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UKAAT powerpoint template-MEDICAL CODING-1
Medical coding involves assigning numeric codes to medical diagnoses, procedures, and services provided to patients in order to facilitate insurance reimbursement. Medical coders work in healthcare facilities and insurance companies to review medical records and assign the appropriate codes. Certification is available through organizations like AHIMA and AAPC and helps medical coders qualify for career opportunities in hospitals, clinics, physician practices, and insurance firms.
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UKAAT powerpoint template-MEDICAL CODING-1
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- 2. Medical Coding • MedicalCoding is assigning codes to diagnoses and procedures which help in financial reimbursement from insurance companies and government agencies. • Medical Coding is also known as insurance coding. This field generates medical coders who specialize in coding after a thorough training program and a certification process. • The American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) offers certification in this field. 4/25/2015 2
- 3. • Each medicalprocedure and patient encounter has a number, or (Current Procedural Terminology) CPT code associated with it which corresponds to another code for a diagnosis (International Classification of Disease) an ICD code. • This helps insurance companies account for and track the money they reimburse to physicians and practices, to help prevent fraudulent medical claims or errors in payment. 4/25/2015 3
- 4. Types of CodingSystems : Healthcare • Diagnostic Codes – Are used to determine diseases, disorders, and symptoms – Can be used to measure morbidity and mortality – Examples: ICD-9-CM, ICD-10 • Procedural codes – They are numbers or alphanumeric codes used to identify specific health interventions taken by medical professionals. – Examples: ICPM, ICHI • Pharmaceutical codes – Are used to identify medications – Examples: AT, NDC • Topographical codes – Are codes that indicate a specific location in the body – Examples :ICD-O, SNOMED 4/25/2015 4
- 5. Skills Required bya Coder : • Medical Terminology. • Anatomy & Physiology Basics . • Analytical skills. • ICD-9,ICD-10, CPT & HCPCS coding. • LCD & NCCI Guidelines. • HIPAA Compliance. • Medical Billing concepts. • Detail oriented & Self motivated. 4/25/2015 5
- 6. • Comprehensive Trainingfocused on Job Training and Placement. • Complete ICD-9 CM, CPT-4 and HCPCS training. • RCM Training with HIPAA compliance. • Training covers complete industrial requirement. • Highly Experienced and CPC certified Trainers • Anatomy and Physiology training. • Certification provided after successful completion of training. • Interview Training. • Placement assurance after certification. 4/25/2015 6 Salient Features of Medical Coding Training
- 7. Who can pursueMedical Coding ? • Any Medical , Paramedical & Science graduates & Post graduates. • MBBS, BAMS, BHMS, BDS,BUMS,Pharmacy , Nursing, Physiotherapy. • Biotechnology, Microbiology, Biochemistry , Zoology, Anatomy, Physiology ,Bioinformatics, Health education, Chemistry, Biomedical. 4/25/2015 7
- 8. Certified Programs forMedical Coding • Certified Professional Coder (CPC) • Certified Professional Coder – Outpatient Hospital (CPC-H) • Certified Professional Coder – Payer (CPC-P) • Certified Interventional Radiology Cardiovascular Coder (CIRCC) • Certified Professional Medical Auditor (CPMA) 4/25/2015 8
- 9. • 2 months(3hrs per day) • Weekdays & Weekend • Fees : 15,000 4/25/2015 9 Fees structure & Duration
- 10. Career Opportunities • CertifiedCoders are in high demand throughout the healthcare industry. • Healthcare/IT companies (KPO,BPO) • Hospitals/Clinics. • Insurance Firms. 4/25/2015 10
- 11. Career opportunities: contd…. •Medical Coding Executive • Coding specialist • Coding Supervisor • Coding consultant • Compliance audit specialist • Compliance officer • Medical records supervisor • Insurance Specialist 4/25/2015 11
- 12. Medical Coding CareerLadder 12 4/25/2015
- 13. Medical Coding Companies Pune •TCS • Syntel • Nestem Technologies • EXL • Mphasis Mumbai • Fortis Healthcare Ltd • Gebbs Healthcare Solutions Pvt Ltd • Accenture • CTS 4/25/2015 13
- 14. Medical Coding Companies Hyderabad •Genpact • Cognizant • United Health group • Deloitte • Apolo Chennai • Dell • Ajuba • Omega • Insys Infocomm Bangalore • Omega Healthcare • XL Care Information Systems • Syntax Soft Tech India 4/25/2015 14
- 15. Medical Coding Softwares: •Encoder Pro • 3M • Quantim • Trucode • Flashcodes • Code Manager • Code XML Router • Code Ryte 4/25/2015 15
- 16. FAQ’s you shouldknow about Medical Coding Career • Medical coding is highly skilled job. • Effective & Efficient training is must. • Accuracy should be 100% • Should know about the HIPAA titles & Compliance. • Salaries are good compared to any other fields. • Reccession proof career. 4/25/2015 16
- 17. 4/25/2015 17 IS THEREANY JOB OPPORTUNITY FOR FRESHER ?
- 18. 4/25/2015 18 ARE THEREANY QUESTIONS?
- 19. 4/25/2015 19 Got questions? Pleasewrite at reach@ukaat.in Useful knowledge and applied technology