Discuss the role of coding with the key features of an electronic health record (EHR) system and clinical document standards. Unit 10 Assignment:
Discuss the role of coding with the key features of an electronic health record (EHR) system and clinical document standards.
Unit 10 Assignment:
Unit outcomes addressed in this Assignment:
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Apply diagnostic and procedure codes according to current guidelines using common classification systems, taxonomies, nomenclatures and terminologies
Identify the documentation needs that relate to quality coding practices
Discuss the role of coding with the key features of an electronic health record (EHR) system and clinical document standards.
Discuss the importance and relevance of Computer-Assisted Coding along with coding problems that may arise.
Course outcome(s) practiced in this unit:
HI253-5: Appraise a health record for deficiencies needed for quality coding (Bloom’s Level 4)
AHIMA’s Professional Coding Approved Program (PCAP) Mapping:
Domain I. Data Content, Structure & Standards (Information Governance)
Subdomain I.A Classification Systems
1. Apply diagnosis/procedure codes according to current guidelines (Bloom’s Level 3)
Classification Systems
ICD (ICD-9-CM, ICD-10, ICD-10-CM/PCS)
Taxonomies
Clinical Care Classification (C
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