MedicalCoding 2
MedicalCoding 2
ANDHRA PRADESH
STATE COUNCIL OF HIGHER EDUCATION
(A STATUTORY BODY OF GOVERNMENT OF ANDHRA PRADESH)
PROGRAM BOOK FOR
SEMESTER INTERNSHIP
University
An Internship Report on
Department of
Submitted by:
Reg.No:
Department of
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Instructions to Students
Please read the detailed Guidelines on Internship hosted on the website of AP State
Council of Higher Education https://apsche.ap.gov.in
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13. Never be hesitant to ask questions to make sure you fully understand what
you need to do your work and to contribute to the organization.
14. Be regular in filling up your Program Book. It shall be filled up in your own
handwriting. Add additional sheets wherever necessary.
15. At the end of internship, you shall be evaluated by your Supervisor of the
intern organization.
16. There shall also be evaluation at the end of the internship by the Faculty
Guide and the Principal.
17. Do not meddle with the instruments/equipment you work with.
18. Ensure that you do not cause any disturbance to the regular activities of the
intern organization.
19. Be cordial but not too intimate with the employees of the intern organization
and your fellow interns.
20. You should understand that during the internship programme, you are the
ambassador of your College, and your behavior during the internship
programme is of utmost importance.
21. If you are involved in any discipline related issues, you will be withdrawn from
the internship programme immediately and disciplinary action shall be
initiated.
22. Do not forget to keep up your family pride and prestige of your College.
<<@>>
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Student’s Declaration
I, a student of
Program, Reg. No. of the Department of
College do hereby declare that I have completed the mandatory internship from
to in (Name of
the intern organization) under the Faculty Guideship of
(Name of the Faculty Guide), Department of
,
(Name of the College)
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Official Certification
This is to certify that (Name of
the student) Reg. No. has completed his/her Internship in
(Name of the Intern Organization) on
(Title of the Internship) under my supervision
as a part of partial fulfillment of the requirement for the Degree of
in the Department of
(Name of the College).
Endorsements
Faculty Guide
Principal
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Certificate from Intern Organization
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Acknowledgements
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Contents
Sl. No Name of the topic / discussion PAGE NO
1 Executive Summary
3 Internship Part
4 Outcomes Description
CHAPTER1: EXECUTIVE SUMMARY
In today's ever-evolving healthcare landscape, accurate and efficient medical coding plays a
critical role in ensuring that healthcare providers receive proper reimbursement for their
services and that patient records are maintained with precision. Spark Info Solutions Pvt Ltd
recognizes the significance of medical coding and is proud to introduce our Internship
Training Programme on "Medical Coding" to equip aspiring professionals with the
knowledge and skills needed to excel in this vital field.
Program Overview: Our internship program is designed to provide participants with a
comprehensive understanding of medical coding principles, practices, and the latest
industry standards. Through a blend of theoretical knowledge and practical experience,
interns will gain the expertise necessary to thrive in the dynamic healthcare environment.
Key Highlights:
Comprehensive Curriculum: Our program covers all major aspects of medical
coding, including ICD-10-CM, CPT, HCPCS Level II coding systems, anatomy, and
medical terminology.
Experienced Instructors: Interns will benefit from the guidance of seasoned
instructors with extensive experience in medical coding, ensuring a high-quality
learning experience.
Hands-on Practice: We emphasize hands-on coding exercises, allowing participants
to apply their knowledge in real-world scenarios and gain confidence in their coding
abilities.
Industry-Relevant Software: Interns will have access to industry-standard coding
software, enabling them to become proficient in the tools used by healthcare facilities
and coding professionals.
Certification Preparation: Our program is designed to prepare participants for
leading medical coding certification exams, such as the Certified Professional Coder
(CPC) exam, to enhance their career prospects.
Career Development: Beyond coding skills, we offer insights into career
opportunities in medical coding, including potential job placements and networking
opportunities.
Learning objectives:
Throughout our Internship Training Programme on "Medical Coding," participants will
acquire a comprehensive set of skills and knowledge to excel in the field of medical coding.
Our program's learning objectives are designed to ensure that each intern gains a solid
foundation in medical coding principles and practices. Here are the key learning objectives:
Understanding of Medical Terminology: Interns will develop a robust
understanding of medical terminology, enabling them to accurately decipher
and code medical records and documents.
Proficiency in Coding Systems: Participants will become proficient in
using the major coding systems, including ICD-10-CM
(International Classification of Diseases, 10th Edition, Clinical
Modification), CPT (Current Procedural Terminology), and HCPCS
Level II (Healthcare Common Procedure Coding System).
