Medical coders review patient health records to assign medical codes to ensure the health care providers they work for are properly reimbursed for their services. The coder must carefully read the health record to determine exactly what services the patient received. The coder must also understand medical terminology, private payer policies, and government regulations for accurate coding and billing.
Medical coders are important because they ensure insurance companies have the right information and patients know their billing and payment options. Coders help to ensure bills get paid, patient data is organized, and insurance information is verified and accurately utilized.
The Certified Coding Associate (CCA) certification offered by the American Health Information Management Association (AHIMA) distinguishes coders who exhibit commitment and demonstrate coding competencies across all settings, including hospitals and physician practices.
Medical coders audit inpatient/outpatient health records (both paper and electronic) for appropriate ICD-9/ICD-10 and/or CPT code assignment. Coders also aid in revenue cycle auditing. Medical coders work in hospitals, physician offices, group practices, and insurance companies.
The program begins each fall. Courses may be taken part-time or full-time, and all courses may be completed via distance education (with the exception of the professional practicum).
Prospective students must first be admitted to IUPUI as an undergraduate student. You must also acquire knowledge of anatomy, physiology and database design through the completion of designated prerequisites with a minimum grade of C (2.0). Students must achieve a minimum cumulative G.P.A. of 2.5 to begin courses.
The Medical Coding Certificate is a 28-credit-hour program focusing on pathophysiology, pharmacology, coding, medical reimbursement and basic concepts of health information and is designed to better prepare you to sit for industry standard certifications.
The curriculum includes a unique professional practicum component that integrates classroom instruction with applied, technical experience in an actual healthcare facility.
All courses require a minimum grade of C to be considered as successfully completed and to apply towards graduation.
This plan of study is subject to revision. Please consult the HIM/Medical Coding Certificate academic advisor each semester prior to registration.