Medical Documentation

Catalog description

This course covers the fundamentals of healthcare documentation as it pertains to the medical assistant. The course introduces students to the electronic health record (EHR) as a technology-based representation of healthcare data. The class covers the health record format, its use, and required information. Students examine the basics of healthcare information technology as required under the Health Information Technology for Economic and Clinical Health Act (HITECH), with emphasis on data security, privacy in health records, and the flow of healthcare documentation. Students navigate the EHR in a simulated lab.