Health Information Technology

Lori Blubaugh, RHIA, Program Director

256.352.8337

lori.blubaugh@wallacestate.edu

Associate in Applied Science Degree (5-6 semesters)

At a Glance

HIT (health information technology) professionals do not often see patients, but they know that patient health information is human information, and they are committed to ensuring that patient's health information is complete, accurate, and protected. HI professionals care for patients by caring for their medical data. They are responsible for the quality, integrity, security, and protection of patient health information. So, if your interests include computers, science, healthcare, and data, why not combine these with a career in health information technology?

The Health Information Technician is a skilled professional who analyzes and evaluates highly sensitive data in health records. Skills of the Health Information Technician are varied but include: supervising the release of health information, maintaining and utilizing information storage and retrieval systems, compiling various health statistics, and supervising electronic health information management systems. Health information technicians may be employed by any facility that manages patient information, such as hospitals, clinics, physician offices, insurance companies, or medical research centers. The Health Information Technology degree is the preferred training for medical coding specialists. The medical coding specialists perform a detailed review of medical records to identify diagnoses and operative procedures. Alphanumeric and/or numeric classification codes are assigned to each diagnosis and procedure using automated or manual methods. Principle classification systems used include the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the current Procedural Coding System (PCS).

Health Information professionals play a vital role in making our healthcare system work. They perform the data collection and analysis that doctors, nurses, and other healthcare professionals need to do their jobs well and are a key part of quality patient care. With experience, the RHIT credentialed individual holds the potential for advancement to management positions. This program is offered through online classes with the exception of professional practice experiences and required on-campus lab days.

Program Description

CAHIIM Symbol

The Health Information Technology (HIT) Program at WSCC is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Only graduates of CAHIIM-accredited programs are eligible to take the national examination to become Registered Health Information Technicians (RHITs). Technicians trained in non-CAHIIM accredited programs or trained on the job are not eligible to take the examination. Wallace State Community College is one of only three CAHIIM-accredited programs in the State of Alabama.

Students have the opportunity to spend many hours in a simulation lab or a professional setting to practice skills obtained in the classroom. Students enrolled in professional practice experience (professional) courses are assigned hours consistent with the day shift. Assignment for professional practice experience will be at the discretion of program officials, and students may be required to travel to different locations for the 'hands-on training'.

HIT students earn stackable certificates as they process through the HIT Program. All applicants start with the Health Information Certificate, then move on to the next certification with each semester completed. If the student progresses through the program with no breaks, they will earn their associate degree and three certificates in 6 semesters.

The Health Information Certificate is earned after the completion of 1-2 semesters of HIT courses.  This certificate provides entry-level training to students interested in the Healthcare Industry.  Students who complete the Health Information Certificate are equipped with knowledge that may be used upon entering any Health Division Program at Wallace State Community College.  Employment opportunities include health information clerk, medical office receptionist, hospital departmental receptionist, unit secretary, patient access clerk, patient scheduler, and the release of information clerk. Courses completed may be used toward the Health Information Technology Associate Degree or related certificates.

The Medical Scribe Certificate is designed as a step between the short certificate and the Associate in Applied Science degree in Health Information Technology.  A medical scribe is a health information professional who directly assists the physician with entering patient care documentation into the electronic health system or electronic medical record.  The medical scribe must have an excellent understanding of medical terminology and disease processes, including diagnosis and treatment.  They also require knowledge of documentation guidelines, basic medical coding guidelines, and release of information, making the health information technology graduate uniquely qualified for the medical scribe position.

Serving as a personal assistant to the physician while care is provided to the patient, the medical scribe may gather information needed for the patient encounter, provide written information to the patient and help with the documentation required for the medical coding process. The Medical Scribe Certificate is completed after two semesters of general education courses and two semesters of program courses. 

The Medical Coding Certificate is designed as a step between the short-term certificate and the Associate in Applied Science degree in Health Information Technology. Medical coding specialists perform a detailed review of medical records to identify diagnoses and operative procedures. Alphanumeric and/or Numeric classification codes are assigned to each diagnosis and procedure, using automated or manual methods. Principle classification systems used include the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the current Procedural Coding Systems (PCS). Coders also operate computerized grouper programs to cluster diagnoses and procedures into payment categories.

