Portland Community College | Portland, Oregon

Students who successfully complete this course will be able to:

1. Assign diagnosis/procedure codes using ICD-9-CM.
2. Assign procedure codes using CPT/HCPCS.
3. Apply other clinical classification systems.
4. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources (e.g. patient care, management, billing reports and/or databases).
5. Conduct analysis to assure that documentation in the health record supports the diagnosis and reflects the progress, clinical findings and discharge status.
6. Validate coding accuracy using clinical information found in the health record.
7. Support accurate billing through coding, chargemaster and bill reconciliation processes.

Students will demonstrate these learning outcomes by these tasks conducted individually and in cooperation with other students:

• Successful completion of assignments as outlined on the lab schedule.

• Critical thinking skills
• Medical terminology
• Anatomy and physiology
• Pathophysiology
• Health record content
• Laboratory testing
• Medical imaging