Erica Matteson, RHIA, Program Coordinator
Email address: email@example.com
Securing accurate and appropriate payment for health care services is a challenge for health care providers, insurance companies, and patients. Today’s complex health care insurance and governmental payment systems depend on medical coding to determine proper payment. The coding and reimbursement specialist program incorporates the knowledge and skills you will need to assign the correct code for prompt and accurate reimbursement. As a C&RS professional, you will analyze patient records, assign ICD (ICD-10-CM/ICD-10-PCS), CPT, and HCPCS codes to diagnoses, procedures, and services provided to patients for timely and accurate health care billing, reimbursement, and medical necessity.
Online instruction is organized under the health information technology program (HIT program). This means if you initially select the C&RS program, you can transfer courses into the HIT program and earn your Associate in Applied Science (AAS) degree.
Students complete non-paid professional practice experiences (PPEs) in the health information (coding) department of a health care facility (80 hours) in their last semester of study. Students are not a substitute for paid staff during PPEs, which means they are expected to receive appropriate supervision and mentoring during completion of all tasks.
The Joint Commission "Hospital Accreditation Standards Manual" requires hospitals to implement “a process to ensure that a person’s qualifications are consistent with his/her job responsibilities.” This standard “applies to staff, students, and volunteers,” and it further states that the hospital is responsible for verifying “the following according to law, regulation, or hospital policy: information on criminal background.” As such, Alfred State students who complete PPEs in the C&RS program may be required to undergo a criminal background check prior to placement at the facility. In addition, the facility may require students to undergo a physical examination (on-site at the facility or by the student’s primary care provider) prior to beginning the PPE. The physical examination includes drug screening, a TB test, and/or DTB, hepatitis B, and/or MMRV immunization or status. Students may be required to incur costs associated with the criminal background check and/or physical examination.
Students may be required to attend an on-site orientation at the professional practice facility, which could be several days in length beyond the 80 PPE hours. Students must make appropriate arrangements with their current employer to complete the 80 hours at the PPE host site.
Working in the health information management (HIM) profession requires long periods of standing and/or sitting. Job duties typically include handling paper documents and use of computer screens. Near-vision reading of paper records or computer screens, including the use of multiple computer applications, is required 95 percent of the time. Documents are handwritten on paper, and other documents and information used are on computer screens, including scanned documents and images. The computer screen fonts may be small. HIM professionals spend the greater portion of the work day reading and analyzing both handwritten and computerized documents, and use multiple software applications such as the electronic health record. The extensive use of a computer keyboard and mouse is required. Individuals should assess their personal limitations and abilities within these working environments, as HIM candidates will be assessed in all of these skill sets during the hiring process.
Graduates are eligible to continue their education by completing the health information technology (HIT) program. The HIT program is also Internet-based.
Employment and continuing education rate of 100 percent – 50 percent are employed; 50 percent continued their education.
Graduates are eligible to take national certification examinations offered by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). AHIMA offers Certified Coding Specialist (CCS) exams, and the AAPC offers Certified Professional Coder (CPC) exams. It is recommended students work for a minimum of one year full-time in a coding position before taking the CCS and CPC exams.
Current Gainful Employment Data can be accessed online at: catalog.alfredstate.edu/current/programs/coding-reimbursement-specialist/
More information on jobs related to this program can be found at: www.online.onetcenter.org/link/summary/29-2071.00
TYPICAL FOUR-SEMESTER PROGRAM - Full-time
This program is offered as an Internet-based program only.
|BIOL||1114||Human Anat & Physiology I||4|
|MEDR||1132||Essentials of Pharmacology||2|
|MEDR||1114||Intro to Health Info Managemnt||4|
|BIOL||2214||Human Anat & Physiology II||4|
|MEDR||1234||ICD-10-CM & ICD-10-PCS Coding||4|
|MEDR||3114||Electronic Health Record Mgmt||4|
|MEDR||1244||CPT & HCPCS Level II Coding||4|
|MEDR||2614||Advanced Coding & Reimbursemnt||4|
Be advised that a prior felony conviction may impede a student’s ability to participate in a required professional practice experience.
C&RS students are required to earn a grade of a least a "C" or better in each BIOL and MEDR prefix course prior to placement in the PPEs. Students must also earn a grade of at "C" in the MEDR courses to graduate from the C&RS program.