Anatomy and Physiology Knowledge: Interns will gain a fundamental
understanding of human anatomy and physiology, which is essential for
accurate medical coding.
Coding Guidelines: Participants will learn and apply coding
guidelines and principles, ensuring accuracy and compliance with
industry standards.
Hands-on Coding Experience: Through practical exercises and real-world coding
scenarios, interns will develop hands-on coding skills, improving their
accuracy and speed.
Use of Coding Software: Interns will become proficient in industry-standard coding
software, preparing them for the tools used in healthcare facilities and coding .
Documentation Review: Participants will learn how to review medical
documentation, identify relevant information, and translate it into appropriate
codes.
Compliance and Ethical Coding: Interns will understand the importance of ethical
coding practices and compliance with regulations such as HIPAA (Health
Insurance Portability and Accountability Act).
Preparation for Certification Exams: Our program will prepare interns for medical
coding certification exams, such as the Certified Professional Coder (CPC) exam,
by providing comprehensive exam-focused training.
Career Development: In addition to coding skills, participants will gain insights
into potential career paths, job placement opportunities, and strategies for
professional growth in the field of medical coding.
Critical Thinking and Problem-Solving: Interns will develop critical thinking skills
to analyze complex medical records and code them accurately, even in
challenging cases.
Effective Communication: Participants will learn how to
communicate coding information effectively with healthcare
providers and other stakeholders.
Who Should Attend: This internship program is open to individuals who are passionate
about pursuing a career in medical coding. Whether you are a recent graduate, a healthcare
professional looking to expand your skill set, or someone seeking a career change, our
program provides a solid foundation for success in this growing field.
Conclusion: Spark Info Solutions Pvt Ltd Internship Training Programme on "Medical
Coding" is committed to nurturing the next generation of medical coders. We invite you to
embark on this journey with us to acquire the knowledge, skills, and confidence needed to
excel in the healthcare industry. Together, we can contribute to the accuracy and efficiency
of medical coding, making a positive impact on patient care and healthcare providers'
financial sustainability.
Outcomes Achieved:
Upon completing Lomaa It Solutions "Medical Coding" Internship Training Programme,
participants will exhibit proficiency in coding systems, a deep understanding of medical
terminology and anatomy, ethical coding practices, and readiness for certification exams.
They will be poised for successful careers in medical coding, contributing to healthcare
accuracy and compliance.
EmaiAddress:
Lomaa It Solutions is a leading IT firm based in Vizag, Andhrapradesh, India. The company
was established with the aim of providing high-quality and innovative IT solutions to
businesses of all sizes, across various industries. It provides services like Medical Coding,
Website Designing, Web Application Development, Graphic Designing, Mobile App
Development, Digital Marketing and Internship Programme to students.
D. Our organizational structure is designed for efficiency and collaboration, featuring well-
defined roles, clear hierarchies, and open communication channels, enabling seamless
coordination among teams to deliver exceptional IT solutions and services. E. Employees in
the intern's placement ensure mentoring, guidance, and hands-on learning opportunities.
They collaborate with interns on projects, provide feedback, and support skill development
to contribute effectively to the organization. F. As of the latest available data, Lomaa It
Solutions has shown impressive growth with increasing turnover, profits, and market reach.
Its market value has surged significantly. Future plans include global expansion,
diversifying service offerings, and investing in cutting-edge technologies to maintain its
position as a leading global IT solutions provider. G. Lomaa It Solutions aims to continue its
global expansion by establishing a strong presence in new markets. It plans to focus on
research and development to develop advanced IT solutions. Strengthening client
relationships, enhancing customer support, and fostering a culture of continuous
improvement will remain integral to its future growth.
CHAPTER3: INTERNSHIP PART
Description of the Activities/Responsibilities in the Intern Organization during Internship,
which shall include- details of working conditions, weekly work schedule, equipment used,
and tasks performed. This part could end by reflecting on what kind of skills the intern
acquired.
Working Conditions:
Interns will work in a conducive learning environment equipped with computers
and coding software.
The workplace will prioritize a professional and collaborative atmosphere to
facilitate learning.
Equipment Used:
Interns will utilize computers with access to industry-standard medical coding
software.
Relevant coding books and reference materials will be provided.
Tasks Performed:
1. Medical Terminology and Anatomy: Begin with foundational lessons in medical
terminology and anatomy, essential for understanding medical records.
