Executive Certificate in Medical Coding Regulations
-- viewing nowThe Executive Certificate in Medical Coding Regulations is a comprehensive course designed to equip learners with the essential skills needed to thrive in the complex and ever-evolving field of medical coding. This certificate program focuses on the intricacies of medical coding regulations, ensuring that learners have a deep understanding of the rules and regulations that govern this critical healthcare function.
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Course details
• Medical Coding Basics: Understanding ICD-10-CM, CPT, and HCPCS coding systems, code sets, and code structure.
• Regulatory Bodies: Overview of CMS, AMA, AHA, and other agencies involved in medical coding regulations.
• Coding Compliance: Guidelines for maintaining coding compliance, including documentation and auditing requirements.
• Medical Necessity: Defining medical necessity, determining medical necessity for procedures and services, and coding for medical necessity.
• Coding Ethics: Ethical considerations in medical coding, including confidentiality, accuracy, and integrity.
• Coding Audits: Understanding coding audits, including internal and external audits, and best practices for preparing for and responding to audits.
• Coding Appeals: Processes for appealing coding denials and appeals strategies.
• Coding Updates and Changes: Staying current with coding updates and changes, including annual code updates and changes to coding regulations.
• Risk Management: Identifying and managing coding-related risks, including compliance risks and financial risks.
Career path
Entry requirements
- Basic understanding of the subject matter
- Proficiency in English language
- Computer and internet access
- Basic computer skills
- Dedication to complete the course
No prior formal qualifications required. Course designed for accessibility.
Course status
This course provides practical knowledge and skills for professional development. It is:
- Not accredited by a recognized body
- Not regulated by an authorized institution
- Complementary to formal qualifications
You'll receive a certificate of completion upon successfully finishing the course.
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