Skip Ribbon Commands Skip to main content
NWTC Logo   Link to Home Page

Medical Coding Specialist Certificate

Certificate Number 905306

The Medical Coding Specialist Certificate is designed to prepare students for employment in all types of healthcare organizations, insurance companies, or government agencies associated with medical coding, reimbursement, health services research, and health care planning. Most of the credits from this certificate can be applied to the Health Information Technology Associate Degree.

Certificate Completers will be able to

. Understand and apply coding principles using brief diagnostic and procedure statements, medical records, and case scenarios.
. Code diagnoses and surgical procedures using ICD and/or CPT/HCPCS.
. Apply anatomy and physiology, pathophysiology, and pharmacology to obtain correct codes.
. Use a computerized encoder and the traditional coding manuals.
. Apply various reimbursement methodologies and insurance principles as they relate to coding.
. Gain an appreciation of other classification systems.
. Differentiate coding principles in different types of health care settings (hospital, clinic, long-term, insurance companies, etc.).
. Experience coding work life prior to program completion.
. Adhere to security/privacy/confidentiality policies.
. Model professional behaviors, ethics and appearance.

Completers will be able to apply credits toward the following programs:

. 105301, Health Information Technology

Requirements for Certificate Entry:

. High school graduate or equivalent.
. Students are expected to have entry-level computer and keyboarding skills. It is recommended that students complete basic computer and keyboarding skills coursework if deficient in this area.

Note

. No final grade lower than a "C" is acceptable in any of the courses. A student must repeat the particular course to achieve a "C" or better final grade in order to continue in or complete the certificate.
. This certificate will take a minimum of four semesters to complete.

Curriculum

Catalog No. Description Credits

10-530-195 Applied Coding
2
10-806-189 Basic Anatomy
3
10-530-184 CPT Coding
3
10-530-176 Health Data Management
2
10-530-185 Healthcare Reimbursement
2
10-530-182 Human Diseases for the Health
3
10-530-197 ICD Diagnosis Coding
3
10-530-199 ICD Procedure Coding
2
10-530-181 Intro to the Health Record
1
10-501-101 Medical Terminology
3
10-103-111 Micro: Windows/Computer Basics
1
10-103-121 Micro: Word-Intro
1

Certificate Total
26

Course Descriptions

10-530-195 Applied Coding...assign ICD and CPT/HCPCS codes supported by medical documentation at intermediate level. Prepare appropriate physician queries in accordance with compliance guidelines and assign codes to optimize appropriate reimbursement. (Prerequisites: 10-530-184, CPT Coding; 10-530-185, Healthcare Reimbursement; 10-530-197, ICD Diagnosis Coding; 10-530-199, ICD Procedure Coding)

10-806-189 Basic Anatomy...examines concepts of anatomy and physiology as they relate to health careers. Learners correlate anatomical and physiological terminology to all body systems. (Prerequisite: Accuplacer-Reading=55 OR ACT-Reading =15 OR 10-838-105, Intro to Reading and Study Skills OR equivalent)

10-530-184 CPT Coding...assign CPT codes supported by medical documentation at entry level; apply CPT instructional notations, conventions, rules, and official coding guidelines; case studies and actual medical record documentation. (Prerequisites: Accepted in the Health Information Technology program or Medical Coding Specialist certificate10-501-101, Medical Terminology; 10-806-189, Basic Anatomy; Corequisites: 10-530-181, Intro to Health Records; 10-530-182, Human Diseases for Health Professions)

10-530-176 Health Data Management...introduces the use and structure of health care data elements, data sets, data standards, their relationships to primary and secondary record systems and health information processing. (Corequisite: 10-530-181, Intro to Health Record)

10-530-185 Healthcare Reimbursement...compare and contrast health care payers, illustrate the reimbursement cycle, comply with regulations for fraud and abuse. Assign Diagnosis Related Groups, Ambulatory Payment Classifications, and Resource Utilization Groups at entry-level. (Prerequisites: 10-501-101, Medical Terminology; 10-530-176, Health Data Management; 10-530-182, Human Diseases for Health Professions; 10-806-189, Basic Anatomy; Corequisites: 10-530-181, Intro to Health Records; 10-530-197, ICD Diagnosis Coding; 10-530-199, ICD Procedure Coding; 10-530-184, CPT Coding)

10-530-182 Human Diseases for Hlth Profes...this course focuses on the common diseases of each body system as encountered in all types of health care settings by health information professionals. Emphasis is placed on understanding the etiology (cause), signs and symptoms, diagnostic tests, and treatment (including pharmacologic) of each disease. (Prerequisites: 10-501-101, Medical Terminology; 10-806-189, Basic Anatomy)

10-530-197 ICD Diagnosis Coding...prepares students to assign ICD diagnosis codes supported by medical documentation with entry level proficiency. Students apply instructional notations, conventions, rules, and official coding guidelines when assigning ICD diagnosis codes to case studies and actual medical record documentation. (Prerequisites: 10-501-101, Medical Terminology; 10-806-189, Basic Anatomy; Corequisites: 10-530-181, Intro to Health Records; 10-530-182, Human Diseases for Health Professions; accepted in Health Information Technology program or Medical Coding Specialist certificate)

10-530-199 ICD Procedure Coding...prepares students to assign ICD procedure codes supported by medical documentation with entry level proficiency. Students apply instructional notations, conventions, rules, and official coding guidelines when assigning ICD procedure codes to case studies and actual medical record documentation. (Prerequisites: 10-501-101, Medical Terminology; 10-806-189, Basic Anatomy; 10-530-182, Human Diseases for Health Professions; 10-530-181, Intro to Health Records)

10-530-181 Intro to the Health Record... illustrate the flow of health information in various health care delivery systems and within the health information department; retrieve data from health records; professional ethics; confidentiality and security of information.

10-501-101 Medical Terminology...focuses on the component parts of medical terms: prefixes, suffixes, and root words. Students practice formation, analysis and reconstruction of terms. Emphasis on spelling, definition and pronunciation. Introduction to operative, diagnostic, therapeutic and symptomatic terminology of all body systems, as well as systemic and surgical terminology.

10-103-111 Micro: Windows/Computer Basics...Windows desktop elements, help features, folder and file management (create, delete, move, find file), and Search strategies. Blackboard, internet, and e-mail usage.

10-103-121 Micro: Word-Intro...word processing basics including creating, revising, formatting, printing; sections, tabs, multiple-page numbering; manipulating text; creating headers/footers; creating/formatting tables, graphics; and merging documents. Windows experience improves success; consider 10-103-111, Windows/Computer Basics.

For more information, please contact: The Health Sciences Department,(920) 498-5543 or (800) 422-NWTC, extension 5543,or contact Enrollment Services at 888-385-NWTC.