UKAAT powerpoint template-MEDICAL CODING-1

Medical Coding

Akshata Tote

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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.

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• 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.

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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

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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. 

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• 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.

Salient Features of Medical Coding Training

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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.

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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)

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• 2 months (3hrs per day)• Weekdays & Weekend• Fees : 15,000

Fees structure & Duration

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Career Opportunities

• Certified Coders are in high demand throughout the healthcare industry.

• Healthcare/IT companies (KPO,BPO)• Hospitals/Clinics.• Insurance Firms.

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Career opportunities: contd….

• Medical Coding Executive• Coding specialist• Coding Supervisor• Coding consultant• Compliance audit specialist• Compliance officer• Medical records supervisor• Insurance Specialist

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Medical Coding Career Ladder

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Medical Coding Companies Pune• TCS • Syntel• Nestem Technologies• EXL• Mphasis

Mumbai• Fortis Healthcare Ltd • Gebbs Healthcare Solutions Pvt Ltd• Accenture • CTS

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Medical Coding CompaniesHyderabad• Genpact• Cognizant• United Health group• Deloitte• Apolo

Chennai• Dell• Ajuba• Omega• Insys Infocomm

Bangalore • Omega Healthcare• XL Care Information Systems• Syntax Soft Tech India

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Medical Coding Softwares:

• Encoder Pro • 3M• Quantim• Trucode• Flashcodes• Code Manager• Code XML Router• Code Ryte

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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.

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IS THERE ANY JOB OPPORTUNITY FOR FRESHER ?

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ARE THERE ANY QUESTIONS?

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Got questions?Please write at [email protected]

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