Medical Coding and Revenue Management - Certificate with Financial Aid Eligibility

College of Health Sciences

MEDCD-CT

Program Leadership Information

Kengia Sabree
Program Director II (Acting)
sabree.kengia@SPCollege.edu


Program Summary

The Medical Coding and Revenue Management (formerly known as the Medical Coder) Certificate is designed to provide a student with the skills necessary to transform medical diagnoses, procedures and injuries into designated numerical codes. There are many demands for accurately coded data from the medical records in hospitals, physician offices, as well as other healthcare institutions. Codes are provided on claim forms and on numerous medical record abstracts so third party payors and outside agencies may utilize this information. Coded data are also used internally by institutions for quality assurance activities, case-mix management and other administrative and research activities. A medical coder is an individual who analyzes medical records and assigns codes to classify diagnoses and procedures to support revenue cycle, assessment of clinical care, and medical research activity. A medical record coder must have a thorough understanding of the content of the medical record as well as clinical knowledge including extensive training in anatomy, physiology, pharmacology and clinical disease process. A coder must adhere to ethical principles relating to quality, truth, and accuracy in work performance and productivity. The suggested courses are in agreement with guidelines set forth by the American Health Information Management Association. These courses will apply toward the AS degree in Health Information Management.

The Academic Pathway is a tool for students that lists the following items:
  • the recommended order in which to take the program courses
  • suggested course when more than one option exists
  • which semester each course is typically offered
  • if the course has a prerequisite
  • courses that may lead to a certificate (if offered in the program)
If you are starting the program this term, click here to access the recommended Academic Pathway.

If you have already started the program, click one of the following for the archived Academic Pathways. Please verify the Academic Pathway lists your correct starting semester.

Program Learning Outcomes

  1. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Clinical Classification Systems.
  2. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Reimbursement Methodologies.
  3. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Health Records and Data Content.
  4. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Compliance.
  5. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Information Technologies.
  6. Students will develop knowledge and skills at the recall, application, and analysis levels in the content area of Confidentiality and Privacy.

Admission Requirements

Health Degree Admission Guides outline criteria specific to each program, including course requirements, GPA and the application process.

Graduation Requirements

In order to enroll in any program course with a prerequisite, a grade of ā€œCā€ or better must have been earned in all prerequisite courses. Students must earn grades of ā€œCā€ or better in all courses required for the Medical Coding and Revenue Management CT curriculum in order to graduate from the program.

Program Requirements

ADMISSIONS COURSES
Support Courses
Credits 9
Computer Applications (Active)
3
Medical Terminology I (Active)
2
Essentials of Human Anatomy & Physiology (Active)
4
MAJOR CORE COURSES
1st Term in Program
Credits 13
HIM Standards and Practice (Active)
3
Pharmacology and Pathophysiology for HIM Professionals (Active)
3
Introduction to Coding and Reimbursement Systems (Active)
2
Introduction to ICD-CM Coding (Active)
3
Electronic Health/Medical Record Systems (Active)
2
MAJOR CORE COURSES
2nd Term in Program
Credits 11
Professional Practice Experience I (Active)
3
ICD-PCS Coding (Active)
3
Basic CPT Coding (Active)
3
Health Law Concepts and Practices (Active)
2
MAJOR CORE COURSES
3rd Term in Program
Credits 4
Professional Practice Experience II (Active)
3
Credentialing Exam Review (Active)
1
Total: 37

Graduation Notes

New graduates from the Medical Coding and Revenue Management Certificate program are advised to take the Certified Coding Associate (CCA) examination and gain coding experience in both inpatient and outpatient settings before taking the Certified Coding Specialist (CCS) examination and/or the Certified Coding Specialist-Physician-based (CCS-P) examination administered by the American Health Information Management Association (AHIMA).