CRS 126 Medical Documentation for Coders

Trains student to read and interpret medical documentation in order to extrapolate data for the purposes of properly coding diagnoses and services rendered. 

Credits

3

Notes

Career Technical Education (CTE) Course

Outcomes

Upon successful completion of this course, students will be able to:
Describe the different elements of medical documentation. Describe and demonstrate the Current Procedural Terminology (CPT) Evaluation and Management (E/M) coding guidelines and how it affects code selection. Demonstrate knowledge of extrapolating and interpreting data from medical documentation using the CPT E/M guidelines in order to make correct code selections for both diagnosis (ICD-10), procedures and services (CPT/HCPCS).