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Medical Coding
Akshata Tote
Medical Coding
• Medical Coding 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
• 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.
4/25/2015 3
Types of Coding Systems : 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
Skills Required by a 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
• Comprehensive Training focused 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
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.
4/25/2015 7
Certified Programs for Medical 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
• 2 months (3hrs per day)
• Weekdays & Weekend
• Fees : 15,000
4/25/2015 9
Fees structure & Duration
Career Opportunities
• Certified Coders are in high demand
throughout the healthcare industry.
• Healthcare/IT companies (KPO,BPO)
• Hospitals/Clinics.
• Insurance Firms.
4/25/2015 10
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
Medical Coding Career Ladder
12
4/25/2015
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
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
Medical Coding Softwares:
• Encoder Pro
• 3M
• Quantim
• Trucode
• Flashcodes
• Code Manager
• Code XML Router
• Code Ryte
4/25/2015 15
FAQ’s you should know 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
4/25/2015 17
IS THERE ANY JOB OPPORTUNITY FOR
FRESHER ?
4/25/2015 18
ARE THERE ANY QUESTIONS?
4/25/2015 19
Got questions?
Please write at
reach@ukaat.in
Useful knowledge and applied technology

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UKAAT powerpoint template-MEDICAL CODING-1

  • 2. Medical Coding • Medical Coding 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 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. 4/25/2015 3
  • 4. Types of Coding Systems : 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 by a 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 Training focused 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 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. 4/25/2015 7
  • 8. Certified Programs for Medical 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 • Certified Coders 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 Career Ladder 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 should know 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 THERE ANY JOB OPPORTUNITY FOR FRESHER ?
  • 18. 4/25/2015 18 ARE THERE ANY QUESTIONS?
  • 19. 4/25/2015 19 Got questions? Please write at reach@ukaat.in Useful knowledge and applied technology