This Electronic Health Record (EHR) Management program prepares learners to understand, manage, and use electronic health records within a medical practice. Learners gain hands-on experience with EHR software while exploring legal, regulatory, and documentation requirements that support compliant, accurate, and secure health information management in ambulatory and outpatient settings.
Medical Terminology:
Module 1 - The word structure and analysis of medical terms including prefix, root word, and suffix.
Module 2 - The organization of the body and body systems in regards to terminology.
Module 3 - Diagnostic testing and radiology and how medical terminology is used to determine the proper testing methods.
Electronic Health Records Module 1
Introduction to the Electronic Health Record
• What is a Medical Record?
• Who Documents in the Medical Record?
• Who Owns the Medical Record?
• The Electronic Health Record
• Advantages of Electronic Health Records
• Disadvantages of Electronic Health Records
• Role of the Healthcare Professional Using the Electronic Health Record
• Professional Organizations
Electronic Health Records Module 2
Overview of SimChart
• The Medical Practice Goes Digital
• Accessing SCMO Through Evolve
• Getting Comfortable with Electronic Health Records
• SCMO Assignment View
• Features in SCMO
• Establishing and Maintaining a Patient Registry
• Internet Use in the Medical Practice
Electronic Health Records Module 3
Privacy, Confidentiality and Security
• HIPAA Law
• Confidentiality vs. Privacy
• Security Safeguards for the Medical Practice
• Patients’ Rights Under HIPAA
• Access to Protected Health Information
• Patients Protecting Health Information
Electronic Health Records Module 4
Administrative Use of the Electronic Health Record
• Role of the Front Office Assistant
• Communication in the Medical Office
• Incident Reports
• Managing Electronic Health Records
• Calendar
Electronic Health Records Module 5
Clinical Use of the Electronic Health Record
• Documentation in the Electronic Health Record
• Clinical Documentation in the Patient Record
• Tracking Health Screenings and Immunizations
• Using the Electronic Health Record for Patient Education
• The Progress Note
Electronic Health Records Module 6
Using the Electronic Health Record for Reimbursement
• Healthcare Reimbursement
• Revenue Cycle
• Coding Systems
• HCPCS
• Pay for Performance
• SuperBill
• Patient Ledger
• HIPAA 5010 Claim Processing
• Medical Necessity
• Fraud and Abuse
• Patient Statements
• Reporting Features of an EHR
Electronic Health Records Module 7
The Personal Health Record and Patient Portals
• What is a Personal Health Record?
• Innovative Features of Personal Health Records
• Benefits to Providers
• Steps in Creating the Personal Health Record
• Maintaining the Personal Health Record
• Patient Portals
By the end of this program, the learner will be able to:
Understand the role and responsibilities of an electronic health record specialist
Organize, store, and manage electronic health records in a medical facility
Apply legal, regulatory, and confidentiality requirements, including HIPAA
Use EHR software to document patient visits, examinations, assessments, and treatment plans
Ensure data accuracy, consistency, completeness, and security within the health record
Use health record information to support claims processing and reimbursement
Apply basic coding principles and reimbursement methodologies in ambulatory and outpatient settings
Interpret and apply medical terminology across major medical specialties
Upon completion of this program, learners will be eligible to sit for the National Healthcareer Association (NHA) Certified Electronic Health Record Specialist (CEHRS) exam.
This class is an independent-study course. Students will have all the resources needed to successfully complete the course within the online material. A student helpdesk is available for technical support during the course enrollment.