Inpatient Auditing Specialist

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Category: 
Medical & Healthcare
Combined Hours: 
545
Course Type: 
Mentor Supported
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Developed to provide an advanced look into the world of medical coding and auditing, our Medical Inpatient Auditing Specialist program explores essential applications and real patient cases that explain coding services. We also cover medical terminology and human anatomy.

Medical Inpatient Auditing

Developed to provide an advanced look into the world of medical coding and auditing, our Medical Inpatient Auditing course explores essential applications and real patient cases that explain coding services. Hands-on physician documentation is provided to help develop essential auditing knowledge and skills. Our course is divided into chapters that cover ICD-10-CM, CPT, and HCPCS. We explore codes for evaluation and management services, medicine, radiology, pathology and laboratory, surgeries, and anesthesia.

Prerequisite: Solid knowledge of Medical Terminology and Medical Coding. If you do not know Medical Terminology or Medical Coding you can take one or both of our additional courses.

Medical Coding

Medical Coding is listed as one of the fastest growing professions in allied health. The medical industry is experiencing a tremendous demand for individuals with knowledge of medical office operations, which includes diagnostic and procedural coding. Take your first step toward a successful career in medical coding with comprehensive coverage from one of the most trusted programs in the field! This Medical Coding course is practical and shows you exactly how to code using all of today's coding systems by providing an in-depth introduction to essential coding concepts. In addition to coverage of reimbursement, CPT, HCPCS, and inpatient coding, this course offers complete coverage of the ICD-10-CM diagnosis coding system. No other course on the market so thoroughly prepares you for all coding systems in one course!

Prerequisite: Solid knowledge of Medical Terminology and Anatomy & Physiology. If you do not know Medical Terminology or Anatomy & Physiology you can take one or both of our additional courses.

Medical Terminology: An Overview

Medical terms can be complex, confusing and difficult to memorize. By understanding the origins of the words and their building blocks - such as roots, prefixes and suffixes, the terminology will make sense and be easier to use in everyday settings such as doctor’s offices, labs, pharmacies, hospitals and clinics. This course is structured to help you break down commonly used terms and understand how medical terminology relates to body parts, diseases and procedures.

Human Anatomy

Our Human Anatomy course provides necessary background information which is essential for students to assimilate anatomy information.  Our course is useful for increasing not only an intellectual understanding of anatomy but also self-awareness of the body in action.  For most people, anatomy can be somewhat intimidating, but this beginning level course will help you sort through fascinating facts about the human body in a straightforward, easy to comprehend manner. 

** Course Subject to Change.

Medical Inpatient Auditing

After completing this course, you should be able to:

  • Identify types of service and diagnosis codes, how to use modifiers, and how to use the audit form
  • Recognize the key components of E/M and medicine coding
  • Recall terminology for positions and placements and types of services for radiology, pathology, and laboratory
  • Describe coding aspects for surgical procedures and body systems
  • Identify base units and modifiers related to coding for anesthesia

Prerequisite: Solid knowledge of Medical Terminology and Medical Coding. If you do not know Medical Terminology or Medical Coding you can take one or both of our additional courses.

 

Medical Coding

After completing this course, you should be able to:

  • Identify the core elements of the ICD-10-CM coding system
  • Recognize the conventions and guidelines of the ICD-10-CM coding system
  • List the conventions and guidelines of the HCPCS coding system
  • Define the fundamental uses and guidelines of the CPT coding system
  • Recall the use of modifiers and evaluation and management services (E/M)

Medical Terminology: An Overview

After completing this course, you should be able to:

  • Identify the foundation of medical terminology
  • List functions of major body systems such as skeletal, muscular and sensory
  • Recall how your blood vessels, lymph nodes and heart work together
  • Recognize the fundamentals of the body’s endocrine system, central nervous system and the male and female reproductive systems

Human Anatomy

After completing this course, you should be able to:

  • Define the basic anatomical terminology of the human body
  • Recall the spine and trunk regions of the human body and their functions
  • Recognize the thorax and the abdominal sections of the human body
  • Identify the functions of the pelvis and lower limbs region of the body 

Medical Inpatient Auditing

Medical Inpatient Auditing Module 1
Evaluation and Management Services

  • Hospital Inpatient Services
  • Diagnosis Coding
  • Consultations and Discharging
  • Office and Other Outpatient Services
  • Hospital Observation Services
  • Neonatal and Newborn Services
  • Preventive Medicine Services

Medical Inpatient Auditing Module 2      
Medicine  

  • Vaccinations and Immunizations
  • Psychiatry
  • Dialysis
  • Vascular Diagnostic Studies
  • Central Nervous System Tests
  • Chemotherapy
  • Physical Medicine and Rehabilitation
  • Medical Nutrition Therapy
  • Special Services, Procedures, and Reports