With a balanced emphasis on coding typically done in a physician’s office and inpatient and outpatient coding that is done in acute care settings, this comprehensive coding program is completed after two semesters of general education courses and three semesters of program courses. Successful coding certificate graduates will have in-depth coding skills in ICD, CPT, PCS, and reimbursement schemes with special knowledge of DRGs, APCs, and Chargemaster Descriptions.

The American Health Information Management Association has established a national certification program for medical coders. Each new graduate qualifies as a candidate for the AHIMA national examination to become a Certified Coding Associate (CCA). When coupled with extensive, on-the-job experience, the Medical Coding coursework prepares the student to take the AHIMA examination to become a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Office (CCS-P) and take American Academy of Professional Coders (AAPC) coding certification exams such as the Certified Professional Coder (CPC) exam.

The HIM profession has evolved from simply creating files, filing loose papers, transcribing reports, and maintaining paper indices to a much broader scope due to the movement of the digital age.  This evolution required a change in the HIT curriculum, and this was brought about at Wallace in Fall 2022 by the implementation of the 2018 HIM Curricula Competencies set forth by CAHIIM. Although HIM professionals are still viewed by many as ‘the keepers of data’ because of the high priority of HIM professionals on security and privacy, HIM professionals can fulfill many different roles in various types of facilities. WSCC is proud to offer two AAS-HIT degree tracks:  Data Management and Revenue Cycle Management.

Admission Requirements

  1. Unconditional admission to the college – College application must be submitted by the program application deadline of June 1st.
  2. The student must be in good standing with the college.
  3. Receipt of complete program applications accepted between March 1st and June 1st for Fall entry. Applications received after the deadline will be considered on a space-available basis.
  4. The HIT program online application is located on the program’s webpage at www.wallacestate.edu. Online application instructions are under the Application to Program tab. All applicants are required to upload all necessary documentation for consideration.
  5. Official transcripts from each college attended must be provided to the Admissions Office, and all unofficial transcripts must be uploaded with the program application. Students must include transcripts from ALL colleges attended.
  6. The student must meet the essential functions and technical standards required for the program as documented on the required WSCC physical form at www.wallacestate.edu-see Physical Form Essential Functions.
  7. A minimum of 17 ACT composite score (National or Residual) is required for admission consideration. Proof of score must be uploaded to online application. ACT scores are available on Degree Works reports, transcripts including High School, and through ACT.org. If ordering your score report, please use Code 0083 and allow 4-6 weeks for processing. Wallace will receive your score from ACT and add it on your myWallace account.  To use scores available on ACT.org you will need to print to PDF, we do not accept screenshots. We will accept ACT Superscores from ACT, but not manually calculated ACT Superscores. Higher scores will receive more points in the application process. Scan the document to PDF format and save the file as: your FULL NAME ACT.pdf, you will upload the document to your online application.

  8. Must possess a minimum 2.5 GPA on a 4.0 scale with a grade of “C” or better on all general required pre-HIT courses. Grade point average is calculated using only HIT major and HIT general education courses.
  9. Complete all HIT-required general education courses and HIT 110 (with a grade of “C” or better before June 1) to be considered for HIT program admission in the fall semester. Students who complete required HIT general education classes with at least a grade of “C” between June 2 and September 1 may be considered for program acceptance on a space-available basis.

Selection and Notification

  1. The Health Information Technology program admits one class annually in the fall. Students will be admitted to program courses during the fall semester only. Students can enroll in HIT 110, HIT 115, and HIT 294 prior to program acceptance.
  2. Admission to the Health Information Technology program is competitive, and the number of students is limited by the number of faculty and clinical facilities available. Meeting minimal requirements does not guarantee acceptance.
  3. Candidates are ranked for admission based on ACT scores, weighted GPA (GPA x 9), and completion of admission requirements.
  4. Program applications will be reviewed for completion of program admission requirements. Written notification of program acceptance status will be sent to each applicant via information supplied on the program application. 
  5. Following acceptance into the program, students must respond confirming their intent to enroll by using the internet link provided on their letter, by the deadline indicated on the letter. A student who fails to respond will forfeit his/her place in the class

Program Expectations

Students admitted into the Health Information Technology program are expected to comply with the Health Science Program Regulations and Expectations as published in the Programs of Study section of the Wallace State College Catalog.

