Portland Community College | Portland, Oregon

Upon completion of the course students should be able to:

1. Identify potential abuse or fraudulent trends through data analysis.
2. Adhere to the legal and regulatory requirements related to health information management.
3. Validate the accuracy of diagnostic and procedural groupings.
4. Apply policies and procedures to the use of data required in healthcare reimbursement.
5. Evaluate the revenue cycle management processes.
6. Analyze current regulations and established guidelines in clinical classification systems.
7. Comply with ethical standards within the HIM field.

Students will demonstrate these learning outcomes by these tasks conducted individually and in cooperation with other students:  

1. Answer theoretical and application questions on information covered in the lecture, graded assignments and reading assignments.
2. Complete a billing audit of documentation against charges.

To complete the outcomes the student must have skills and knowledge in:  

• communication techniques
• information technologies
• health record content
• state, federal, and accreditation documentation requirements
• healthcare facility organization
• critical thinking
• classification systems
• data quality attributes
• abstracting
• data security
• health record analysis
• medical vocabularies
• data collection tools