab-based online course that includes a study of clinical classification systems (e.g., ICD-10-CM and ICD-10-PCS) and reimbursement methodologies. Topics of study include the use and maintenance of electronic applications and work processes that support clinical classification and coding; assignment of diagnosis and procedure codes using current nomenclature (paper-based coding manuals and encoder software); ensuring the accuracy of diagnostic and procedural groupings (e.g., DRGs, MS-DRGs); interpretation of regulations and coding guidelines; validation of coding accuracy by using clinical information located in the health record; use and maintenance of applications and processes to support other clinical classification and nomenclature systems (e.g., DSM-V); and use of clinical data for reimbursement and prospective payment systems.