Required Competencies

  1. HIM compliance with medical coding, the release of information, and regulatory requirements.
  2. Revenue cycle management, coding documentation, performing coding audits, utilization review.
  3. Knowledge of health data structure, content, and standards.
  4. Quality management and performance improvement skills.
  5. Access, disclosure, privacy, and security of private health information.
  6. Data analysis and use, healthcare statistics, registries, auditing procedures.
  7. Maintenance and monitoring of data storage systems.
  8. Application of leadership concepts and techniques, including management functions.

The HIT program is an Online Program except for the required professional practice experience (clinical): A student must schedule HIT online classes in accordance with either the full-time or part-time completion option. The professional practice experience activities must be completed on the day shift, not online. HIT students who live within 75 miles of campus must attend on-campus professional practice experience class meetings. Instructors may require online students to take make-up exams on campus. Instructors may also require online course exams to be proctored, according to program policy. On-campus classes are not available. The HIT program utilizes Blackboard for communication, information, and submission of assignments, so students are expected to have access to a computer with a webcam and internet access.

Full-time Program: A student who has completed all HIT-required general education courses may complete the HIT program courses in four semesters. HIT courses, excluding professional practice experience classes, are completed online.

Part-time Program: A student who has completed all HIT general education courses may choose to complete the program by taking classes on a part-time basis. The program is expected to be completed within two years (or eight semesters) following entry into the program.

Upon Admission

  1. Students selected for acceptance must attend the mandatory orientation session. All students must score 100 on the post-orientation exam posted in the HIT Student Center. Failure to do so before the program established deadline will result in forfeiture of their space in the class, resulting in administrative withdrawal of the student from all HIT classes.
  2. Selected students, at the request of the Professional Practice Course instructor, must submit:
    1. Documentation of recent physical exam on the proper program issued form
    2. Mantoux (2-step) TB skin test results.
    3. Proof of required vaccinations and at least the second of three Hepatitis B vaccinations (Hepatitis B, measles, mumps, rubella, TDap (tetanus, diphtheria, pertussis), Influenza, and varicella (chicken pox).
    4. Valid CPR certification - only CPR courses designed to certify health care providers are accepted. We only accept American Heart Association BLS/Healthcare Provider Certification.
    5. Copy of current health insurance card (Health insurance coverage is required).
    6. Clear background check and drug screen according to college policy.
    7. Students are required to submit the information during HIT 158 Intro to Clinical Environment utilizing the document management system selected by WSCC. Failure to submit all required clinical documentation before the program established deadline will result in program dismissal.
    8. Students must carry accident and malpractice insurance, available through the College at the time of registration for program classes. Health program students are also required to have health insurance coverage.

Progression

In order to progress in the Health Information Technology program:

  1. Students must maintain a grade of “C” (70) or better in all major required Health Information Technology courses. A student will be dismissed from the program if he/she withdraws from or makes a “D” or “F” in a HIT course or other program-required course.
  2. Students must register for and complete, with a grade of at least a “C”, required program-specific courses as advised by HIT program advisors each semester. Failure to enroll in these courses will result in program dismissal.
  3. Students selected for admission to the program must maintain a minimum GPA of 2.5 in HIT-required courses. Failure to do so will result in dismissal from the program. Grade point average is calculated using only HIT major and HIT general education courses.
  4. Graduation requirements must be met within 3 years prior to graduation from the program. Students in the HIT program for greater than 3 years must retake certain classes to be eligible for graduation. Students who repeat HIT classes must apply the grade earned in the second (or last) attempt towards graduation requirements. Students who withdraw or are dismissed from the program and wish to be readmitted must reapply the following year and follow the procedures and requirements for admission to the HIT program published in the current catalog. Readmission into the program will be allowed one time only. After the second dismissal from the health information program, students are not eligible to apply for readmission.
  5. Students accepted for readmission are required to repeat certain classes previously completed, such as lecture classes associated with lab classes. The grade for the second (or last) attempt will be applied towards graduation requirements.
  6. Students are required to pass comprehensive proficiency exams during a capstone course of the selected certificate or degree program. If a student does not score at least 70% on this proficiency exam, he/she will fail the capstone course regardless of other course grades. Students who live within 100 miles of campus are required to take the comprehensive proficiency exam on campus with a HIT instructor.  A HIT instructor must virtually proctor students who live more than 100 miles from campus. See HIT Student Handbook and course syllabus for details.
  7. Health Information Technology program faculty may require online course exams to be monitored/proctored via electronic and/or other methods according to program policy.

