3. Medical Coding
• Medical Coding is a process of assigning universally accepted
alphanumeric codes to disease conditions and services to treat those
diseases, which helps in financial reimbursement from insurance
companies and government agencies in the United States.
• Medical Coding is also known as the backbone of US Health Care. 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.
01/03/16
4. • Each medical procedure 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.
01/03/16
5. Types of Coding
• Diagnostic Coding with diagnostic codes
Are used to determine diseases, disorders, and symptoms
Can be used to measure morbidity and mortality
Examples: ICD-10
• Procedural coding with procedure codes
They are numbers or alphanumeric codes used to identify specific health
interventions taken by medical professionals.
Examples: CPT Codes
• Pharmaceutical coding with HCPCS codes
Are used to identify medications
Examples: HCPCS codes
01/03/16
6. Skills Required by a Coder :
Thorough knowledge on:
– Medical Terminology.
– Anatomy & Physiology Basics
– ICD-10, CPT & HCPCS coding.
– LCD & NCCI Guidelines.
– HIPAA Compliance.
– Medical Billing concepts.
– Analytical skills.
– Effective usage of coding tools and applications/softwares
– Detail oriented & Self motivated coders excel much faster.
01/03/16
7. • Comprehensive Training focused on Job Training and Placement.
• Complete ICD-10 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.
• Preparation to crack Interview.
• Placement assurance after certification.
Salient Features of Medical Coding
Training
01/03/16
8. Who can pursue Medical 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.
01/03/16
9. Certification Programs for Medical
Coding
• Certified Professional Coder – CPC™
• Certified Outpatient Coder – COC™
• Certified Inpatient Coder – CIC™
• Ambulatory Surgical Center – CASCC™
• Anesthesia and Pain Management – CANPC™
• Emergency Department - CEDC™
• Evaluation and Management – CEMC™
• Family Practice – CFPC™
• Gastroenterology – CGIC™
• General Surgery – CGSC™
• Internal Medicine – CIMC™
• Interventional Radiology and Cardiovascular –
CIRCC™
• Obstetrics Gynecology - COBGC™
Basic Certification Choose Your Speciality
01/03/16
10. Tulip’s Training Features
Phase 1 – Anatomy and Pathophysiology
•Description of body parts relevant to documentation found in medical reports.
•Basic functions which would help in determining diagnostic studies and
treatment protocols
•Commonly occurring diseases and symptoms found in coding documentation
•Frequently performed diagnostic studies and treatments
•Video Learning
Phase 2 – RCM
•Difference between Indian and US Healthcare Services
•Concept of Revenue Cycle Management System
•Types of providers
•The 3 P’s
•Insurance- federal and commercial
•Healthcare terminologies
01/03/16
11. Phase 3 – ICD
•Focus on specialty wise commonly encountered diagnosis and symptoms
•Usage of ICD book and Encoder Pro to look-up chapter specific ICD codes
•Quizzes and exercises at the end of everyday
•Searching ICD codes on daily encountered reports
Phase 4 – CPT
•Introduction to all specialty of Medical Coding
•Usage of CPT book and Encoder Pro to look-up CPT codes with CDR
•Focus on types of reports, documentation formats, dictation patterns
•Examples and exercises from live scenarios including CPT & ICD coding
•Documentation requirement for various section specific procedures
•Documentation Pattern
Phase 5 – On Job Training
•Calibration focused OJT using the Trainer -QA calibration platform
•Quality training by focusing on top errors
•In-depth Coding Knowledge
Tulip’s Training Features
01/03/16
13. Career Opportunities
• Certified Coders are in high demand throughout the healthcare
industry in India & States.
• Healthcare/IT companies (KPO & BPO) in India.
• Hospitals/Clinics in States.
• Insurance Firms in States.
• Medical Coding Executive in India & States.
• Coding Specialist in India & States.
• Coding Supervisor in India & States.
• Coding Consultant in India & States.
• Compliance Audit Specialist in India & States.
• Compliance Officer in India & States.
• Medical Records Supervisor in India & States.
• Insurance Specialist in States.
01/03/16
17. FAQ’s you should know about Medical
Coding Career
• Medical coding is a highly skilled job.
• Effective & Efficient training is must.
• Accuracy should be 100%
• Should know about the HIPAA titles & Compliance.
• Good Salary compared to any other field.
• Recession-proof career.
01/03/16
