Medical Records Technician Syllabus

The Final Exam – This test is necessary to receive a Certificate of Completion. Depending on your final score, certificate and/or letters are provided. The final will provide you the look and feel of a real employer exam. If you pass our final exam, you will pass almost any employer exam.

Final Exam for CD Version of the Courses – The Final Exam is included in the cost of the online courses. If you choose to do a course via the CD option, it is $89.00 to take the final exam.

*** All coding courses, or courses that include coding require the purchase of two reference books from an outside source. You may also purchase a used inexpensive edition anywhere online instead of the new edition. ***http://www.unicormed.com/store/2015-cpt-books/ – SELECT THE 89.95 EDITION andhttp://www.unicormed.com/store/principles-of-icd-9-coding/

MEDICAL RECORDS TECHNICIAN

TIME FOR COMPLETION: 220 hours

Chapter 1 – Medical Record Technician

Chapter 2 – Medical Records

A. Rationale and Application

B. Record Number and Forms

C. Medical Reports

(1) History and Physical

(2) Clinical and Laboratory

(3) Autopsy

(4) Operation

(5) Discharge Summaries

Chapter 3 – Departmental Responsibilities

A. The Department

B. Step by Step Process

C. Filing Systems

(1) Straight Numeric Filing

(2) Terminal Digital Filing

D. Data and Statistics

Chapter 4 – Electronic Medical Records

A. EMR

B. Differences in EMR/EHR

C. Benefits of EHR

D. Paper Medical Records

E. Computerization of Medical Records

Chapter 5 – Policies and Procedures

A. Policies and Procedures

B. Confidential Information Management

C. Public Law – HIPAA

Chapter 6 – Workplace Assets

Chapter 7 – Medical Professionals

Chapter 9 – Coding

A. Disease Classifications and Coding

B. ICD9-10 Codes

C. CPT Codes

D. HCPCS

E. APC Codes

F. Coding Software

G. Coding Practice

 

Appendix