OAT 244 - Procedure Coding

Credits: 3

Introduces medical record documentation, procedural groupings, procedural coding systems, and coding practice using automated and manual coding systems. Builds practical application skills in code assignment from brief procedural statements to more complex coding scenarios and case studies. Course may be taken concurrently with OAT 243 Diagnostic Coding.

Prerequisite(s): ENG 111 or OAT 151; HSC 105; and BIO 101W (or equivalent: BIO 140W or BIO 152W and BIO 153W, or BIO 171 and BIO 172W, or BIO 240 and BIO 241); all with a minimum grade of “C”
Corequisite(s): None
Lecture Hours: 45 Lab Hours: 0
Meets MTA Requirement: None
Pass/NoCredit: No

Outcomes and Objectives

Identify procedural terminology.
1. Abstract necessary information from patient care documentation.
2. Explain the critical relationship between a diagnosis and a procedure.
3. Use references to understand the procedure.
Determine an accurate procedure code for a given procedure.
1. Identify procedures/services being performed in procedural statements and case studies.
2. Choose the appropriate body organ and system procedure/service involved.
3. Identify the most appropriate procedure code to the highest level of specificity.
4. Determine the procedural grouping based on the healthcare setting.
5. Relate procedural grouping to reimbursement grouping based on the healthcare setting.
Demonstrate professionalism appropriate for the workplace.
1. Participate in class.
2. Follow written and oral directions.
3. Complete and submit assignments on time.
4. Participate constructively in activities.
5. Display civility toward other class members and the instructor.
6. Demonstrate academic integrity.
Determine an accurate procedure code for specialized coding situations such as evaluation/management services and pregnancy-related services.
1. Abstract necessary information from patient care documentation.
2. Make appropriate coding choices based on patient documentation.
3. Effectively use the CPT and/or HCPCS indices.