1. Identify the business of medicine, coding & documentation standards in the healthcare system and the crucial role of a coder in attaining the desired outcomes to ensure accuracy and consistency.
2. Understand Coding as a profession.
3. Understands the Coding and billing aspects, payers’ behaviors, and importance of Medical indications for the services rendered to the patient.
4. differences of services provided by hospitals and those provided by physicians.
5. Saudi health insurance overview

1. To understand the Word elements.
2. To know the Diagnostic and procedural terms.
3. Understand the Anatomy and physiology of organ/organ system.

1. Pharmacology and its Basic Principles.
2. Drug Nomenclature.
3. Structure and examples of GTIN Codes.
4. Drug barcoding specifications.
5. Drug track and trace system as per SFDA.
6. Prescriptions, Route of administration.
7. Systemic usage of pharmaceutical drugs.
8. Common medications in the inpatient settings.
9. Antimicrobial, antiviral, antifungal, and anticancer drugs

1. Medical report as a legal document.
2. Coding Rules and operative reports.
3. Surgery Services and Operative Reports.
4. Ownership, access, Structure, and content of a medical record.
5. Different modalities e.g., surgery, radiology etc.
6. Physician queries.
7. Health records coding and review process.
8. Hospital compliance.

1. Structure, Blocks, and examples of ICD-10-AM Diagnosis Codes.
2. Structure, Blocks, and examples of SCHI Procedure Codes.
3. Structure and application of the Saudi Billing System Coding Standards.
4. Saudi health insurance.
5. Overview of AR-DRG Classification.

1. Application of ICD-10-AM Chapters 1-11 and other applicable Diagnosis Codes.
2. Common diseases and conditions Coding guidelines and Saudi Billing System Coding Standards (SBSCS) applicable to the chapters 1-11.
3. Coding Case Studies.
4. Understanding the Physician query process.

1. Application of ICD-10-AM Chapters 12-22 and other applicable Diagnosis Codes.
2. Common diseases and conditions Coding guidelines and Saudi Billing System Coding Standards (SBSCS) applicable to the chapters 12-22.
3. Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 1 and 2 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to Nervous and endocrine system Codes and the Blocks.
3. Nervous and endocrine procedures Clinical Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 3,4 and 5 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to eye and adnexa, ear and mastoid process, nose, mouth, and pharynx system Codes and the blocks.
3. Related procedures Clinical Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 6 and 7 Procedure Codes.
2. Overview Saudi Billing System Coding Standards for dental and respiratory system codes / blocks.
3. Dental and respiratory system Clinical Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 8 and 9 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to blood and blood-forming organs and cardiovascular system Codes and the blocks.
3. Blood and blood-forming organs and cardiovascular system Clinical Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 10 and 11 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to digestive and urinary system Codes and the blocks.
3. Digestive and urinary system Clinical Coding Case Studies.
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 12,13 and 14 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to male genital organs, Gynecological and Obstetric system Codes, and the blocks
3. Male genital organs, Gynecological and Obstetric system Clinical Coding Case Studies
4. Understanding the Physician query process.

1. Structure and Application of SCHI Chapters 15,16 and 17 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to musculoskeletal, Dermatological, and plastic, and breast system Codes, and the blocks.
3. Musculoskeletal, Dermatological, and plastic, and breast system Clinical Coding Case Studies
4. Understanding the Physician query process

1. Structure and Application of SCHI Chapters 18,19,20 and 21 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to Radiation Oncology, Non-invasive Interventions, Imaging, Pathology, Laboratory Codes, and the blocks.
3. Radiation Oncology, Non-invasive Interventions, Imaging, Pathology, Laboratory Clinical Coding Case Studies

1. Structure and Application of SCHI Chapters 22 and 23 Procedure Codes.
2. Overview of the Saudi Billing System Coding Standards applicable to Ambulance Transport, and Saudi Service Codes, and the blocks.
3. Ambulance Transport, and Saudi Service Codes.
4. Clinical Coding Case Studies.

1. Structure and examples of ADA and GMDN Codes.
2. Medical device technical documentation as per SFDA.
3. Risk classification rules for medical devices as per SFDA.
4. Purpose, Principles and schedule of dental services and Glossary.

1. Compliance History.
2. Teaching facilities.
3. Saudi Health legislation and Regulatory bodies.
4. Opportunities and preparation for Professional Coders.
5. Ethics of medical coder.
6. AAPC member code of ethics.

Module 19 consists of 45 case study exercises (30 Outpatient and 15 Inpatient)