Covers legal issues associated with procedural and diagnostic coding, use of patient chart information, and translation of insurance information into numeric and alphanumeric codes.

Focuses on the translation of patient data and written diagnoses into diagnostic codes that identify diseases, conditions, and signs and symptoms. Emphasizes accuracy in coding and the rules of diagnostic coding.

Provides instruction for outpatient coders to interpret various source documents and translate written narrative into numeric procedure codes. Uses record documentation and CMS 1500 insurance claim forms and includes an overview of HCPCS. Concurrent or prior enrollment in MEDC 115 is recommended.

Introduces the use of electronic health records to manage health information. Covers data entry, including data by touch on the ten-key pad, while creating electronic medical records (EMR) for both inpatient and outpatient settings using software applications. Speed, accuracy, and proper technique are emphasized and practiced.

Advances the practical application of diagnostic and procedural coding using Current Procedural Terminology (CPT), International Classification of Disease (ICD) and Healthcare Common Procedure coding systems (HCPCS), including complex coding scenarios.