Readmission to Program

Students whose progression through the HIT program is interrupted and who desire to re-enter the program must schedule an appointment with the HIT Program Director to discuss re-entry. The student must apply for readmission to the HIT program according to published application deadlines. Students are only eligible for re-entry within one year from the term of withdrawal or failure. Students who apply for re-entry greater than one year after withdrawal or dismissal must repeat specific HIT courses. The grade earned in the second (or last) attempt in the HIT course is applied towards graduation requirements.

Reinstatement may be denied due to, but not limited to, any of the following circumstances:

  1. Failure to possess a GPA of at least 2.5 for all HIT major and HIT general education courses.
  2. Space unavailability in a course in which the student wished to be reinstated.
  3. Refusal by clinical agencies to accept the student for professional practice.
  4. Over 12 months have elapsed since the student was enrolled in a HIT course.
  5. The student has been dismissed from the program.

Transfer Students

Students transferring into the Health Information Technology program must meet all requirements for admission to the program. Only with the program director’s approval, those equivalent courses taken at other CAHIIM accredited programs within the last year prior to program admission will be considered for application toward completion of program requirements.

Career Path

The Health Information Technology degree curriculum prepares graduates to work in any setting where health information is generated (physician offices, nursing homes, hospitals, home health care agencies, insurance companies, etc.)

This is not a complete list, but graduates of this program may choose to work in any of the following areas:

  • Quality Improvement (facilitates quality improvement projects in the facility)
  • Revenue Cycle Management
  • Release of Information (Coordinator or Privacy Officer)
  • Medical Coding (Coder/DRG Specialist)
  • Medical Office (Coordinator or Manager)
  • Electronic Data Management/ Information Governance
  • Compliance and Risk Management
  • Data Analyst

Job prospects for graduates are excellent. Health information technicians’ employment is expected to grow faster than the average for all occupations through 2026.

Annual earnings for registered health information technicians with 2 years of experience or less are $44,530 - $47,290. (Source:  US Salary Survey Report: HIM Professionals in 2019, AHIMA.org)

Degrees and Certificates

Classes

HIT 110 : Medical Terminology

This course is an introduction to the language of medicine. Course emphasis is on terminology related to disease and treatment in correlation with anatomy and physiology of all anatomical body systems. Student competencies include word construction, definition, spelling, pronunciation, and use of correct abbreviations for numerous medical terms. CORE

Credits

3

HIT 115 : Pathophysiology and Pharmacology for HIT

This course is a detailed study of common pathological conditions and the drugs of choice used in their treatment. Course focus is on description of conditions and diseases of the organ systems including etiology, signs and symptoms, methods of diagnosis, and treatment. Expected student outcomes include ability to analyze signs and symptoms in identifying disease entities and ability to describe appropriate diagnostic and treatment modalities.

Credits

4

Prerequisites

HIT 122 : Introduction to Health Informatics

This course introduces maintaining basic techniques and concepts for healthcare records in clinical settings such as acute care, behavioral care, ambulatory, as well as home health care and long-term care.  Forms design, HC data qualitative and quantitative analysis and certain types of research will be addressed.  Release of information, clinical registries and indices as well as organizational accreditation, EHR certification and industry licensure standards relevant to HC data will be reviewed. Upon completion of the course, students will demonstrate knowledge of concepts of storage and retrieval of healthcare records including applicable uses of HC data.

Credits

3

Prerequisites

Admission into the program.

Corequisites

As required by the program.