2. Coding Systems Mastery: Learn and practice the use of ICD-10-CM, CPT, and HCPCS
Level II coding systems, becoming proficient in code selection.
3. Coding Software Proficiency: Gain hands-on experience with coding software
commonly used in healthcare settings.
4. Documentation Review: Analyze medical records, extract relevant information, and
assign accurate codes to diagnoses and procedures.
5. Coding Guidelines: Study and apply coding guidelines, ensuring compliance with
industry standards.
6. Ethical Coding Practices: Emphasize the importance of ethical coding, patient
privacy (HIPAA), and compliance with healthcare regulations.
7. Certification Exam Preparation: Receive guidance and practice exams to prepare for
medical coding certification, such as the CPC exam.
Skill Acquisition:
By the end of the internship, participants will have acquired:
Proficiency in using coding systems and software.
Ability to decode and translate complex medical documentation accurately.
Knowledge of anatomy, medical terminology, and coding guidelines.
Skills in ethical coding practices and compliance.
Confidence to approach real-world coding challenges.
Preparedness for potential certification exams.
Effective communication with healthcare professionals.
The internship at offers a structured and hands-on learning experience, ensuring interns
gain the practical skills and knowledge needed to embark on a successful career in medical
coding.
ACTIVITY LOG FOR THE FIRST WEEK
Person In-
Day & Date Brief description of the daily activity Learning Outcome Charge
Signature
I understand the
Day-2 Introduction of medical terminology Introduction of
medical terminology
I learned different
Medical terms and explanation with types Medical terms
Day–6 examples body system wise .
WEEKLY REPORT
WEEK–1 (From Date: ___________ to Date _____________ )
In the first week of the internship, participants were introduced to the fundamental concepts
of medical coding, including an overview of its scope. They gained a solid understanding of
medical terminology, anatomical body planes, and began to explore various medical terms
systemically. This foundation sets the stage for comprehensive medical coding knowledge
acquisition.
Detailed Report:
During Week 1 of the internship, participants were introduced to the world of medical
coding. They learned about the scope and significance of medical coding in healthcare. The
week's activities primarily focused on building a strong foundation in medical terminology,
with a special emphasis on anatomical body planes. Through revision and practice tests,
interns honed their knowledge of medical terms, gaining proficiency and preparing for more
advanced topics. The week concluded with an in-depth exploration of medical terms
organized by body systems, setting the stage for a comprehensive understanding of coding
principles.
ACTIVITY LOG FOR THE SECOND WEEK
Person In-
Brief description of the daily
Day & Date Learning Outcome Charge
activity
Signature
I Learned Introduction
Introduction of Human body of Human body
Day–1 functional systems functional systems
Detailed Report:
In Week 2, participants expanded their understanding of human body functional systems. They began
by studying the integumentary system, focusing on its anatomy, physiology, and pathology. This was
followed by an in-depth examination of the skeletal system, covering both its anatomy and associated
physiological and pathological aspects. The week concluded with a comprehensive exploration of the
muscular system, encompassing anatomy, physiology, and pathology. These detailed insights into
body systems are crucial for accurate medical coding, enhancing interns' foundational knowledge.
ACTIVITY LOG FOR THE THIRD WEEK
Person In-
Brief description of the daily
Day & Date Learning Outcome Charge
activity
Signature
Detailed Report:
In the third week of the internship, I gained a comprehensive understanding of specialized
body systems, including the female and male reproductive systems, as well as the respiratory
system. I learned about their intricate anatomical structures, physiological processes, and
potential pathologies. This knowledge is invaluable for medical coding in these specific areas,
as it enables me to accurately interpret medical documentation and assign appropriate
codes. I am now equipped with a solid foundation to excel in medical coding tasks related to
these systems.
ACTIVITY LOG FOR THE FORTH WEEK
Person In-
Brief description of the daily
Day & Date Learning Outcome Charge
activity
Signature
Detailed Report:
In the fourth week of my internship, I expanded my understanding of essential body systems.
I delved into the intricacies of the digestive system, grasping its anatomy, physiology, and
potential pathologies. This was followed by a comprehensive exploration of the urinary
system, covering both its anatomical structures and physiological and pathological aspects.
The week concluded with an examination of sensory organs, understanding their anatomy,
physiology, and potential pathologies. This in-depth knowledge equips me to code accurately
across a range of medical records within these specialized domains.
