College: Vocational School

The specialization in Medical Documentation and Secretarial focuses on the principles and practices of managing medical records, documentation, and administrative tasks within healthcare settings. Students acquire skills in medical terminology, documentation, coding, administrative procedures, patient communication, office management, and preparation for careers in medical offices, clinics, hospitals, and related healthcare environments.

Learning Objectives:

• Understanding the principles of medical documentation and administrative procedures.
• Developing skills in medical terminology and coding.
• Learning effective communication and patient interaction techniques.
• Exploring office management and administrative tasks in medical settings.
• Analyzing ethical and legal considerations in medical documentation.
• Developing critical thinking, problem-solving, and organizational skills.
• Gaining practical experience through internships and practical projects.

Main Outline:

1. Introduction to Medical Documentation and Secretarial - Overview of medical documentation principles, history, and current trends.
2. Medical Terminology - Basics of medical terminology and its applications in healthcare environments.
3. Medical Coding - Principles of coding medical diagnoses and procedures for billing and reimbursement.
4. Medical Records Management - Techniques for managing and maintaining medical records.
5. Administrative Procedures in Healthcare - Principles for handling administrative tasks in medical offices and clinics.
6. Communication and Interaction with Patients - Effective communication and interaction techniques with patients and healthcare providers.
7. Medical Office Management - Principles for managing medical office operations and staff.
8. Ethical and Legal Considerations in Medical Documentation - Exploring ethical and legal standards in medical documentation and management.
9. Health Information Technology - Utilization of technology and software in managing medical records and administrative tasks.
10. Billing and Insurance Processing - Principles of medical billing, insurance claims, and reimbursement processes.
11. Practical Training - Practical experiences in medical offices, clinics, hospitals, or related healthcare facilities.
12. Graduate Project - Comprehensive project applying skills in medical documentation and secretarial work, such as developing a medical records management system, conducting an administrative audit, or implementing a patient communication plan.

Evaluation Methods:

• Analysis of medical documentation principles
• Medical terminology projects
• Medical coding projects
• Medical records management projects
• Administrative procedure projects
• Patient communication and interaction projects
• Medical office management projects
• Ethical and legal considerations projects
• Health information technology projects
• Billing and insurance processing projects
• Practical training reports
• Graduation projects and presentations

Recommended Textbooks:

• "Introduction to Medical Documentation and Secretarial"
• "Medical Terminology"
• "Medical Coding"
• "Medical Records Management"
• "Administrative Procedures in Healthcare"
• "Patient Communication and Interaction"
• "Medical Office Management"
• "Ethical and Legal Considerations in Medical Documentation"
• "Health Information Technology"
• "Billing and Insurance Processing"

Prerequisites:

Basic knowledge of healthcare principles, communication skills, and an interest in medical documentation and management.

Duration of Specialization:

Usually two to four years to obtain an associate or bachelor's degree in Medical Documentation and Secretarial.

Certification:

Graduates may obtain certifications such as:

• Certified Medical Administrative Assistant (CMAA)
• Certified Professional Coder (CPC)
• Certified Medical Reimbursement Specialist (CMRS)
• Certificates in specified medical documentation and management techniques

Target Audience:

Aspiring medical secretaries, administrative assistants, medical records technicians, billing specialists, and professionals seeking careers in medical offices, clinics, hospitals, and related healthcare facilities. This specialization provides students with the administrative, organizational, and communication skills necessary to excel in medical documentation and secretarial roles, supporting careers in various healthcare environments. The program offers comprehensive education in medical documentation principles, terminology, coding, records management, administrative procedures, patient communication, office management, ethics, health information technology, billing, and practical experience through training and projects, preparing students for successful careers in this field.