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MedicalCoding 2

The document outlines the guidelines and requirements for a Semester Internship program organized by the Andhra Pradesh State Council of Higher Education. It includes instructions for students on how to conduct their internships, the expected learning objectives, and the evaluation process. Additionally, it provides an overview of the internship program offered by Spark Info Solutions Pvt Ltd, focusing on medical coding, and details the activities and responsibilities interns will undertake during their training.
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0% found this document useful (0 votes)
11 views48 pages

MedicalCoding 2

The document outlines the guidelines and requirements for a Semester Internship program organized by the Andhra Pradesh State Council of Higher Education. It includes instructions for students on how to conduct their internships, the expected learning objectives, and the evaluation process. Additionally, it provides an overview of the internship program offered by Spark Info Solutions Pvt Ltd, focusing on medical coding, and details the activities and responsibilities interns will undertake during their training.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 48

SEMESTER INTERNSHIP

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

(Title of the Semester Internship Program)

Submitted in accordance with the requirement for the degree of

Under the Faculty Guideship of

(Name of the Faculty Guide)

Department of

(Name of the College)

Submitted by:

(Name of the Student)

Reg.No:
Department of

(Name of the College)

Page No
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

1. It is mandatory for all the students to complete Semester internship either in V


Semester or in VI Semester.
2. Every student should identify the organization for internship in consultation
with the College Principal/the authorized person nominated by the Principal.
3. Report to the intern organization as per the schedule given by the College. You
must make your own arrangements for transportation to reach the organization.
4. You should maintain punctuality in attending the internship. Daily attendance
is compulsory.
5. You are expected to learn about the organization, policies, procedures, and
processes by interacting with the people working in the organization and by
consulting the supervisor attached to the interns.
6. While you are attending the internship, follow the rules and regulations of the
intern organization.
7. While in the intern organization, always wear your College Identity Card.
8. If your College has a prescribed dress as uniform, wear the uniform daily, as
you attend to your assigned duties.
9. You will be assigned a Faculty Guide from your College. He/She will be creating
a WhatsApp group with your fellow interns. Post your daily activity done
and/or any difficulty you encounter during the internship.
10. Identify five or more learning objectives in consultation with your Faculty
Guide. These learning objectives can address:
a. Data and Information you are expected to collect about the organization
and/or industry.
b. Job Skills you are expected to acquire.
c. Development of professional competencies that lead to future career
success.
11. Practice professional communication skills with team members, co-interns,
and your supervisor. This includes expressing thoughts and ideas effectively
through oral, written, and non-verbal communication, and utilizing listening
skills.
12. Be aware of the communication culture in your work environment. Follow up
and communicate regularly with your supervisor to provide updates on your
progress with work assignments.

Page No
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.

<<@>>

Page No
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)

(Signature and Date)

Page No
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).

This is accepted for evaluation.

(Signatory with Date and Seal)

Endorsements

Faculty Guide

Head of the Department

Principal
Page No
Certificate from Intern Organization

This is to certify that (Name of the intern)


Reg. No of (Name of the
College) underwent internship in (Name of the
Intern Organization) from to

The overall performance of the intern during his/her internship is found to be


(Satisfactory/Not Satisfactory).

Authorized Signatory with Date and Seal

Page No
Acknowledgements

Page No
Page No
Contents
Sl. No Name of the topic / discussion PAGE NO
1 Executive Summary

2 Overview Of the Organization

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.

Description of the sector of business:


The medical coding sector is a vital component of the healthcare industry, responsible for
translating medical diagnoses, procedures, and services into universally recognized codes.
These codes are essential for accurate billing, insurance claims, and maintaining
comprehensive patient records. The sector plays a pivotal role in ensuring healthcare
providers receive proper reimbursement and adheres to regulatory compliance.

EmaiAddress:

Activities done during the Internship:


During the internship, participants engage in hands-on medical coding tasks, decode and
translate medical documentation, practice using coding software, analyze real-world
medical cases, and adhere to coding guidelines. They also receive guidance from experienced
instructors, prepare for certification exams, and gain insights into ethical coding practices
and healthcare industry standards.
CHAPTER2: OVER VIEW OF THE ORGANIZATION
Suggestive contents:

• Introduction of the Organization


• Vision, Mission, and Values of the Organization
• Policy of the Organization, in relation to the intern role
• Organizational Structure
• Roles and responsibilities of the employees in which the intern is placed.
• Performance of the Organization intern so turnover, profits, market reach and
market value.
• Future Plans of the Organization.

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.