ACTIVITY LOG FOR THE FIFTH WEEK
Person In-
Brief description of the daily
Day & Date Learning Outcome Charge
activity
Signature
Detailed Report:
In the fifth week of my internship, I delved into the intricate systems of the human body. I
learned about the endocrine system, comprehending its anatomy, terminology, physiology,
and potential pathologies. Following this, I gained a comprehensive understanding of the
circulatory system, encompassing both anatomical structures and physiological and
pathological aspects. The week concluded with a study of the nervous system, including its
anatomy, terminology, physiology, and potential pathologies. This comprehensive
knowledge equips me to accurately code diverse medical records across these specialized
domains, further enhancing my proficiency in medical coding.
ACTIVITY LOG FOR THE SIXTH WEEK
Person In-
Brief description of the daily
Day & Date Learning Outcome Charge
activity
Signature
Detailed Report:
In the sixth week of my internship, I immersed myself in the complexities of the
cardiovascular system. I acquired a deep understanding of its anatomy, terminology,
physiology, and potential pathologies. Moreover, I initiated my exploration of ICD-10-CM
coding, comprehending its conventions, compliance standards, and general coding
guidelines. This foundational knowledge empowers me to accurately code medical records
related to the cardiovascular system and lays the groundwork for more advanced coding
tasks, further enhancing my expertise in medical coding.
CHAPTER5: OUTCOMES DESCRIPTION
Describe the work environment you have experienced (in terms of people interactions,
facilities available and maintenance, clarity of job roles, protocols, procedures, processes,
discipline, time management, harmonious relationships, socialization, mutual support and
teamwork, motivation, space and ventilation, etc.)
Throughout my internship, I've acquired a diverse set of real-time technical skills crucial for
success in the field of medical coding. I've gained hands-on experience in using industry-
standard coding software, accurately translating complex medical documentation into
appropriate codes. I've honed my proficiency in multiple coding systems, including ICD-10-
CM, CPT, and HCPCS Level II, and applied coding guidelines effectively. Additionally, I've
developed a keen eye for detail when reviewing medical records, ensuring precision and
compliance. This practical experience has not only enhanced my coding abilities but also
prepared me for certification exams and future roles in the healthcare industry, making me
a valuable asset to any healthcare facility.
Describe the managerial skills you have acquired (in terms of planning, leadership,
teamwork, behavior, workmanship, productive use of time, weekly improvement in
competencies, goal setting, decision making, performance analysis, etc.
During my internship, I've developed essential managerial skills that extend beyond medical
coding. I've honed my planning abilities by organizing and prioritizing coding tasks
effectively. Leadership skills emerged as I guided fellow interns in collaborative projects,
fostering teamwork and mutual support. My behavior and workmanship improved through
attention to detail, accuracy, and adherence to coding guidelines. I made productive use of
time by efficiently managing workload. Weekly competencies improved through goal setting
and continuous learning. Decision-making skills were refined by analyzing complex medical
cases, and performance analysis enhanced my ability to identify areas for improvement,
ensuring my growth as a competent and reliable medical coder.
Describe how you could improve your communication skills (inter ms of improve
monitorial communication, written communication, conversational abilities, confidence
levels while communicating, anxiety management, understanding others, getting
understood by others, extempore speech, ability to articulate the key points, closing the
conversation, maintaining niceties and protocols, greeting, thanking and appreciating
others, etc.,)
Improving my communication skills is essential for success in the medical coding field. To
enhance monitorial communication, I'll actively seek feedback and engage in regular
discussions with colleagues and mentors. I'll work on enhancing my written communication
by practicing concise and clear documentation. To boost conversational abilities and
confidence, I'll engage in more discussions, both professionally and socially. Managing
anxiety through mindfulness techniques will be a priority. I'll focus on empathetic listening
and adapting my communication style to different individuals. Additionally, I'll work on
extempore speech and articulating key points effectively. Closing conversations with
politeness and maintaining professional niceties, such as greetings and expressions of
gratitude, will also be a focus for improvement.
Describe how could you could enhance your abilities in group discussions, participation
in teams, contribution as a team member, leading at eam/activity.
To enhance my abilities in group discussions and teamwork, I'll actively engage in group
activities, listen attentively to diverse perspectives, and offer constructive input. I'll practice
effective communication, ensuring my ideas are conveyed clearly and concisely. As a team
member, I'll contribute proactively, share knowledge, and support colleagues' efforts. To
take on a leadership role, I'll develop leadership skills through courses and mentorship,
encourage collaboration, and set clear goals. I'll lead by example, inspire and motivate the
team, and foster an environment where every member feels valued. Continuous self-
improvement and empathy will be key to becoming a more effective and influential team
player and leader.