HIT 131 : Classification Skills Laboratory

This course allows the student to develop basic skills in classification and reimbursement methodology related to health services provided in various health care delivery facilities. 

Credits

1

Prerequisites

Acceptance to HIT program

Corequisites

Acceptance to HIT program and HIT 132.

HIT 132 : Revenue Cycle Management and Documentation

This course includes a review of health care delivery systems and the uses of coded data in reimbursement and payment systems appropriate to the healthcare setting. Course instruction includes a focus on revenue cycle management including application of coded data, prospective payment systems, billing and insurance procedures, third party payers, explanation of benefits, managed care/capitation, and chargemaster description. The course will review information management practices of agencies that provide health services in different health care settings. Student competencies include a demonstration of reimbursement and payment system principles, and billing applications (manual and/or computer-assisted). The student will be able to describe and contrast the structure of health services in relation to operational and accrediting agency standards, and the role of the health information practitioner in each of these settings.

Credits

4

Prerequisites

Acceptance to HIT Program

HIT 134 : HIT Legal and Ethical Issues

This course is a review of the legal and ethical aspects applicable to health information. This course focuses on the health record as a legal document; legal principles; patient rights/ advocacy issues; definition and application of professional ethics; release of information and confidentiality of health information. Student outcomes include demonstration of the use of legal vocabulary and application of release of information guidelines.

Credits

3

Prerequisites

Acceptance to HIT program.

HIT 154 : Health Data Content and Structure

This course is an introduction to the health information technology (HIT) profession and its basic skill requirements. The course includes an introduction to the content, use and structure of health care data and data sets and how these components relate to primary and secondary record systems. Student outcomes include mastery of basic concepts and functions in HIT, including health care content and documentation requirements, storage and retrieval systems, data abstracting, quantitative and qualitative analysis, registries, and indexes. This course integrates laboratory experience, allowing students to demonstrate basic HIT competencies through application processes.

Credits

3

Prerequisites

Acceptance to the HIT Program

HIT 158 : Introduction to the Clinical Environment for HIT

This course is an introduction to the expectations and legal requirements of the clinical environment. Emphasis is placed on personal safety, personal integrity and accountability, and universal clinical expectations. Upon completion, the student should be able to demonstrate pre-clinical competency in clinically relevant topics, such as HIPAA regulations, universal precautions and safety regulations.

Credits

1

Prerequisites

Acceptance to HIT program

HIT 160 : HIT Clinical Practice I

This course allows the student to demonstrate basic competencies acquired in previous course work with on-site and on-campus laboratory experience. This course requires student practice in health information technology in a health care facility. Student competency is demonstrated by application of basic skills covered in theory and laboratory classes.

Credits

1

Prerequisites

Acceptance to HIT program and HIT 158

HIT 162 : Professional Practice Informatics

This course allows the student to demonstrate basic competencies acquired in previous course work with on-site, online, and/or on-campus simulations.  This course requires student practice in health informatics in a health care facility or simulated online or on campus experience.  Student competency is demonstrated by application of basic skills covered in theory and laboratory classes.  

Credits

1

Prerequisites

Admission into the program and HIT 158.

Corequisites

As required by the program.

HIT 223 : Data Management for HIT

This course is an immersion into computer usage in health care with an emphasis on data security, data analytics, and integrity in health information systems. Emphasis is placed on concepts of computer technology related to health care and the tools and techniques for collecting, storing, retrieving, and transmission of health care data. Upon completion, students should be able to demonstrate knowledge and competence in the use of various health information-specific software applications as well as demonstrate specific computer skills in these areas.

Credits

3

Prerequisites

Acceptance to the HIT Program.

HIT 225 : Application of EHR and HI

Electronic health record systems (EHR), health information exchange (HIE), personal health records (PHR) and public health will be the focus during the delivery of this curriculum.  IT strategic planning, HC information security regulations, HC data standards and data interoperability will be addressed. EHR Vendor selection, implementation, training and support principles will be discussed. Upon completion of this course, the student will demonstrate knowledge and application of health IT in regard to health data, the electronic health record and it’s uses in improving patient care. 

Credits

3

Prerequisites

Admission into the program.

