MAP 144 - Beginning Medical Coding

1. Apply diagnosis and procedural coding interpretation from medical documentation.
   1. Identify the scope and purpose of the ICD-10-CM and CPT coding books.
   2. Monitor, verify, and interpret the use of ICD-10-CM diagnoses and CPT procedural codes.
   3. Demonstrate an understanding of the diagnosis and procedural coding process.
2. Analyze medical documentation in the health record to extract pertinent information for coding.
   1. Apply diagnosis and procedural coding interpretation from medical documentation.
   2. Convert written descriptions of diagnoses and procedures from the health record into a numerical description.
   3. Define medical necessity.
   4. Demonstrate ability to link CPT and iCD-10-CM codes.
3. Perform appropriate billing and reimbursement procedures in an ethical and professional manner.
   1. Define the standards of ethical coding.
   2. Identify the appropriate steps to ensure coding compliance.
   3. Audit coding accuracy using clinical information found in the health records.
   4. Assure that there is documentation in the health record to support the diagnosis and reflect the progress and procedural findings.
   5. Acknowledge the use of the CMS1500 insurance form in the outpatient setting.
4. Analyze rules and regulations regarding medical coding for the medical office.
   1. Recognize current issues and trends that impact medical coding.
   2. Apply confidentiality standards including HIPAA policies to medical coding.
   3. Adhere to legal and ethical practices.
   4. Illustrate compliance in facilitating billing.