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Medical Coding
APIS Professional Program

Medical Coding

Comprehensive ICD-10-CM, CPT, HCPCS, anatomy, medical terminology, billing and revenue cycle management.

Course Overview

Medical Coding is the process of converting medical diagnoses, procedures, treatments, laboratory findings, and healthcare services into standardized alphanumeric codes used for documentation, insurance claims processing, reimbursement, healthcare analytics and compliance.

Course Modules

Module 1: Introduction to Medical Coding

  • Definition of Medical Coding
  • Healthcare Industry Overview
  • Importance of Medical Coding
  • Revenue Cycle Management (RCM)
  • Medical Coding Process
  • Medical Coding Career Opportunities
  • Roles and Responsibilities of Medical Coders

Module 2: Human Anatomy & Physiology

  • Anatomy Fundamentals
  • Body Organization
  • Anatomical Terminology
  • Body Planes and Directions
  • Body Cavities
  • Integumentary System
  • Musculoskeletal System
  • Nervous System
  • Cardiovascular System
  • Respiratory System
  • Digestive System
  • Urinary System
  • Reproductive System
  • Endocrine System
  • Lymphatic System
  • Immune System

Module 3: Medical Terminology

  • Medical Word Structure
  • Prefixes
  • Suffixes
  • Root Words
  • Abbreviations
  • Acronyms
  • Common Medical Terms
  • Disease Terminology

Module 4: Pathophysiology

  • Introduction to Diseases
  • Signs and Symptoms
  • Disease Processes
  • Infectious Diseases
  • Cardiovascular Disorders
  • Respiratory Disorders
  • Neurological Disorders
  • Endocrine Disorders
  • Gastrointestinal Disorders
  • Musculoskeletal Disorders

Module 5: Healthcare Documentation

  • Patient Medical Records
  • Physician Documentation
  • History and Physical Reports
  • Progress Notes
  • Operative Reports
  • Discharge Summaries
  • Laboratory Reports
  • Radiology Reports

Module 6: ICD-10-CM Coding

  • Introduction to ICD-10-CM
  • Structure of ICD-10-CM
  • Coding Guidelines
  • Alphabetic Index
  • Tabular List
  • Diagnosis Coding
  • Coding Diseases
  • Coding Symptoms
  • Coding Injuries
  • Coding Complications
  • Coding Chronic Conditions
  • Coding Acute Conditions

Module 7: CPT Coding

  • Current Procedural Terminology
  • Introduction to CPT
  • CPT Structure
  • Evaluation & Management (E&M)
  • Surgery Codes
  • Radiology Codes
  • Pathology & Laboratory Codes
  • Medicine Codes
  • CPT Modifiers
  • Modifier Usage Guidelines

Module 8: HCPCS Level II Coding

  • Introduction to HCPCS
  • Durable Medical Equipment (DME)
  • Medical Supplies
  • Ambulance Services
  • Drugs and Biologicals
  • HCPCS Modifiers

Module 9: Evaluation & Management (E&M)

  • E&M Guidelines
  • New Patient Visits
  • Established Patient Visits
  • Hospital Services
  • Emergency Department Services
  • Documentation Requirements

Module 10: Specialty Medical Coding

  • Cardiology Coding
  • Orthopedic Coding
  • Radiology Coding
  • Surgery Coding
  • Emergency Medicine Coding
  • Gastroenterology Coding
  • Dermatology Coding

Module 11: Revenue Cycle Management

  • Revenue Cycle Overview
  • Insurance Verification
  • Claims Submission
  • Payment Posting
  • Denial Management
  • Accounts Receivable Management
  • Reimbursement Processes

Module 12: Medical Billing Fundamentals

  • Introduction to Medical Billing
  • Claim Forms
  • CMS-1500 Form
  • UB-04 Form
  • Electronic Claims
  • Insurance Processes
  • Claim Adjudication

Module 13: Compliance & Regulatory Requirements

  • HIPAA Overview
  • Fraud and Abuse Prevention
  • Compliance Programs
  • Coding Audits
  • Documentation Standards
  • Regulatory Requirements

Module 14: Quality Assurance in Coding

  • Coding Accuracy
  • Internal Audits
  • External Audits
  • Documentation Review
  • Error Identification
  • Corrective Actions

Module 15: Medical Coding Software & Tools

  • Electronic Health Records (EHR)
  • Encoder Software
  • Billing Software
  • Coding Reference Tools
  • Healthcare Information Systems

Module 16: Medical Coding Career Development

  • Medical Coder
  • Certified Professional Coder (CPC)
  • Coding Auditor
  • Coding Specialist
  • Senior Medical Coder
  • Coding Team Lead
  • Career Growth Opportunities

Practical Training

✅ Medical Record Review Exercises
✅ ICD-10-CM Coding Practice
✅ CPT Coding Exercises
✅ HCPCS Coding Exercises
✅ E&M Coding Scenarios
✅ Specialty Coding Case Studies
✅ Claims Processing Demonstrations
✅ Coding Audit Exercises

Interview Preparation

🎯 Medical Coding Interview Questions
🎯 HR Interview Preparation
🎯 Resume Building Guidance
🎯 LinkedIn Profile Optimization
🎯 Professional Communication Skills
🎯 Email Writing Basics
🎯 Corporate Etiquette

What You'll Achieve

Gain comprehensive understanding of anatomy, physiology, medical terminology, ICD-10-CM, CPT, HCPCS Level II coding systems, medical billing, revenue cycle management, compliance requirements and coding practices.