Curriculum

130 Hours/12 Months/Instructor Supported

This practical, hands-on course introduces you to the electronic health record (EHR) and shows you how to become proficient in using EHR software on the job. You will gain a thorough understanding of both the terminology of EHR systems and the practical use of such systems in a health care provider office setting. Some of the topics discussed include problem lists, assessments, prescription/medication management, exam notes, and diagnostic orders and results. The MedWare Chart EHR software and activities are similar to what will be encountered in the workplace.

Upon successful completion of the Electronic Health Record Specialist course, students are ready for an entry-level position in a medical office setting and will be prepared to sit for the NHA national certification exam to become a Certified Electronic Health Record Specialist (CEHRS).

Outline

Electronic Health Record Specialist Module 1
Medical Terminology

  • Pronunciation
  • Spelling
  • Word Roots
  • Combining Vowels/Form
  • Prefixes
  • Suffixes
  • General Rules
  • Word Building
  • Abbreviations
  • Procedural and Diagnostic Billing Codes
  • Body Structure
  • Organization of the Body
  • Anatomical Position
  • Body Planes
  • Directional and Positional Terms
  • Body Cavities

Electronic Health Record Specialist Module 2
Electronic Health Record Overview

  • Electronic Health Records: An Overview
  • Importance of Electronic Records
  • Electronic Record Initiatives
  • Taking Steps Toward a Successful HER Implementation
  • The HER Framework
  • HER Architecture, Hardware, Software
  • Human Computer Interface Devices
  • Functional, Data Content Standards
  • Vocabulary Standards
  • Feature and Data Formats
  • Security Controls
  • Hybrid Records

Electronic Health Record Specialist Module 3
Record Content and Patient Visit Management

  • Record Purposes
  • Record Formats and Types of Data
  • Record Standards
  • Record Content
  • Documentation Practices
  • Patient Visit Management
  • Workflow
  • Master Patient Index
  • Service Payment Information
  • Scheduling
  • Consents and Acknowledgements
  • Advance Directives and Authorizations
  • Continued Software Practice

Electronic Health Record Specialist Module 4
Notes and Examinations

  • Problem Lists
  • Medication Lists
  • Allergy Lists
  • Examination and Assessment Notes
  • Graphics and Charts
  • Treatment Plan Standards and Documentations
  • Diagnostic and Treatment Orders
  • Results Reporting
  • Continued Software Practice

Electronic Health Record Specialist Module 5
Orders and Administration

  • Medication Orders
  • Medication Reference Information
  • Medication Alerts and Reminders
  • Patient Focused Communications
  • Patient Portals
  • Personal Health Records
  • Coding and Billing Workflow
  • Code Sets and Clinical Vocabularies
  • Coding, Billing and Encounter Form
  • Encoders and Computer Assisted Coding
  • Electronic Bill Submission
  • Continued Software Practice

Electronic Health Record Specialist Module 6
Research, Registries and Continued Care Records

  • Medical Product Development
  • Organization for Clinical Research
  • Clinical Research Steps
  • Medicare Qualifying Trials
  • Practice Requirements
  • Patient Identification and Documentations
  • Reimbursement
  • Standards the Support Research
  • Registries and Reportable Events
  • Personal Health Records
  • Communication Among Providers for Continuing Care
  • Continuing Care Records
  • Software Practice – Final Exercises