Students in class

Medical Records Coder (Health Information Management)

Career Studies Certificate

PURPOSE: This program is designed to provide the technical knowledge and skills, along with the practical experience, needed for employment as a basic medical records coder. Assisted by specialized computer equipment and software, medical records coders analyze and interpret the patient’s record to determine the proper standardized codes that represent the patient’s diagnosis and treatment. These codes may be used to create accurate standardized records, to maintain health statistics, or for billing purposes. The need for medical records coders will continue to increase as the health field continues to address reimbursement challenges and move toward a focus on quality improvement related to health care services. Upon satisfactory completion of the program, students will be eligible to take national accrediting exams offered by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).

OCCUPATIONAL OBJECTIVES: Medical records coders work in hospitals, doctors’ offices, insurance companies, and government agencies.

ADMISSION REQUIREMENTS: General college curricular admission

PROGRAM NOTES: In addition to the general college curricular admission requirements, a personal interview with the program head is required for advising prior to enrollment in the first HIM course. Courses need to be taken in the sequence listed. Students will be required to repeat any course in which a grade lower than “C” is received. This program must be completed within two years.

This program is not accredited; however, upon completion of this program, students will be prepared to take the national certification exams for coding. Students with significant on-the-job training may be eligible for advanced placement or may receive program head permission to enroll in select courses only.

STUDENT OUTCOMES FOR MEDICAL RECORDS CODER CAREER STUDIES CERTIFICATE:  Students who complete the Medical Records Coder Career Studies Certificate will be expected to

  • Recognize and implement professional policies and procedures related to the legal and ethical use of medical information;
  • Interpret health record documentation using knowledge of anatomy, physiology, clinical indicators and disease processes, pharmacology, and medical terminology to identify codeable diagnoses and/or procedures, according to the ICD-10-CM and CPT-4 coding systems;
  • Apply knowledge of major reimbursement systems in the United States to the preparation of universal billing claims; and
  • Demonstrate behaviors and dispositions that are in accord with professional ethics, including integrity, respect for privacy, and commitment to professional growth.

COMPUTER COMPETENCY REQUIREMENT: Students in this program must meet the college’s computer competency requirement by successfully completing ITE 115 or CSC 155. Students can also meet this requirement by passing the college’s computer competency exam administered in the testing centers on each campus, in which they will receive college credit for ITE 115 or CSC 155. Students not passing the computer competency exam may retake the exam. Either ITE 115, CSC 155, or the competency test must be completed in the first semester or students may not progress to the second semester.

GAINFUL EMPLOYMENT DISCLOSURE INFORMATION: Please see http://www.reynolds.edu/curriculum/Gainful%20Employment/GE_Info_221-152-06.aspx to access gainful employment disclosure information for this program.

COURSE

TITLE

LEC. 
HRS.

LAB.
HRS.

CRS.
CRE.

ITE 1151

Introduction to Computer Applications and Concepts

3

0

3

SDV 100

College Success Skills

1

0

1

BIO 100

Basic Human Biology

3

0

3

HLT 143

Medical Terminology I

3

0

3

HIM 141

Fundamentals of Health Information Systems I

3

0

3

HIM 110

Introduction to Human Pathology

3

0

3

HIM 250

Health Classification Systems I: ICD-9/10-CM

3

0

3

HIM 295

Topics in HIM: Health Data Classification Systems II: CPT

3

0

3

HIM 151

Reimbursement Issues in Medical Practice Management

2

0

2

HIM 293

Studies in HIM: Health Data Classification Systems III

3

0

3

TOTAL

27

0

27

Total Credits for Career Studies Certificate in Medical Records Coder 27

05.09.16

1 CSC 155 can be substituted for ITE 115.

HEALTH INFORMATION MANAGEMENT

HIM 110 Introduction to Human Pathology 3 cr.

Introduces the basic concepts, terminology, etiology, and characteristics of pathological processes.Prerequisites or Co-requisites: HLT 143 and BIO 100.Co-requisite: HIM 260.Lecture 3 hours per week.

HIM 130 Health Information Systems 3 cr.