Corequisites

As required by the program.

HIT 230 : Medical Coding Systems I

This course is intended to develop an understanding of coding and classification systems in order to assign valid medical codes. Instruction includes description of classification and nomenclature systems; coding diagnoses and procedures; sequencing codes; analyzing actual medical records to identify data elements to be coded; and validating coded clinical information. Student competency includes demonstration of coding principles and applications (manual and/or computer assisted).

Credits

3

Prerequisites

Acceptance to HIT program

Corequisites

HIT 232 : Medical Coding Systems II

This course is a continuation of Medical Coding Systems I which is intended to develop an understanding of coding and classification systems in order to assign valid medical codes. Instruction includes coding diagnoses and/or procedures; sequencing codes; analyzing actual medical records to identify data elements to be coded; validating coded clinical information. Student competency includes demonstration of coding principles and applications (manual and/or computer assisted).

Credits

3

Prerequisites

Acceptance to HIT program

HIT 240 : Ambulatory Coding

This course is intended for students to develop an understanding of coding and classification systems in ambulatory settings in order to assign valid medical codes. Instruction includes coding outpatient procedures and correct sequencing of codes, analyzing actual physician documentation to identify data elements to be coded, and validating coded clinical information. Student competency includes a demonstration of outpatient/ambulatory coding principles and applications (manual and/or computer-assisted).

Credits

2

Prerequisites

Acceptance to HIT program

HIT 250 : Clinical & Administrative Health Information

Students will learn the importance of both clinical and administrative information and understand how data can promote better patient outcomes. Clinical decision-making tools are vital to the healthcare industry.  In understanding how to combine aggregate data, students will learn how to support stronger methods in providing patient care. Students will be able to discuss how using health records and data through electronic pathways increase efficiency and efficacy and in turn improve patient outcomes. 

Credits

3

Prerequisites

Admission into the program.

Corequisites

As required by the program.

HIT 254 : Organizational Improvement

This course is a study of the purpose and principles of improving organizational performance through quality assessment and utilization management. Topics include use of quality improvement tools; data collection, display, analysis, and reporting methods; resource and risk management techniques; healthcare statistics; and application of accreditation and licensing standards. Student outcomes include demonstrated proficiency in the use of quality improvement techniques and application of accrediting agency standards.

Credits

3

Prerequisites

Acceptance to HIT program

HIT 255 : Principles of Supervision in HIT

This course is an introduction to principles of organization and supervision in a health information department. This course focuses on specific human resource management functions including communication, motivation, team building, budgeting, staff scheduling, productivity reporting, policy and procedure development, ergonomics, equipment selection, and marketing health information department services. Student competency includes demonstration of knowledge of human resource functions and application of supervisory skills.

Credits

3

Prerequisites

Acceptance to HIT program

HIT 291 : CCS Exam Preparation

This course is an extensive review of health information technology skills and/or an extensive review of various aspects of medical coding and reimbursement. Student outcomes include demonstrated understanding of the topics covered in this course. 

Credits

1

Prerequisites

Acceptance to HIT program

Corequisites

HIT 294 : Current Trends in Health Information

This course is an introduction to current trends in health information technology. Emphasis is placed on but not limited to: ensuring the quality of medical/health data for the purpose of improving patient care or controlling costs, specialization in coding diagnoses and procedures for reimbursement and research, and the influence of clinical data has on the continuum of care. Upon completion, the student should be able to discuss trends in the health information profession. 

Credits

1

HIT 296 : Professional Practices Simulations

This course allows students to correlate the experience of previous courses with on-site, online, and on-campus simulations and learning experience. Emphasis is placed on application of all previous course work and orientation to all aspects of practice in a health information management department of a health care facility. Students competency is demonstrated by application of skills covered in theory and laboratory classes.

Credits

2

Prerequisites

Acceptance into the HIT program

Corequisites

HIT 298 : Informatics Exam Review

This course is an extensive review of the health informatics skills.  Course work includes a review of various aspects of health informatics. Student outcomes include demonstrated understanding of the topics covered in this course.

Credits

1

Prerequisites

All HI Option Courses.

Corequisites

As required by the program.