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Medical coding isn’t about memorizing answers. It’s about understanding how decisions are made, where to look for support, and how to verify accuracy with confidence.
- Pick the correct source first instead of guessing.
- Extract the controlling rule from notes and guidelines.
- Choose the defensible path when documentation is unclear.
- Verify your final selection and document your logic.
Open-book, real-world workflow: we teach you what to check, where to confirm it, and how to defend your decision.
- Collect = find the right source
- Observe = extract the rule
- Decide = choose the defensible path
- Execute = verify + document
Explore the System: Collect / Observe / Decide / Execute
Try It Out: Where Would You Look? / Spot What Changes the Code / Quick Scenario Walkthrough
- Bring a beginner mindset — no memorizing.
- We’ll show you where to look and how to verify.
- Educational only (not medical/legal advice).
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Page 1 — Collect
Purpose: Teach learners how to pick the correct source first (instead of guessing).
“Your job is to choose the correct book/policy first.”
- Primary rules: official guidelines / codebook instructions
- Payer policy: medical necessity, edits, limits
- Organization policy: documentation authority, query rules
- Tools/cheatsheets: only after verification
- “What am I coding?”
- “What setting is this?”
- “What source governs this decision?”
- “What do I need to verify?”
Page 2 — Observe
Purpose: Teach learners to read the rule conditions, not just the title.
- Definitions / required terms
- Conditions (must-have elements)
- Exceptions (excludes, special cases)
“If you can’t point to the line, you don’t have the rule yet.”
- “What words must be true?”
- “What would make this rule NOT apply?”
- “What note changes my choice?”
Page 3 — Decide
Purpose: Teach learners to choose the defensible path based on evidence + rule.
- If required element is missing → follow policy (query/escalate)
- If documentation conflicts → resolve authority first
- If ambiguous → code only what is supported
Evidence line + rule line + conclusion.
Page 4 — Execute
Purpose: Teach verification + completion + final QA habits.
Keyword → Index → Tabular/range notes → instructions → completeness check
“Would a reviewer understand why I chose this?”
Page 5 — Where Would You Look?
Purpose: Train source selection instinct (Collect) with fast scenarios.
- Short intro: “You’re not choosing the code yet—just the source.”
- 10 scenario questions
- Each question includes: Correct answer, Rationale, Cody Tip, Source to verify
Page 6 — Spot What Changes the Code
Purpose: Train Observe/Decide thinking: identify the single detail that flips the code choice.
Page 7 — Quick Scenario Walkthrough
Purpose: Show full CODE™ loop on mini cases.
- Intro: “We’ll walk it end-to-end—source → rule → decision → verify.”
- 10 questions arranged as mini scenarios (includes a short-answer decision trail)
Page 8 — Your Bestie Cody
Purpose: Make learners feel supported + give a “what to do when stuck” playbook.
“I don’t know where to look” → Collect checklist
“I found the code but I’m not sure” → Observe checklist
“Two answers look right” → Decide rules + exclusions reminder
“I’m ready to submit” → Execute verification loop
- Index vs Tabular
- Don’t code uncertainty outpatient as confirmed
- Don’t add specificity not documented
- Conflicts → resolve/query, don’t guess
- Decision trail template
Continue into Foundations (or your internal next step).
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Sources (used consistently throughout preview)
Use these as the “Source to verify” labels (no links required):
- ICD-10-CM Official Guidelines for Coding and Reporting (uncertain diagnoses; signs/symptoms; conventions)
- ICD-10-CM Tabular List instructions (Excludes, Code first, Additional code, required characters)
- CPT codebook guidelines / section notes (structure, parentheticals, add-on concepts)
- HCPCS Level II introduction/guidance (supplies/drugs/non-physician)
- Payer policy / remittance guidance (CARC/RARC; corrected claim vs appeal)
- Organization documentation authority + query policy (for conflicts/ambiguity)
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