HM 115 ICD-10-CM Coding/Diagnosis

1. Use and maintain electronic applications and work processes to support clinical classification and coding. 
2. Apply diagnosis codes according to current nomenclature. 
3. Ensure accuracy of diagnostic/procedural grouping. 
4. Adhere to current regulations and established guidelines in code assignment. 
5. Validate coding accuracy using clinical information found in the health record. 
6. Use and maintain applications and processes to support other clinical classification and nomenclature systems. 
7. Resolve discrepancies between coded data and supporting documentation. 
8. Identify basic approved abbreviations in ICD-10-CM. 

• Nomenclature and Classification System 
• Basic Coding Terminology and Application of Numeric Codes 
• Basic Understanding and Application of Coding Guidelines 
• Basic Approved Abbreviations 
• Instructional Notations 
• Basic Steps ICD-10-CM Coding  
• Documentation and Coded Data 
• Apply Clinical Information to Validate Code Accuracy 
• Coding Compliance Strategies, Auditing and Reporting