Values: Innovation, Quality, Customer-Centricity, Integrity, Continuous Improvement,


Global Excellence, and Empowered Teamwork.
Mission: To provide high-quality, tailor-made IT solutions that empower businesses to
thrive by enhancing efficiency, achieving goals, and fostering enduring client relationships
through exceptional service.
Vision: To be a globally recognized IT solutions leader, renowned for excellence, innovation,
and unwavering customer satisfaction, while expanding our reach and delivering top-notch
services worldwide.
C. We are dedicated to offering interns valuable learning experiences, hands-on training, and
mentorship to develop their skills, fostering a nurturing and inclusive environment that
encourages growth and professional advancement.

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.

Internship Activities and Responsibilities:


During the internship at Lomaa It Solutions, participants will engage in a structured learning
experience focused on medical coding. The internship activities, responsibilities, and
working conditions are as follows:

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.

Weekly Work Schedule:


 Interns will follow a structured weekly schedule consisting of approximately 20-30
hours of training and practice.
 This schedule may include both classroom-style instruction and hands-on coding
exercises.

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

Introduction medical coding and I understand the


Day–1 scope of medical coding. Introduction medical
coding and scope of
medical coding

I understand the
Day-2 Introduction of medical terminology Introduction of
medical terminology

Medical terminology revision and I Learned Medical


Day–3 practice test terminology and
completed practice
test

Anatomical body planes I understand


Day–4 Anatomical planes of
the body

Medical terms and explanation with I learn Medical terms


Day–5 examples body system wise

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 _____________ )

Objective of the Activity Done:

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

Integmentary body system - I understand


Anatomy Integmentary body
Day-2 system - Anatomy

Integmentary body system - I learned Integmentary


Physiology and pathology body system -
Day–3 Physiology and
pathology

Skeletal system - Anantomy I Learned Skeletal


system - Anantomy
Day–4

Skeletal system - Physiology and I learned Skeletal


pathology system - Physiology
Day–5 and pathology

Muscular system - Anatomy I learned Muscular


physiology and pathology system - Anatomy
Day–6 physiology and
pathology
WEEKLY REPORT
WEEK–2 (From Date: ___________ to Date ______________ )

Objective of the Activity Done:


During the second week, interns delved deeper into the human body's functional systems. They
gained an understanding of the integumentary system's anatomy, physiology, and pathology,
followed by a comprehensive exploration of the skeletal system. The week concluded with a detailed
examination of the muscular system, covering anatomy, physiology, and pathology. This knowledge
foundation equips participants with essential insights for accurate medical coding in related areas.

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

Reproductive system - Female I understand


reproductive system -Anatomy Reproductive system -
Day–1 Female reproductive
system -Anatomy

Female reproductive system - I understand Female


Physiology and pathology reproductive system -
Day-2 Physiology and
pathology

Male reproductive system - I Learned Male


Anatomy reproductive system -
Day–3 Anatomy

Male reproductive system - I learned Male


Physiology and pathology reproductive system -
Day–4 Physiology and
pathology

Respiratory system - Anatomy I Learned Respiratory


system - Anatomy
Day–5

Respiratory system - Physiology I learned Respiratory


and pathology system - Physiology
Day–6 and pathology
WEEKLY REPORT
WEEK–3 (From Date: ___________ to Date _____________ )

Objective of the Activity Done:


During the third week, interns deepened their knowledge of human body systems. They
explored the female reproductive system's anatomy, physiology, and pathology, followed by
a similar exploration of the male reproductive system. The week continued with an
examination of the respiratory system, covering both its anatomy and physiological and
pathological aspects. This comprehensive understanding is pivotal for accurate medical
coding in these specialized areas.

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

Digestive system - Anatomy I Learned Digestive


system - Anatomy
Day–1

Digestive system - Physiology and I learned Digestive


pathology system - Physiology
Day-2 and pathology

Urinary system - Anatomy I learned Urinary


system - Anatomy
Day–3

Urinary system - Physiology and I Learned Urinary


pathology system - Physiology
Day–4 and pathology

Sensory organs - Anatomy I understand Sensory


organs - Anatomy
Day–5

Sensory organs - Physiology and I understand Sensory


pathology organs - Physiology
Day–6 and pathology
WEEKLY REPORT
WEEK–4 (From Date: ___________ to Date _____________ )

Objective of the Activity Done:


During the fourth week of my internship, I delved into the digestive system, gaining insights
into its anatomy, physiology, and potential pathologies. I continued my learning journey by
studying the urinary system, focusing on both its anatomical structures and physiological
and pathological aspects. The week concluded with an exploration of sensory organs, their
anatomy, and associated physiology and pathology. These insights enrich my medical coding
knowledge, enabling me to accurately code diverse healthcare records.

