The role of a hospital or facility coder involves comprehensively reviewing patient medical records, categorizing them, and assigning precise codes across different hospital environments.
Individuals engaged in coding within a hospital setting are required to possess an in-depth knowledge of anatomy, physiology, medical terminology, as well as the coding guidelines for both outpatient and inpatient services. Obtaining the CCS® certification from AHIMA enables professionals to showcase their expertise in ensuring data quality and accuracy in both inpatient and outpatient coding.
A Certified Coding Specialist (CCS) is a credential awarded by the American Health Information Management Association (AHIMA) to individuals who have proven their expertise in accurately and efficiently coding medical data. Those holding the CCS designation are adept at classifying medical information from patient records, which includes diagnoses, procedures, and treatments, utilizing standardized coding systems such as ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II.
The American Health Information Management Association® (AHIMA®) has recognized Saturnix as an authorized provider for the Certified Coding Specialist (CCS®) credential. Solutions3X offers a comprehensive training program tailored to equip healthcare professionals with the necessary skills to master the complexities of the CCS certification in the dynamic healthcare environment. For further validation, please refer to the AHIMA® website.
Expertise in accurately assigning ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures conducted within a hospital environment.
Proficient in adapting to and incorporating changes in coding and reimbursement regulations to ensure compliance.
Strong understanding of MS DRG, the Inpatient Prospective Payment System (IPPS), and the Outpatient Prospective Payment System (OPPS).
Skilled in accurately abstracting data from medical records and assigning codes with precision.
Anatomy,Physiology,Pathology and medical terminology review
Inpatient facilities and related hospital departments
Pharmacology concepts
Documentation and coding standards
ICD-10-CM coding guidelines
ICD-10-PCS
CMS and inpatient payment systems
Outpatient prospective payment system
Regulatory and payer requirements
Business in the inpatient facility
Compliance in the facility
DRG Creep Examples
DRG hands on assignment
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