Medical Inpatient Auditing Module 3      
Radiology, Pathology, and Laboratory

  • Interventional Radiology
  • Diagnostic Radiology
  • CAT/CT Scans
  • Ultrasound
  • Radiation Oncology
  • Urinalysis, Molecular Pathology, and Chemistry
  • Hematology and Coagulation
  • Immunology
  • Transfusions
  • Microbiology
  • Surgical Pathology

Medical Inpatient Auditing Module 4    
Integumentary  

  • Debridement
  • Lesion Excision
  • Skin Tags
  • Nails
  • Skin Grafts
  • Pressure Ulcers
  • Breast Procedures

Medical Inpatient Auditing Module 5  
Cardiovascular  

  • Arteriosclerosis
  • Coronary Artery Bypass Grafts
  • Pacemaker
  • Stress Tests
  • Myocardial Perfusion Scan
  • Cardiac Catheterization
  • Cardioversion

Medical Inpatient Auditing Module 6   
Digestive and Hemic/Lymphatic Systems

  • Intestinal Obstruction
  • Hemorrhoids
  • Catheters
  • Endoscopy Procedures
  • Gastritis
  • Ulcer
  • Hernia
  • Polyps
  • Laparoscopic Procedures
  • Cholecystectomy
  • Crohn’s Disease

Medical Inpatient Auditing Module 7
Musculoskeletal System

  • Arthrocentesis
  • Fixation
  • Excision
  • Repair, Revision, and Reconstruction
  • Sprains and Strains
  • Fractures
  • Amputation
  • Arthroscopy

Medical Inpatient Auditing Module 8
Respiratory  

  • Enzyme Immunoassay
  • Spirometry
  • Sleep Studies
  • Symptoms, Signs, and ill-Defined Conditions
  • Symptoms as Diagnoses
  • Pulmonary Stress Test
  • Septoplasty and Turbinate
  • Thoracentesis
  • Tracheostomy

Medical Inpatient Auditing Module 9
Urinary, Reproductive and Genital Systems

  • Urinary System
  • Male Genital System
  • Vasectomy
  • Reproductive System Procedures
  • Male and Female Genital Systems
  • Maternity Care and Delivery

Medical Inpatient Auditing Module 10
Nervous, Eye, and Auditory Systems

  • Craniotomy
  • Subdural Hematoma
  • Stealth Surgery
  • Cranioplasty
  • Shunts
  • Eye Examinations
  • Cataracts
  • Photocoagulation
  • Ectropion and Entropion
  • Epiphora
  • Office Services
  • Myringotomy and Tympanostomy

Medical Inpatient Auditing Module 11
Anesthesia

  • Types of Anesthesia
  • Base Units
  • Positioning
  • Anesthesia Time
  • Pain Management
  • Obstetrics
  • Critical Care
  • Patient-Controlled Analgesia

**Outlines are subject to change, as courses and materials are updated.**

Medical Coding

Medical Coding Module 1
Overview of ICD-10-CM

  • Reimbursement, HIPAA and Compliance
  • Basic Structure of the Medicare Program
  • Improvements to the ICD-10-CM
  • ICD-10-CM Format
  • Mapping
  • Outpatient Coding and Reporting Guidelines
  • Unconfirmed Diagnosis
  • Z Codes
  • Chronic Diseases
  • Therapeutic Services

Medical Coding Module 2     
Using ICD-10-CM

  • Accurate Coding
  • Alphabetic Index and Tabular List
  • Level of Specificity
  • Integral Conditions
  • Multiple Coding
  • Chapter Specific Guidelines Chapters 1-10
  • Endocrine, Nutritional and Metabolic Diseases
  • Diseases of the Nervous System
  • Diseases of the Circulatory System
  • Diseases of the Respiratory System

Medical Coding Module 3     
Chapter-Specific Guidelines

  • Diseases of the Digestive System
  • Diseases of the Skin and Subcutaneous Tissue
  • Diseases of the Musculoskeletal System and Connective Tissue
  • Pregnancy, Childbirth and Puerperium
  • Congenital Malformations, Deformations and Chromosomal Abnormalities
  • Symptoms, Signs and Abnormal Clinical and Laboratory Findings
  • Injury and Poisoning

Medical Coding Module 4    
CPT, HCPCS and Modifiers

  • The Purpose of the CPT Manual
  • Updating the CPT Manual
  • CPT Manual Format
  • Level II National Codes (HCPCS)
  • History of National Level Codes
  • Updating the HCPCS Manual
  • National Physician Fee Schedule
  • CPT Modifiers

Medical Coding Module 5  
E/M Services and Anesthesia

  • Contents of the E/M Section
  • Three Factors of E/M Codes
  • Various Levels of E/M Service
  • An E/M Code Example
  • Using the E/M Codes
  • Documentation Guidelines
  • Types of Anesthesia
  • Anesthesia Section Format
  • Formula for Anesthesia Payment
  • Concurrent Modifiers

