Win with Medical Coding, Billing, & Documentation

Win with Medical Coding, Billing, & Documentation is the second course of the Protecting Your Revenue During Turbulent Times online series.

About the Instructor:

Dorothy Steed, CCS, CDIP, CPC-H, CPCO, CPUM, CPUR, CPHM, CPMA, ACS-OP, CCS-P, RCC, RMC, CEMC, CPC-I, CFPC, PCS, FCS, CPAR has over 38 years of experience in both hospital and physician billing, coding, reimbursement, and claims management, though she specializes in Medicare requirements. Ms. Steed is credentialed in medical coding, compliance, utilization management, utilization review, medical auditing, clinical documentation improvement, and patient accounts.

Ms. Steed holds specialty credentials in Evaluation & Management, medical auditing, and radiology coding; she has also provided training workshops in all of these areas.


  • Course overview
  • About the instructor
  • Course introduction

Registration and Communication

  • Beginning with registration
  • Communication difficulties
  • Authorization of services
  • Review

Coding the Encounter

  • Encounter form problems
  • Avoiding unspecified/non-specific codes
  • Code from results
  • Coding the record with accuracy
  • Coding the record with specificity
  • Who should code the encounter
  • Review

Coding the Encounter: ICD-10

  • ICD-10-CM code structure
  • Coding for late effects
  • Code first/use additional
  • Code also: seeking additional reporting
  • Coding for procedure-related complications
  • Code extensions
  • Fractures
  • Placeholder X
  • Laterality
  • Building the code
  • Status code and specificity
  • Review

Billing the Encounter

  • How billing accuracy reflects on provider
  • Ensuring discharge instructions are clearly understood
  • Adhering to global surgery guidelines
  • Ensuring proper modifier reporting
  • Issuing the ABS if service uncovered
  • Reviewing billing form for accuracy
  • Understanding payer processing system edits
  • Review


  • Documentation standards
  • Documentation requirements
  • Review

Final Exam: 25 Questions

  • Estimated length: 6 Hours
  • Worth: 6 CEUs

Pre-Approval:This course meets AAPC guidelines for six CEU credits

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If you have any questions regarding this CEU course, please contact MMI at any time.


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