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Medical Coding & Healthcare Systems

ICD-10-CM, CPT, HCPCS Level II, HIPAA compliance, chart abstraction and CPC exam prep — hands-on with real SOAP notes, discharge summaries and operative reports.

Duration

2 Months

Level

Foundation → Certified

Prerequisites

10+2 (Any Stream)

Curriculum

Week 11 Week

Intro to Medical Coding & Healthcare Systems

Overview of coding, terminology and healthcare workflows.

  • US and international healthcare systems overview
  • Role of medical coders in revenue cycle
  • Medical terminology: prefixes, suffixes, root words
  • Common abbreviations and symbols
  • Introduction to code sets
Week 21 Week

Human Anatomy & Physiology

Body systems overview essential for coders.

  • Musculoskeletal, cardiovascular, respiratory systems
  • Nervous, digestive and endocrine systems
  • Urinary, reproductive and integumentary systems
  • Body planes and anatomical directions
  • System-specific pathologies
Week 31 Week

ICD-10-CM Diagnosis Coding

Diagnosis coding rules, guidelines and instructions.

  • ICD-10-CM structure and conventions
  • Official coding guidelines chapter-by-chapter
  • Combination codes and multiple codes
  • Signs, symptoms and unspecified codes
  • Sequencing diagnoses correctly
Week 41 Week

CPT Procedure Coding & HCPCS Level II

Procedure coding and supplies/services.

  • CPT structure: E/M, Surgery, Radiology, Path & Lab, Medicine
  • CPT modifiers and correct usage
  • HCPCS Level II codes for supplies and services
  • Bundling and unbundling rules
  • NCCI edits overview
Week 51 Week

HIPAA & Medical Records

Compliance, documentation and chart review.

  • HIPAA privacy and security rules
  • Medical record documentation standards
  • SOAP notes and progress notes
  • Chart review workflow
  • PHI handling and breach response
Week 61 Week

Practical Coding & Case Studies

Real chart abstraction across 15+ specialties.

  • Cardiology, orthopedics and oncology cases
  • Emergency medicine and radiology
  • OB/GYN and pediatrics coding
  • Operative reports and discharge summaries
  • Encoder software labs (3M, Optum360)
Week 71 Week

HCC, DRG & Inpatient vs Outpatient

Risk adjustment and inpatient coding basics.

  • HCC risk adjustment coding
  • DRG basics and MS-DRG assignment
  • Inpatient vs outpatient coding differences
  • Present-on-admission (POA) indicators
  • Query process and coder-provider communication
Week 81 Week

Mock Tests & CPC Exam Prep

Timed mocks and placement readiness.

  • CPC exam format and time management
  • Timed full-length mock exams
  • Answer review and error analysis
  • Interview coaching and resume building
  • Placement drives and referrals

Tools & Technologies

ICD-10-CMCPTHCPCS Level II3M EncoderOptum360EHR simulationsAAPC / AHIMA prep materials

Capstone Projects

Real SOAP Notes & Operative Reports

Practice

Real SOAP Notes & Operative Reports

Encoder / EHR Simulation (3M, Optum360)

Labs

Encoder / EHR Simulation (3M, Optum360)

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