Lecture Notes For Comprehensive Medical Coding, 2019 2nd Edition

Name: Lecture Notes For Comprehensive Medical Coding, 2019 2nd Edition
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Lecture Notes For Comprehensive Medical Coding, 2019 2nd Edition simplifies complex topics with easy-to-understand notes.

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CHAPTER 1: YOUR CODING CAREER
INSTRUCTIONAL AND LEARNING OBJECTIVES:
After completing this chapter, students should have the skills to:
1.1 Spell and define the key words, medical terms, and abbreviations related
to your coding career. (Remember)
1.2 Describe coding, HIPAA-mandated code sets, and coding skills.
(Understand)
1.3 Explain how patient encounters relate to coding. (Understand)
1.4 Describe the types of coding certification. (Understand)
1.5 Summarize the career path and performance expectations for a coding
career. (Understand)
CHAPTER OUTLINE
• What is Coding?
• Understanding Patient Encounters
• Certification
• Coding Careers
RESOURCES
• Student textbook, Chapter 1
• Instructor’s Manual with Lesson Plans
• Chapter 1 PowerPoint Lecture

DETAILED LESSON PLANS
Learning Objective 1.1:
Spell and define the key words, medical terms, and abbreviations related to your
coding career.
Concepts for Lecture:
1. The key terms listed at the beginning of each chapter are important concepts
for students to know, and appear in blue boldface type throughout the
chapter.
2. Students should also become familiar with the terms listed within tables in the
chapter.
Teaching Notes
Teaching Resource:
Pearson’s Comprehensive Medical Coding: A Path To Success, Chapter 1
PowerPoint Lecture Slides:
In-Class Activities:
Read the Professional Profile of Jennifer Holland, R HIT, CPC, CIR CC, who is a
coding audit response specialist.
• Discuss the following questions as a class or in small groups:
o What steps did Jennifer take in her career that enabled her to achieve
her goals?
o What advice does she offer to medical coding students?

Teaching Notes/Tips:
1. Section One: Foundations of Coding consists of two chapters that lay the
foundation for this course. It acquaints students with the medical coding
field, potential career opportunities, and how coding relates to
reimbursement and payment.
2. The Professional Profile on the section opener page is about a coder who
worked her way up in coding and is now working as a coding audit
response specialist. Many students are interested in the many job
opportunities that are available to an experienced medical coder.
Jennifer’s profile introduces students to one of those future careers and
describes both the professional challenges and the everyday processes
for the coding audit response specialist. Encourage students to identify a
realistic plan that will enable them to achieve professional goals at the
appropriate time in their careers.
3. Refer to Chapter 57 of this text for more information about careers,
professionalism, and patient relations.
Learning Objective 1.2:
Describe coding, HIPAA-mandated code sets, and coding skills. (Understand)
Concepts for Lecture:
1. Coding is the process of accurately assigning codes to verbal descriptions of
patients’ conditions and the health care services provided to treat those
conditions.

a. The health care system in the United States uses several distinct systems
of medical codes, called code sets, for different purposes.
b. The various systems were developed by different organizations and follow
different guidelines for their use.
2. Accurate coding requires three major skills: abstracting, assigning, and
arranging.
a. To abstract, coders read the medical record and determine which
elements of the encounter require codes. They identify the reason for the
encounter, diagnostic statements from the physician, complications and
co-existing conditions, and the services provided.
b. To assign codes, coders select codes that accurately describe the
information documented in the medical record and accurately describe the
patient’s condition and services. Locate the Main Term in the Index, then
verify the code in the Tabular List. Each code must reflect the highest level
of specificity possible and contain the correct number of characters for that
code.
c. To arrange codes, coders must organize or sequence codes in a specific
order, based on the official coding guidelines and instructional notes.
Codes that are not sequenced properly are not considered to be correct.
Teaching Notes
Teaching Resource:
Pearson’s Comprehensive Medical Coding: A Path To Success, Chapter 1

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