Medical Coding Module 6   
Surgery Guidelines and Integumentary System

  • Surgery Section
  • Notes and Guidelines
  • Special Reports
  • Separate Procedure
  • Surgical Package
  • Skin, Subcutaneous and Accessory Structures
  • Burns
  • Destruction
  • Breast Procedures

Medical Coding Module 7
Musculoskeletal and Respiratory Systems

  • Fractures and Dislocations
  • Application of Casts and Strapping
  • Endoscopy
  • Arthroscopy
  • Accessory Sinuses
  • Larynx
  • Trachea
  • Bronchi Lungs and Pleura

Medical Coding Module 8
Cardiovascular, Hemic, Lymphatic and Digestive Systems

  • Cardiovascular Coding in the Surgery Section
  • Cardiovascular Coding in the Medicine Section
  • Cardiovascular Coding in the Radiology Section
  • Hemic and Lymphatic Systems
  • Mediastinum and Diaphragm
  • Lips
  • Vestibule of Mouth
  • Salivary Glands and Ducts
  • Pharynx, Adenoids and Tonsils
  • Intestines

Medical Coding Module 9
Urinary, Reproductive and Genital Systems

  • Urinary System
  • Male Genital System
  • Intersex Surgery
  • Reproductive System Procedures
  • Male and Female Genital Systems
  • Maternity Care and Delivery

Medical Coding Module 10
Endocrine System, Eye, Ocular Adnexa and Radiology

  • Nervous System
  • Auditory System
  • Operating Microscope
  • Radiology Terminology
  • Diagnostic Radiology
  • Breast Mammography
  • Diagnostic Ultrasound
  • Radiation Oncology

Medical Coding Module 11
Pathology/Laboratory, Medicine and Inpatient Coding

  • Organ or Disease Oriented Panels
  • Therapeutic Drug Assays
  • Urinalysis, Molecular Pathology and Chemistry
  • Immunizations
  • Gastroenterology
  • Allergy and Clinical Immunology
  • Medical Nutrition Therapy
  • Medication Therapy Management Services
  • Differences between Inpatient and Outpatient Coding
  • Present on Admission (POA)

**Outlines are subject to change, as courses and materials are updated.**

Medical Terminology: An Overview

Medical Terminology: An Overview Module 1 
Prefixes, Roots, and Suffixes

Module one will take a look at the basics of body anatomy and organization, the foundation of medical terminology and why words are structured the way they are. We will look at the relationship between Greek and Latin roots, prefixes, suffixes and everyday pronunciation.

  • History of Medical Terminology
  • Applying Different Rules of Pluralization
  • Deconstructing Medical Words
  • Pronunciation and Everyday Usage 
  • Organization of the Body

Medical Terminology: An Overview Module 2 
Bones, Muscles, Skin and Sensory

Module two discusses the major body systems such as skeletal, muscular and sensory and their root terminology. We will cover how systems function together and how they correlate to the overall health of the human body, as well as pathology, diseases and conditions that affect these systems.

  • Terminology of the Skeletal, Muscular, Integumentary and Sensory Systems
  • Skeletal Diseases and Pathology
  • Classes and Types of Muscles
  • Skin Layers and Conditions
  • Anatomy of Eyes, Ears and Nose

Medical Terminology: An Overview Module 3 
Heart, Lungs and Gastrointestinal

Module three covers how your blood vessels, lymph nodes and heart all work together, as well as how the respiratory system and organs of the digestive system function. We will also recognize the proper way to diagnose gastrointestinal and respiratory conditions according to the specific body part.

  • The Cardiovascular and Lymphatic Systems
  • Veins, Arteries and Blood Flow
  • Organs of the Digestive System
  • Gastrointestinal Diseases and Pathology
  • Respiratory Terminology and Diagnostic Tests

Medical Terminology Module 4
Hormones, Nerves, Urinary and Reproductive

Module four discusses the fundamentals of the body’s endocrine system, the central nervous system and the male and female reproductive systems. We will also cover easy methods and simple phrases for memorizing medical terms through study guides and tips and tricks.

  • Endocrine System and Hormone Functions 
  • Parts of the Central Nervous System
  • Urinary Tract Functions
  • Male Reproductive Systems
  • Female Reproductive Systems

Human Anatomy

Human Anatomy Module 1
Terminology and the Head and Neck Region

Module one begins with an introduction of the study of movement and muscles. Beginning with basic anatomical terminology, module one reveals the meaning in a standard anatomical position.  Also included in this module is the study of musculoskeletal anatomy, the main focus is on muscles and the bones to which they attach. Finally, included in module one, is a study of the head and neck regions of the human body. 

