Certified Outpatient Coder (COC)

Certified Outpatient Coder Course

COC – Certified Outpatient Coder Course Chennai:

COC Course Description:

Understanding facility coding is vital when working in the hospital and ambulatory surgery center (ASC) settings. When coding in the outpatient facility setting, reimbursement is based not on professional services provided, but on the resources used during the patient encounter. This course will cover coding fundamentals including CPT, ICD‐10‐CM, and HCPCS Level II coding, along with the Outpatient Prospective Payment System (OPPS) which is the payment method used by most payers in outpatient facilities. An introduction to ICD‐10‐PCS will also be discussed.

COC Course Objectives:

  • Understand outpatient facilities and their departments including outpatient services at hospitals, teaching hospitals, critical access hospitals, ambulatory surgery centers (ASCs), and comprehensive outpatient rehabilitation facilities
  • Navigate the business side of hospital outpatient services and ASCs
  • Differentiate between inpatient and outpatient services and payment services (IPPS and OPPS)
  • Understand the difference between MS‐DRGs and APC assignments, and how those services are reported
  • Review critical pieces in the billing and revenue cycle management process
  • Develop an understanding of compliance in the outpatient hospital facility
  • Discuss documentation and coding standards for outpatient facilities
  • Code a wide variety of patient services using CPT, HCPCS Level II, and ICD‐10‐CM coding guidelines and code sets
  • Apply coding and conventions when assigning diagnoses and procedure codes
  • Understand how clinic and ED visits and other evaluation and management services are reported in the facility setting
  • Understand how modifiers are used in the outpatient facility setting
  • Develop an understanding of how to code operative notes in the facility and how to code a wide variety of cases for the outpatient setting

COC Course Content:

  • Outpatient Hospital Facilities and Departments
  • Business in the Facility
  • CMS Payment Systems (OPPS, DRG, IPPS, Revenue Codes) Overview
  • Facility Billing
  • Compliance in the Outpatient Facility
  • Documentation and Coding Standards
  • Anatomy and Medical Terminology
  • Introduction to ICD‐10‐CM Coding
  • ICD‐10‐CM Coding Guidelines
  • Evaluation and Management Services for Facilities
  • Introduction to CPT®, HCPCS Level II, Surgery Guidelines, and Modifiers for Facilities
  • Integumentary System
  • Musculoskeletal System
  • Respiratory, Hemic, and Lymphatic Systems
  • Cardiovascular System
  • Digestive System
  • Urinary System and Male Genital System
  • Female Reproductive System
  • Endocrine and Nervous Systems
  • Eye, Ocular Adnexa, and Auditory Systems
  • Radiology
  • Pathology and Laboratory
  • Medicine
  • CMS and Outpatient Prospective Payment System
  • CMS and Inpatient Prospective Payment System
  • Inpatient Coding Overview with an introduction to ICD‐10‐PCS
  • Final Exam

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