Teaches basic concepts of microcomputer software (to include operating systems, word processing, spreadsheets, and database applications). Focuses on microcomputer applications and information systems in the health care environment. Provides a working introduction to electronic health information systems for allied health, teaching students how the adoption of electronic health records affects them as future health care professionals.Prerequisite: ITE 115.Lecture 3 hours per week.

HIM 141 Fundamentals of Health Information Systems I 3 cr.

Focuses on health data collection, storage, retrieval, and reporting systems, with emphasis on the role of the computer in accomplishing these functions. Part I of II.Prerequisite: Passing score on the computer competency exam, ITE 115, or permission of the instructor.Lecture 3 hours per week.

HIM 142 Fundamentals of Health Information Systems II 3 cr.

Focuses on health data collection, storage, retrieval, and reporting systems, with emphasis on the role of the computer in accomplishing these functions. Part II of II.Prerequisite: Passing score on the computer competency exam, ITE 115, or permission of the instructor.Lecture 3 hours per week.

HIM 151 Reimbursement Issues in Medical Practice Management 2 cr.

Introduces major reimbursement systems in the United States. Focuses on prospective payments systems, managed care, and documentation necessary for appropriate reimbursement. Emphasizes management of practice to avoid fraud.Prerequisite or Co-requisite: HIM 255.Lecture 2 hours per week.

HIM 220 Health Statistics 3 cr.

Introduces the student to basic statistical principles and calculations as applied in the health care environment, procedures for collection and reporting vital statistics, and basic quality control basics. Covers the fundamentals of standard deviation, normal distribution, and histograms.Prerequisites: Admittance into the Advanced Medical Coder Career Studies Certificate and placement recommendation for MTH 146 and Algebra I, or equivalent.Prerequisite or Co-requisite: ITE 140.Lecture 3 hours per week.

HIM 226 Legal Aspects of Health Record Documentation 2 cr.

Presents the legal requirements associated with health record documentation. Emphasizes the policies and procedures concerning the protection of the confidentiality of patient's health records.Lecture 2 hours per week.

HIM 229 Performance Improvement in Healthcare Settings 2 cr.

Focuses on concepts of facility-wide performance improvement, resource management, and risk management. Applies tools for data collection and analysis.Prerequisite: Admittance into the Advanced Medical Coder Career Studies Certificate.Lecture 1 hour.Laboratory 2 hours.Total 3 hours per week.

HIM 230 Information Systems and Technology in Health Care 3 cr.

Explores computer technology and system application in health care. Introduces the information systems life cycle.Prerequisites: HIM142 and HIM 130.Lecture 2 hours.Laboratory 3 hours.Total 5 hours per week.

HIM 233 Electronic Health Records Management 3 cr.

Studies new trends in management and processing of health information with emphasis on the electronic health record (EHR). Covers the definition, benefits, standards, functionality, confidentiality and security, and impact of the EHR in the health care environment. Explores implementation of the EHR including infrastructure required, project management techniques, information technology systems, workflow processes and redesign in various health care settings. Discusses legal issues created by implementation of the EHR.Prerequisites: HIM 130 and HIM 230.Lecture 3 hours per week.

HIM 249 Supervision and Management Practices 3 cr.

Introduces supervision and management principles with emphasis on the application of these principles in the health information setting.Prerequisite: Admittance into the Advanced Medical Coder Career Studies program.Prerequisites or Co-requisites: HIM 229, HIM 295, HIM 220, and ITE 140.Lecture 3 hours per week.

HIM 250 Health Classification Systems I ICD-9/10-CM 3 cr.

Focuses on disease and procedure classification using ICD-9/10-CM. This system is currently utilized for collecting health data for the purposes of statistical research and financial reporting.Prerequisites: HLT 143 and BIO 100 or BIO 141.Prerequisite or Co-requisite: BIO 142, if student has taken BIO 141.Co-requisites: HIM 110 and HIM 260 (recommended).Lecture 3 hours per week.

HIM 251 Clinical Practice I 3 cr.

