Medical Records & Healthcare Information

This introductory course surveys the fundamental theories and practices of the Medical Records and Health Information Management profession. Areas of study include the responsibilities and duties of a professional in the field, the basics of health services organization and delivery, elements of health data and record structure, the essentials of the electronic health record, and an overview of information privacy and security as applied to the field.

An introduction to legal issues as it relates to healthcare practitioners and the health record. Topics include confidentiality and release of information standards with specific attention paid to HIPAA requirements. This course emphasizes the health record as a legal document and introduces privacy and security principles of protected health information.

This is the first of two structure, function, and disease classes. It introduces the chemistry of life, cells and tissues, and organ systems of the body. The structure and function of the following systems are covered: the integumentary, skeletal, muscular, nervous, endocrine, senses, and blood. The common diseases, pathology of the diseases, and treatment modality of each of these diseases is also covered. This course is cross-listed with MA 114. Students completing MRHI 114 may not receive graduation credit for MA 114.

This class provides a basic knowledge of pharmacology. The main topics covered within the context of pharmacology include an introduction to legal and ethical issues, terms and abbreviations, governmental agencies, and providers and professionals. Additional topics include reading and interpreting medication orders, understanding drug classifications, and identifying commonly prescribed drugs used with each body system.

This course focuses on medical records office training. Theory is applied in practice through an individualized learning plan. Students demonstrate abilities by creating, processing, and analyzing health records and medical billing procedures.

This course introduces the basic principles and conventions of the International Classification of Diseases, tenth-edition (ICD-10). Areas of study include ICD-10-CM understanding and application, ICD-10-PCS fundamentals, ICD-10 Manual navigation, ICD-10 Coding Guidelines, and body-system diagnostic code assignment.

This course contains an overview of management theories, organizational structure, and legal regulations that apply to Health Information Management (HIM). The course focuses on the topics of change management, human resources management, ethics, performance management, training, and organizational structure as it relates to HIM. Students develop the skills necessary to become a successful HIM management professional.

This course introduces healthcare data and information system concepts necessary to successfully manage healthcare data in the digital era. A variety of data governance functions are examined including data architecture management, metadata management, master data management, content and record management, data security management, business intelligence and big data, data quality management, and terminology and classification systems. Students discover how to develop a sound data governance program that solves the significant data management challenges faced by a Healthcare Information Management professional.

This course provides an overview of reimbursement methodologies, health insurance plans and claims, terminology, coding and compliance, payment systems, and value-based purchasing. The course examines the interrelationship between billing and coding and compliance, and discusses how each affects healthcare providers, patients, and insurance payers.

This is the second course in the coding series. It is a beginning level course in Current Procedural Terminology (CPT), a clinical coding system used to code professional procedures and services. This course also covers intermediate level International Classification of Diseases, 10th edition (ICD-10-CM) coding. Sub-areas of study include CPT format and usage, Healthcare Common Procedure Coding System (HCPCS) II coding, modifier assignment, facility vs. non-facility coding, Ambulatory Payment Classifications (APC), and ICD-10-CM diagnosis coding.

This is the second-in-series body structure, function, and disease course. Topics include the circulatory, lymphatic, respiratory, digestive, urinary, and reproductive systems. Further instruction covers immunity, nutrition and metabolism, fluid and electrolyte balance, acid-base balance, growth and development, mental disorders, and disorders and conditions resulting from trauma. Common diseases are presented for each of these body systems as well as pathology and expected medical treatment. This course is cross-listed with MA 214. Students completing MRHI 214 may not receive graduation credit for MA 214.

This final course in the coding series covers inpatient hospital coding with advanced coding principles. Areas of study include inpatient procedure and diagnosis code assignment, Diagnosis Related Group (DRG) classification, and advanced ICD-10-CM coding. This course also discusses the relationship between coding and billing, and provides an analysis of documentation discrepancies.

This course is a directed coding practicum. Students are assigned to a healthcare facility where they are supervised in a clinical coding experience. The course's project requirements involve coding case scenarios and creating a quality assurance audit plan. There is continued emphasis on quality assurance, data abstraction, ICD-10 coding, and CPT assignment.