HIM 108 - Health Care Documentation

Credit(s): 1
This course provides the proficiency to understand Medical Records and also how to format and edit medical reports and report templates, and to review guidelines. Emphasis is placed on formatting and editing different types of medical reports such as: Chart Notes, History and Physical Examinations, Consultation Reports, Discharge Summaries, and Operative Reports. Accurate dictation and transcription of medical reports found in medical records of hospitals, long-term care facilities, ambulatory care facilities, and other types of health clinics is reviewed. Dictated case studies, medical records, and medical correspondence, including audio files, will be used for practicing the formatting of various types of medical reports and for practicing transcribing all types of medical correspondence and reports. Upon completion of the course, students will have a proficiency level appropriate to obtain and test for a Registered Healthcare Documentation Specialist (RHDS) Level 1 (Basic RMT) Certification and/or Certified Healthcare Documentation Specialist (CHDS) Level 2 (Advanced CMT) Certification.

Prerequisite(s): HMC 107 or BIO 111 or BIO 217/BIO 218; HTH 114
Note: Restricted to students in the Medical Billing and Coding Certificate program

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