Describe the technological developments you have observed and relevant to the
subject area of training (focus on digital technologies relevant to your job role).
Date of Evaluation:
1 Oral communication 1 2 3 4 5
2 Written communication 1 2 3 4 5
3 Proactiveness 1 2 3 4 5
4 Interaction ability with community 1 2 3 4 5
5 Positive Attitude 1 2 3 4 5
6 Self-confidence 1 2 3 4 5
7 Ability to learn 1 2 3 4 5
8 Work Plan and organization 1 2 3 4 5
9 Professionalism 1 2 3 4 5
10 Creativity 1 2 3 4 5
11 Quality of work done 1 2 3 4 5
12 Time Management 1 2 3 4 5
13 Understanding the Community 1 2 3 4 5
14 Achievement of Desired Outcomes 1 2 3 4 5
15 OVERALL PERFORMANCE 1 2 3 4 5
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Evaluation by the Supervisor of the Intern Organization
Date of Evaluation:
Please note that your evaluation shall be done independent of the Student’s self-
evaluation
1 Oral communication 1 2 3 4 5
2 Written communication 1 2 3 4 5
3 Proactiveness 1 2 3 4 5
4 Interaction ability with community 1 2 3 4 5
5 Positive Attitude 1 2 3 4 5
6 Self-confidence 1 2 3 4 5
7 Ability to learn 1 2 3 4 5
8 Work Plan and organization 1 2 3 4 5
9 Professionalism 1 2 3 4 5
10 Creativity 1 2 3 4 5
11 Quality of work done 1 2 3 4 5
12 Time Management 1 2 3 4 5
13 Understanding the Community 1 2 3 4 5
14 Achievement of Desired Outcomes 1 2 3 4 5
15 OVERALL PERFORMANCE 1 2 3 4 5
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Date: Signature of the Supervisor
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PHOTOS & VIDEO LINKS
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EVALUATION
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Internal & External Evaluation for Semester Internship
Objectives:
Explore career alternatives prior to graduation.
To assess interests and abilities in the field of study.
To develop communication, interpersonal and other critical skills in the
future job.
To acquire additional skills required for the world of work.
To acquire employment contacts leading directly to a full-time job following
graduation from college.
Assessment Model:
There shall be both internal evaluation and external evaluation
The Faculty Guide assigned is in-charge of the learning activities of the
students and for the comprehensive and continuous assessment of the
students.
The assessment is to be conducted for 200 marks. Internal Evaluation for 50
marks and External Evaluation for 150 marks
The number of credits assigned is 12. Later the marks shall be converted into
grades and grade points to include finally in the SGPA and CGPA.
The weightings for Internal Evaluation shall be:
o Activity Log 10 marks
o Internship Evaluation 30 marks
o Oral Presentation 10 marks
The weightings for External Evaluation shall be:
o Internship Evaluation 100 marks
o Viva-Voce 50 marks
The External Evaluation shall be conducted by an Evaluation Committee
comprising of the Principal, Faculty Guide, Internal Expert and External
Expert nominated by the affiliating University. The Evaluation Committee
shall also consider the grading given by the Supervisor of the Intern
Organization.
Activity Log is the record of the day-to-day activities. The Activity Log is assessed
on an individual basis, thus allowing for individual members within groups to be
assessed this way. The assessment will take into consideration
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the individual student’s involvement in the assigned work.
While evaluating the student’s Activity Log, the following shall be
considered -
a. The individual student’s effort and commitment.
b. The originality and quality of the work produced by the individual
student.
c. The student’s integration and co-operation with the work assigned.
d. The completeness of the Activity Log.
The Internship Evaluation shall include the following components and based
on Weekly Reports and Outcomes Description
a. Description of the Work Environment.
b. Real Time Technical Skills acquired.
c. Managerial Skills acquired.
d. Improvement of Communication Skills.
e. Team Dynamics
f. Technological Developments recorded.
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MARKS STATEMENT
(To be used by the Examiners)
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INTERNAL ASSESSMENT STATEMENT
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EXTERNAL ASSESSMENT STATEMENT
Maximum Marks
Sl.No Evaluation Criterion
Marks Awarded
1. Internship Evaluation 80
For the grading giving by the Supervisor of
2. 20
the Intern Organization
3. Viva-Voce 50
TOTAL 150
GRAND TOTAL (EXT. 50 M + INT. 100M) 200
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