Information Brochure Professional Certificate in Medical Coding

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1 Information Brochure Professional Certificate in Medical Coding CLINIMED LIFESCIENCE Pune Office- 3 rd Floor, Amarkunj Building, Above Abhishek Optical Center, Hadapsar Gaon, Pune Satara Office- 198, Raviwar Peth, Near to Old Mandai, Shivaji Circle, Opp. To Primary Teacher Bank, Powai Naka, Satara Call

2 About Us Clinimed Lifescience was established by a group of professionals from Clinical Research, Pharmaceutical industry, Healthcare industry, Academician with rich and varied experience at senior management levels. Clinimed Lifescience is educational and training institute providing a wide range of Clinical Research, Pharmacovigilance, Clinical data management, Medical Writing, Medical Coding, Regulatory Affair and other job oriented training programs. Medical coding Medical coding, is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers. The diagnoses and procedures are usually taken from a variety of sources within the health care record, such as the transcription of the physician's notes, laboratory results, radiologic results, and other sources. Diagnosis codes are used to track diseases and other health conditions, inclusive of chronic diseases such as diabetes mellitus and heart disease, and infectious diseases such as norovirus, the flu, and athlete's foot. These diagnosis and procedure codes are used by government health programs, private health insurance companies, workers' compensation carriers and others to process claims. Job prospects: The following represents the typical work place hierarchy. Entry-level Positions Coding Assistant Coding Assistants provide administrative support to one or several coding professionals. This entry-level position is an excellent fit for individuals looking for exposure to the coding profession. A 10-key test is required. Coder Coders perform basic ICD-9 and CPT coding for assigned outpatient clinical departments. This entry-level position is great for individuals embarking on a coding career. Strong knowledge of medical terminology is required. Physician billing experience is preferred. CPC or equivalent experience a plus. Completion of a medical coding test will be required.

3 CM Edit Coder CM Edit Coders perform ICD-9 and CPT coding for claim edits. Strong knowledge of medical terminology is required for this entry-level position. Physician billing experience is preferred. Completion of a medical coding test will be required. Mid- to Senior-level Positions Coding Specialist Coding Specialists perform detailed ICD-9 and CPT coding for multiple specialties, including procedures and surgeries. This is an excellent position for individuals looking to expand their coding career. A minimum of two years experience in physician coding is required. CPC or equivalent experience required. Completion of a medical coding test will be required. Chart Abstractor Chart Abstractors perform detailed ICD-9 and CPT coding for inpatient stays and/or procedures. This is a great position for those seeking a challenge in their coding career. A minimum of three years experience in physician coding is required; one year must be chart abstraction/procedural coding. CPC or equivalent experience is required. Completion of a medical coding test will be required. Team Lead Coding Specialist Team Lead Coding Specialists provide leadership to the coding team and perform detailed ICD-9 and CPT coding for multiple specialties, including procedures and surgeries. Some college is preferred. A minimum of three years experience in physician coding is required. Multi-specialty coding is preferred. CPC or equivalent experience required. Completion of a medical coding test will be required. Application & Coding Analyst Application & Coding Analysts act as a liaison for multiple computer applications in a healthcare environment. Applicants must have strong PC and problem-solving skills. College course work or a degree preferred. Experience in computer applications required. CPC or equivalent experience required. Completion of a medical coding test will be required.

4 Coding Supervisor Coding Supervisors have expertise in ICD-9 and CPT coding and provide guidance and supervision to coding staff. A minimum of three years supervisory experience in professional healthcare billing is required. CPC certification required. Completion of a medical coding test will be required. Coding Manager Coding Managers have expertise in ICD-9 and CPT coding and work to implement business practices. A minimum of five years experience related to professional healthcare billing and supervisory responsibilities is required. A college degree or some college course work in healthcare administration is required. Multi-specialty coding preferred. Coding certification a plus. Senior Manager Senior Managers provide expertise in business plans and processes to ensure success. A minimum of five years experience in a healthcare setting, preferably in an academic setting, is required. A minimum of three years experience in supervisory or management of a large staff required. A bachelor s degree required. Coding certification a plus. Coding Director Coding Directors have expertise in coding, business plans and department finances. A minimum of five years experience in a healthcare setting, preferably in an academic setting, with knowledge of multi-specialty coding is required. A minimum of three years of management experience and departmental financial responsibilities is required. A bachelor s degree required. Coding certification a plus. Eligibility Minimum eligibility criteria for the course would be either of the following: MBBS/BHMS/BAMS/BPT/MPT/BDS/BMLT/Bachelor in Naturopathy & Veterinary Science /MD/MS. Graduate/Postgraduate degree in Pharmacy/ Pharmaceutical Sciences. Graduate/Postgraduate degree in Life Sciences (Botany, Zoology, Biochemistry, Microbiology, Genetics, Biotechnology). Graduate/Postgraduate degree in Chemistry/Biostatistics/ Bioinformatics. Graduate or equivalent degree in Nursing/Allied Health. Students in their final year of graduation for the above courses may also apply.

5 Course Curriculum Modules Module 1 Topics Review of US Health Insurance System and its comparative study with Indian Healthcare Delivery System with perspectives of emerging trends in India with focus on earning opportunities. Review of TPAs in India, Medical Underwriting Practices in India. Module 2 Module 3 Review of applied medical terminology Study of ICD-9-CM and forthcoming ICD-10 CM and ICD-10-PCS Study of CPT-4 Study of HCPCS-II Complete review of Health Reimbursement Practices in US, study of global trends including DRGs, IPPS, APCs and OPPS with role of PROs and Audit/Recovery aspects. Module 4 Review of patterns of certification examinations of AAPC and AHIMA with stress on study techniques / success strategies.

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