September 29, 2011

ICD-10-CM/PCS Coding Training: Now and Then


Some health information management (HIM) professionals will conduct ICD-10-CM/PCS training of coding specialists in their facilities, and many of these professionals will kick off the training in early 2013. However, in order to start ICD-10 training in 2013, these HIM professionals must do a lot of “prep work” – and that work should start now, in October 2011.

Below is a timeline for many of the most critical action items that need to be completed before ICD-10 training can start in 2013.


Identify all staff responsible for coding throughout the facility and document the following information for each of them:

  • Name
  • Department
  • Job title
  • Work site (in house or remote)
  • Responsibility for coding cases classified as: inpatient, observation, ambulatory surgery, clinic, emergency department and ancillary visits
  • Coding credentials (if applicable)
  • Coding education (indicating name of learning institution or whether person was “trained on the job”)
  • Number of years of experience in coding


Request or generate an inpatient case mix report and an outpatient case mix report for all financial classes of patients seen from Jan. 1, 2011 through Nov. 30, 2011. These reports should include, at a minimum:

  • Patient name
  • Medical record number
  • Account number
  • Date of service/discharge
  • All ICD-9-CM diagnosis codes
  • All ICD-9-CM procedure codes
  • All CPT/HCPCS codes
  • All modifiers
  • All DRG assignments


Analyze the inpatient and outpatient case mix reports to identify high-volume conditions, procedures and codes to include in the biomedicine GAP analyses and coding training. In other words, be sure to customize analyses and training materials based on the conditions and procedures that are most common to your facility.




Prepare biomedicine GAP analysis exams for medical terminology and anatomy and physiology to assess coders’ strengths and to identify opportunities for improvement.

MARCH 2012

Prepare biomedicine GAP analysis exams for pathophysiology and pharmacology to assess coders’ strengths and to identify opportunities for improvement.

APRIL – MAY 2012

Administer GAP analysis exams to all staff responsible for coding.

JUNE 2012

Grade all GAP analyses and prepare summary reports detailing the findings for each coder. Use the GAP analysis results to identify staff that will need biomedicine training in addition to ICD-10 training.

JULY 2012

Schedule training dates and reserve location(s) for the training sessions. Note: the biomedicine training may need to start in 2012 if it is not feasible to perform both biomedicine and ICD-10 coding training in 2013.


Compile facility-specific clinical notes and reports to customize ICD-10 training exercises and tests.


Order all training materials that will be needed, such as:

  • ICD-10-CM and ICD-10-PCS code books
  • ICD-10-CM and ICD-10-PCS training materials
  • Medical terminology books
  • Anatomy and physiology books
  • Pathophysiology books
  • Pharmacology books


Prepare and submit continuing education (CE) prior approval applications (and fees) to the organizations that have certified coders who will be trained in ICD-10. The CE approval process may take several weeks or more, so HIM professionals should not wait until 2013 to secure CEs for the training.

These action items are not all-inclusive, but they illustrate how imperative it is for HIM professionals to start preparing for ICD-10 coding training now!

About the Author

Lolita M. Jones, RHIA, CCS, is the principal of Lolita M. Jones Consulting Services (LMJCS), founded in October 1998 in Fort Washington, MD.  Ms. Jones has over 25 years of experience in coding and consulting. She started preparing for the implementation of ICD-10-CM/PCS by going back to school. On September 12, 2010, Ms. Jones became an AHIMA-approved ICD-10-CM/PCS trainer.

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Read 369 times Updated on September 23, 2013
Lolita M. Jones, MSHS, RHIA, CCS

Lolita M. Jones, MSHS, RHIA, CCS has provided Product Consultant services to a warehousing and analytics start-up that developed and marketed decision support software, health outcomes services, and regulatory compliance toolsets. Her goal is to combine her medical coding expertise with data mining-pattern recognition, to help improve data accuracy and compliance in medical coding and reimbursement (i.e., ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, modifiers, DRGs, APCs, and eAPGs). Ms. Jones also provides remote and on-site training/consulting in her newly developed Healthcare Data Mining Clinic educational series. She is currently pursuing a Graduate Certificate in Healthcare Data Analytics from a top university. Ms. Jones is based in New York and can be reached at .