Prepares the Health Information Technology Student to perform all functions commonly allocated to health record services. Gives practice in various settings under the supervision of an appropriate clinical practice HIM or HIT supervisor.Prerequisites or Co-requisites: General education program courses and HIM 110, HIM 130, HIM 141, HIM 142, HIM 151, HIM 220, HIM 226, HIM 229, HIM 230, HIM 233, HIM 249, HIM 250, HIM 255, HIM 256. Part I of II.Laboratory 6 hours per week

HIM 256 Clinical Classification Systems and Reimbursement Methodologies 5 cr.

Integrates and applies knowledge with hands-on skill practice in coding. Reinforces reimbursement for CPT coding system, guidelines for out-patient/ambulatory surgery coding, and prospective payment systems and their integration with ICD coding. Promotes critical thinking related to coding quality, fraud, and abuse.Prerequisites: BIO 100 or BIO 141 and 142, HIM 110, HIM 141, HIM 250, HIM 260, and HLT 143.Prerequisite or Co-requisite: HIM 255.Lecture 2 hours.Laboratory 6 hours.Total 8 hours per week.

HIM 260 Pharmacology for Health Information Technology 2 cr.

Emphasizes general pharmacology for health information professionals; covers general principles of drug actions/reactions, major drug classes, specific agents within each class, and routine mathematical calculation needed to determine desired dosages.Prerequisites: HLT 143 and BIO 100 (or BIO 141 and 142), or permission of the instructor.Prerequisites or Co-requisites: HIM 110 and HIM 250.Lecture 2 hours per week.

HIM 293 Studies in HIM: Health Data Classification Systems III 3 cr.

Integrates and applies knowledge with hands-on skill practice in coding. Reinforces medical terminology, anatomy and coding guidelines for ICD and CPT. Introduces the student to HCPSC coding guidelines. Promotes critical thinking related to coding quality, fraud, and abuse.Prerequisites: BIO 100 or BIO 141 and 142, HIM 110, HIM 141, HIM 250, HIM 255 and HLT 143.Prerequisite or Co-requisite: HIM 151Lecture 3 hours per week.

HIM 295 Topics In HIM: Health Data Classification Systems II: CPT 3 cr.

Focuses on procedure classification using CPT. This system is currently utilized for collecting health data for the purposes of statistical research and financial reporting.Prerequisites: BIO 100 (or BIO 141 and 142), HLT 143, HIM 110, or permission of the instructor.Lecture 3 hours per week.

HIM 295 Topics in Alternate Healthcare Settings Coding and Reimbursement 5 cr.

Focuses on disease and procedure coding using International Classification Disease (ICD) and Current Procedural Terminology (CPT) in alternate healthcare settings, such as behavioral health, home health, skilled nursing facilities, long-term care hospitals (LTCH), rehab facilities, and hospice.Prerequisite: Admittance into the Advanced Medical Coder Career Studies Certificate.Lecture 5 hours per week.


Name Program Email Phone
Michelle Sartelle Medical Records Coder CSC msartelle@reynolds.edu 804/523-5012

 

Common Job Titles1: Coder; Health Information Clerk; Health Information Specialist; Health Information Technician (Health Information Tech); Medical Records Analyst; Medical Records Clerk; Medical Records Coordinator; Medical Records Director; Medical Records Technician (Medical Records Tech); Registered Health Information Technician (RHIT)

 

Labor Market Statistics (Richmond, MSA)

Projected number of jobs by 2026: 1,033

Current Wage Range (Entry - Experienced): $25,300 - $40,200


Bright Outlook Bright Outlook occupations are expected to have rapid growth over the next 10-years (employment increase of 14% or more over the period of 2016-2026), are expected to have a high demand (projected to have 500 or more job openings in the Richmond, MSA over the period of 2016-2026), or are new and emerging occupations in high growth industries.

1 This program may prepare you for one or more of the listed jobs; however, graduates may not be qualified for all of the jobs listed in this section.

Reynolds Community College makes every attempt to provide students with the best, most accuarate information possible. The data was sourced from external agencies (O*NET and JobsEQ) on February 08, 2017.