3. Inpatient Case Study (TAVR, and additional challenging cardiac procedures)
a. ICD-10-CM codes
b. ICD-10-CM coding guidelines pertinent to the case
c. ICD-10-PC code(s)- review through each character assignment
d. ICD-10-PCS Coding Guidelines
e. Query opportunities- items to look for when coding Cardiology IP records
4. Outpatient Case Study (CABG using multiple grafts, PTCA, PTA, thrombectomy, etc)
a. ICD-10-CM codes
b. ICD-10-CM coding guidelines
c. CPT code
d. CPT reference material/coding guidelines
e. Documentation clues and hints (Op report, Progress Note)
May 6, 2019
CEU: 1.0 – Clinical Data Management
Melissa Koehler, RHIA, CHDA, CDIP, CCS, CCS-P
Melissa Koehler, RHIA, CHDA, CDIP, CCS, CCS-P, AHIMA Approved ICD-10-CM/PCS Trainer, is a HIM professional with substantial coding, auditing, and CDI experience. With a career in HIM spanning 20+ years, Melissa has served in various production and leadership roles in several health information disciplines of inpatient/outpatient facility coding including supervisory, auditing, and management roles, clinical documentation improvement, and revenue cycle workflow.
She has volunteered by serving on several committees on the national, state, and local levels including Secretary/Treasurer and past President for Upper East Tennessee Health Information Management Association (UETHIMA), Tennessee Health Information Management Association (THIMA) Nominating Committee, and has been the chair of the Data Analytics & Informatics Committee since 2017. She also represents the state of Tennessee with AHIMA as the Coding Roundtable Coordinator. Involvement at the national level include AHIMA HIM Honor Society Task Force in 2015, Standards for Ethical Coding Taskforce in 2016, and she is currently serving in her third-year term with the Clinical Terminology & Classification Practice Council. She has served as a speaker on various coding and CDI topics at the local, state, and national level, most recently as a panelist for 2017 AHIMA National Convention and a keynote speaker for the 2017 AHIMA CDI Summit.
Melissa completed her Associates of Applied Science in Health Information Technology and graduated Magna Cum Laude at Walter’s State Community College where she received several merit based scholarships and accolades. She graduated with a Bachelor of Science degree in Health Informatics & Information Management from The College of Saint Scholastica and is currently pursuing a master’s degree in Health Informatics from the same institution. She is also a past recipient of AHIMA Foundation’s CSA Leadership Merit scholarship.