OFCR1335 Medical Coding and Reimbursement Fundamentals

This course includes an overview of ICD10 diagnostic coding as well as CPT and HCPCS procedural coding. Principles of complete and accurate coding for both statistical reporting and insurance billing will be covered. Exercises and case studies will be used to demonstrate requirements for accurate coding and claims processing.

Credits

4

Prerequisite

OFCR1301

Course Requirements and Evaluation

Refer to Course Syllabus for detailed information regarding the requirements and evaluation standards for this course. The Course Syllabus will be distributed the first week of the course.

Learning Outcomes

The following outcomes will be addressed in the course:
Demonstrate use of coding publications: ICD10, CPT, and HCPCS
Utilize reference materials effectively
Assign ICD10 diagnostic codes
Assign HCPCS national codes
Assign CPT procedure/service codes
Demonstrate code sequencing in multiple diagnoses
Link diagnostic codes with procedure/service codes
Describe basic billing functions
Identify insurance reimbursement methodologies
Outline specific payer guidelines
Complete insurance claims
Explain the Electronic Date Interchange (EDI) process

Text and References

A list of textbooks required for this course is available at the bookstore.

Course Scheduling

The scheduled hours of instruction include sixteen hours for each lecture credit, thirty two hours for each lab credit and forty hours for each credit of supervised occupational experience (SOE). Lecture credit may include formal or impromptu lectures, demonstrations or discussions with the entire class or with small groups or individuals. Refer to the Credit Details section of this course outline for the credit breakdown.

Accommodations Statement

Disability Services assists students with disabilities who need accommodations to access programs, services and college activities.  If this applies to you, please contact the DS Office on your campus to initiate the accommodations process. 
Brooklyn Park Campus - 763-488-2477
Eden Prairie Campus – 952-995-1544

Campus

Brooklyn Park Campus Eden Prairie Campus 952-995-1300

Credit Details

lecture:

4