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

Endocrine system - Anatomy and I learned Endocrine


terminology system - Anatomy and
Day–1 terminology

Endocrine system - Physiology I Learned Endocrine


and pathology system - Physiology
Day-2 and pathology

Circulatory system - Anatomy I Learned Circulatory


and terminology system - Anatomy and
Day–3 terminology

Circulatory system - Physiology I Learned Circulatory


and pathology system - Physiology
Day–4 and pathology

Nervous system - Anatomy and I learned Nervous


terminology system - Anatomy and
Day–5 terminology

Nervous system - Physiology and I understand Nervous


pathology system - Physiology
Day–6 and pathology
WEEKLY REPORT
WEEK–5 (From Date: ___________ to Date _____________ )

Objective of the Activity Done:


During the fifth week of my internship, I deepened my knowledge of crucial body systems. I
explored the endocrine system, gaining insights into its anatomy, terminology, physiology,
and potential pathologies. This was followed by a comprehensive examination of the
circulatory system, focusing on both anatomical structures and physiological and
pathological aspects. The week concluded with a study of the nervous system, understanding
its anatomy, terminology, physiology, and potential pathologies. This comprehensive
knowledge enhances my ability to accurately code diverse medical records within these
specialized areas.

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

Cardiovascular system - Anatomy I learned Cardiovascular


and terminology system - Anatomy and
Day–1 terminology

Cardiovascular system - I learned


Physiology Cardiovascular system
Day-2 - Physiology

Cardiovascular system - I learned


Pathology Cardiovascular system
Day–3 - Pathology

Introduction to ICD -10- CM I understand the


Introduction of ICD -
Day–4 10- CM

Conventions and complaince of I learned Conventions


ICD and complaince of ICD
Day–5

General coding guidelines of ICD I Learned General


coding guidelines of ICD
Day–6
WEEKLY REPORT
WEEK–6 (From Date: ___________ to Date _____________ )

Objective of the Activity Done:


During the sixth week of my internship, I focused on the cardiovascular system, gaining
comprehensive knowledge of its anatomy, terminology, physiology, and potential
pathologies. Additionally, I began my journey into the world of ICD-10-CM coding,
understanding its conventions, compliance requirements, and general coding guidelines.
This foundational knowledge equips me to accurately code medical records in the
cardiovascular domain and prepares me for more advanced coding tasks.

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.)

During my internship, I have experienced a well-structured and supportive work


environment. People interactions have been characterized by open communication,
mentorship, and collaboration. The facilities available have been adequate, with access to
necessary coding software and reference materials. Clarity in job roles and adherence to
protocols and procedures have promoted accuracy and compliance in coding tasks. The
workplace maintains a disciplined and time-conscious atmosphere, fostering productivity.
Teamwork and mutual support are encouraged, creating harmonious relationships among
colleagues. Socialization and motivation are integral, with space and ventilation providing a
comfortable and conducive setting for learning and professional growth. Overall, the work
environment has been conducive to skill development and success.
Describe the real time technical skills you have acquired (intern soft he job-related
skills and hands on experience)

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).

During my training, I observed significant technological developments in the field of medical


coding. Digital technologies have revolutionized the way coding is conducted. Advanced
coding software with AI and machine learning capabilities now assist coders in identifying
codes more accurately and efficiently. Electronic Health Records (EHR) systems have
become more prevalent, streamlining the coding process. Telemedicine platforms have also
grown, requiring coding specialists to adapt to new digital healthcare delivery models.
Additionally, data analytics tools have emerged to analyze coding patterns and optimize
revenue cycle management. Staying updated with these digital advancements is crucial for
modern medical coders to excel in their roles.
Student Self Evaluation of the Short-Term Internship

Student Name: Registration No:

Term of Internship: From: To :

Date of Evaluation:

Organization Name & Address:

Please rate your performance in the following areas:

Rating Scale: Letter grade of CGPA calculation to be provided

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

Date: Signature of the Student

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Evaluation by the Supervisor of the Intern Organization

Student Name: Registration No:

Term of Internship: From: To :

Date of Evaluation:

Organization Name & Address:

Name & Address of the Supervisor


with Mobile Number

Please rate the student’s performance in the following areas:

Please note that your evaluation shall be done independent of the Student’s self-
evaluation

Rating Scale: 1 is lowest and 5 is highest rank

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

Name Of the Student:


Programme of Study:
Year of Study:
Group:
Register No/H.T. No:
Name of the College:
University:

Sl.No Evaluation Criterion Maximum Marks


Marks Awarded
1. Activity Log 10
2. Internship Evaluation 30
3. Oral Presentation 10
GRAND TOTAL 50

Date: Signature of the Faculty Guide

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EXTERNAL ASSESSMENT STATEMENT

Name Of the Student:


Programme of Study:
Year of Study:
Group:
Register No/H.T. No:
Name of the College:
University:

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

Signature of the Faculty Guide

Signature of the Internal Expert

Signature of the External Expert

Signature of the Principal with Seal

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