  • Anatomical Terminology
  • Bones, Muscles, and Joints
  • The Skull
  • Base of the Skull and Its Attachments
  • Muscles of the Face and Jaw
  • Suspensory Muscles of the Larnyx
  • The Tongue
  • Muscles of the Palate
  • Muscles of the Throat
  • The Larynx

Human Anatomy Module 2
The Spine and Trunk Region

Module two covers the spine and truck regions of the human body, beginning with the anterior muscles of the cervical spine.  Moving on, we will take a close examination of the vertebrae of the spine, which forms the central support structure for the body.  After learning more about the spine, the study moves on with the supporting ligaments of the spine, and the muscles groups of the back and the layers connecting the pieces together.

  • Anterior Muscles of the Cervical Spine
  • The Vertebrae of the Spine
  • The Spine and Its Supporting Ligaments
  • Muscles of the Back: Deep Layers
  • Muscles of the Back: Middle and Superficial Layers
  • Muscles Attaching to the Front of the Spine

Human Anatomy Module 3
The Thorax, Abdomen, Shoulder Girdle and Upper Limb

Module three examines the thorax and the abdomen sections of the human body.  Beginning with the thorax and muscles of respiration, the module will continue on to learn more about the muscles of the abdomen and compare them to the muscles of the back. The rib cage as a whole is supported by various muscles.  Module three will carefully examine each of these suspensory muscle groups.  Also included in module three is the anatomy of the shoulder girdle and upper limbs.  We will study the muscles of the arm and shoulder, forearm, hand, and wrist.

  • The Thorax and Muscles of Respiration
  • The Abdominal Muscles
  • Suspensory Muscles of the thorax
  • The Spiral Musculature of the Trunk
  • The Shoulder Girdle
  • Muscles of the Arm and Shoulder
  • Muscles of the Forearm
  • Muscles of the Hand and Wrist
  • Intrinsic Muscles of the Hand

Human Anatomy Module 4
The Pelvis and Lower Limb

Module four takes a look at the pelvis and lower limb.  Beginning with the pelvic girdle, the study will move on to the muscles of the pelvis and hip.  The pelvis plays a crucial role in posture and movement and it is important to learn about the support structure for the legs. The muscles of the upper leg and their groups and purpose will be examined in module four, as well as, the knee, lower leg, and ankle. Finally examined in module four is the muscles of the foot. 

  • The Pelvic Girdle
  • Muscles of the Pelvis and Hip
  • Muscles of the Thigh
  • The Knee, Lower Leg, and Ankle
  • Muscles of the Ankle and Foot
  • Intrinsic Muscles of the Foot

Ed4Career is committed to being both environmentally conscious and making it easier for you to study! We’re making your education mobile! All of our textbooks are now provided as eTextbooks*. You can access them on your laptop, tablet, or mobile device and can study anytime, anywhere.

The move away from physical books to eTextbooks means you get the latest, most up-to-date version available. This also makes your training more accessible, so you can study anywhere you have your phone or tablet. The best part is that all materials are included in your training cost so there are NO extra fees for books!**

*A few courses still have physical materials.
 

Medical Coding

Upon successful completion of our Medical Coding course, students will be prepared for an entry-level position doing medical coding in a medical office setting and will be prepared to sit for the AHIMA national certification exam to become a Certified Coding Associate (CCA).

** Certification exams are not included in the cost of the course.**

Internet Connection

  • Broadband or High-Speed - DSL, Cable, and Wireless Connections

*Dial-Up internet connections will result in a diminished online experience. Classroom pages may load slowly and viewing large audio and video files may not be possible.

Hardware Requirements

  • Processor - 2GHz Processor or Higher
  • Memory - 1 GB RAM Minimum Recommended

 

PC Software Requirements

  • Operating Systems - Windows 7 or higher
  • Microsoft Office 2013 or higher. Also, you could use a general Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
  • Internet Browsers - Google Chrome is highly recommended
    • Cookies MUST be enabled
    • Pop-ups MUST be allowed (Pop-up Blocker disabled)
  • The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
  • PowerPoint Viewer (if you do not have PowerPoint)
  • Adobe PDF Reader
  • QuickTime, Windows Media Player &/or Real Player

 

MAC Software Requirements

  • Operating Systems - Mac OS x 10 or higher with Windows
  • Mac office programs or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
  • Internet Browsers- Google Chrome is highly recommended
    • Cookies MUST be enabled
    • Pop-ups MUST be allowed (Pop-up Blocker disabled)
  • The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
  • PowerPoint Viewer (if you do not have PowerPoint)
  • Adobe PDF Reader
  • Apple QuickTime Media Player

 


Click on the school name below for purchasing info:

1400 Robinwood Drive
Hagerstown, MD 21742
United States
Phone: 240-500-2553

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