medical coding online course

What is Risk of Mortality (ROM)? Risk of Mortality (ROM) in medical coding is a clinical severity measure used in healthcare coding and reporting that estimates the likelihood a patient will die during a hospital stay. ROM is typically assigned using coding systems...

What is Severity of Illness (SOI)? Severity of Illness (SOI) in medical coding is a classification system used in healthcare reporting that measures the extent of a patient’s illness. It reflects how sick the patient is and how much hospital resources may be required...

Understanding MCC and How It's Used In medical coding, MCC stands for Major Complication or Comorbidity. It is a classification used in the ICD-10-CM and MS-DRG (Medicare Severity Diagnosis-Related Group) systems. MCCs represent conditions that are severe and...

What Is Medical Necessity in Medical Coding & Billing? Medical necessity is a cornerstone of accurate medical coding and billing. It determines whether a service, procedure, or supply is reasonable, necessary, and appropriate based on a patient’s medical...

What Is an Encoder in Medical Coding? An encoder is a specialized software tool used by medical coders to streamline the coding process by helping identify the correct diagnosis (ICD-10-CM), procedure (CPT/HCPCS), and modifier codes. Encoders often integrate official...

Medical Coding Audits: Guidelines & Tips for Compliance and Accuracy Medical coding audits are essential for maintaining compliance, ensuring accurate reimbursement, and reducing the risk of denials or legal penalties. Whether you're a coding professional,...

Medical Coding Compliance Guidelines & Tips for Medical Coding & Billing Maintaining billing and medical coding compliance is critical for preventing audits, avoiding penalties, and ensuring timely reimbursement. Healthcare organizations, providers, and coders...

Here’s a detailed overview of the finalized CMS Top Changes for 2026, including policy and payment changes affecting Medicare Advantage (MA), Part D, traditional Medicare, and ACA Marketplace plans: Medicare Advantage (Part C) In the final CY 2026 Rate Announcement,...

Who Hires New CPC-A and CPC Coders? Breaking into the medical coding field as a newly certified CPC-A (Certified Professional Coder Apprentice) or CPC (Certified Professional Coder) can feel overwhelming. Many healthcare organizations prefer experienced coders, but...