MEDR - Medical Records

Alfred State courses are grouped into the following sections:

  • An Internet-based course, including laboratory components, that covers the study of record keeping practices in the hospital and physician's office. Emphasis is placed on hospital and medical staff organization; patient record content; procedures in filing, numbering and retention of patient records; quantitative analysis; release of patient information; forms control and design; indexes and registers; and regulatory and accrediting agencies.

  • An Internet-basic course that covers the study of basic concepts and terminology associated with medication structure, function, interaction, and administration. Students will identify diseases associated with certain medications as well as medications that medications. Students will also identify medications prescribed for certain diseases. Would be prescribed for certain diseases.
  • A study of the structure, meaning, and use of medical terms related to diseases and operations of the human body. The systems studied include integumentary, musculoskeletal, nervous, sensory organs, endocrine, cardiovascular, respiratory, reproductive, genitourinary, and digestive. Units on psychiatry and pharmacology are also covered. Students will also learn how to use the Physician's Desk Reference (PDR) to reference medication information.

  • An Internet-based course that covers the study and practice of the principles of classification systems utilized in alternate health care facilities, including mental health facilities, pathology/laboratory settings, hospital outpatient and ED departments, physician offices, and stand- alone amabulatory care centers. The classification systems studied include: DSM, SNOMED, CPT and HCPCS Level II.

  • An Internet-based course, with laboratory components, that covers the study of the purpose and use of the ICD-9-CM classiication system. Topics include coding conventions, coding principles, and CMS oficial coding guidelines (inpatient and outpatient). Students will be required to assign ICD-9-CM codes to diagnosis/procedure statements, case abstracts, and patient records. Use of the ICD-9-CM coding manual and a computerized encoder is also incorporated. In addition, inpatient, outpatient, physician ofice reimbursement systems and an introduction  to ICD-10 are covered.
  • A supervised professional practice experience (PPE) in the health information management department of a hospital with adequate facilities to provide varied work opportunities in health information management. Students will work under the supervision of a qualified Registered Health Information Administrator/Registered Health Information Technician or other qualified personnel to whom they are assigned. Students will also receive college faculty consultation. The PPE is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This PPE consists of 120 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 15 weeks).


  • A supervised professional practical experience in the health information management department of a hospital with adequate facilities to provide varied work opportunities in International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedural Terminology (CPT) coding. Students will work under the supervision of a qualified Registered Health Information Administrator/Registered Health Information Technician or other qualified personnel to whom they are assigned. Students will also received college faculty consultation. The professional practice experience is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This professional practice consists of 120 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/weeks for 15 weeks).

  • An Internet-based course that covers an introduction to the collection and use of health data in hospitals and government agencies with emphasis on the functions of birth and death registration, service assignment, commonly computed health care rates and percentages, analysis of health data, and design formats for presentation of health data to medical staff and hospital administrative committees. Students will use computer applications (e.g., Excel) for data display.

  • This Internet-based course, with laboratory components, includes a study of accreditation and regulatory agencies for health care facilities and medicolegal aspects of health information management (the medical record as a legal document, confidential communications, state and federal court structure, legal proceedings and patient consents for treatment). The study of quality management is accomplished through practical application of quality , utilization, risk and case management, critical pathways, and physician credentialing. Emphasis is placed on the acute care setting. This course is taken in the student's final year of study.


  • A nonpaid supervised professional practical experience in the quality/utilization/risk management and physician credentialing departments of a hospital and in the health information management department of two different alternate health care facilities (e.g., long-term care, ambulatory care, mental health centers, and so on) with adequate facilities to provide varied work opportunities in the major aspects of health information management. Students will work under the supervision of a qualified individual at the health care facilities to which they are assigned, and will also have college faculty consultation. The program is designed to enable students to obtain actual work experience in procedures studied in the college classroom and laboratory. This professional practice should be completed during the last year of the program. This professional practice consists of 80 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 10 weeks).