HCA-111: Health Information Management

Gain a solid foundation in health information management (HIM) with a focus on patient records, electronic health systems, and compliance. This course explores EHRs, HIPAA, documentation standards, indexing, and the legal and ethical dimensions of health information. Students will develop essential skills in data collection, security, and reimbursement processes to support careers in health information and administration.

Course Description

HCA-101: Health Information Management introduces students to the core principles and practices of managing health information in modern healthcare settings. The course begins with an overview of healthcare delivery systems and the role of HIM professionals in ensuring accurate, accessible, and secure patient records. Students will study the transition from paper-based records to electronic health records (EHRs) and health information exchanges, gaining insight into how technology supports patient care and organizational efficiency.

Emphasis is placed on documentation requirements, numbering and filing systems, data indexing, and registries, all of which are essential for effective record management. Legal and ethical considerations are also examined, including HIPAA compliance, confidentiality, and procedures for releasing information. In addition, students are introduced to reimbursement methodologies, coding fundamentals, and the revenue cycle, providing a broad understanding of how health information management supports financial and regulatory compliance.

Designed for students beginning a career in health administration, coding, or HIM, this course provides both professional context and technical skills. By the end, students will be prepared to apply foundational knowledge of data collection, security, and recordkeeping in entry-level roles or advanced study in the health information field.

Textbook: Essentials of Health Information Management: Principles and Practices: Principles and Practices (5th Edition) by Mary Jo Bowie (2023)

Course Objectives

Explain the structure of the U.S. healthcare delivery system and the role of HIM professionals.

Describe the purpose, formats, and management of patient records in multiple care settings.

Analyze the development and components of electronic health record (EHR) systems and health information exchanges.

Apply guidelines for documentation, numbering, filing, indexing, and data collection.

Interpret legal and ethical requirements for confidentiality, HIPAA compliance, and the release of information.

Demonstrate foundational knowledge of coding, reimbursement, and revenue cycle processes.

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Course Contents

Health Care Delivery Systems

Health Information Management Professionals

Health Care Settings

Introduction to the Patient Record

Electronic Health Record Management

Patient Record Documentation Guidelines: Inpatient, Outpatient, and Physician Office

Numbering & Filing Systems and Record Storage, Circulation, and Security

Indexes, Registers, and Health Data Collection

Legal Aspects of Health Information Management

Introduction to Coding and Reimbursement

Appendix: History of Medicine

Single Course or Program Option

This course may be purchased individually or as part of the certificate programs listed below.

Healthcare Administration

Recommended Prerequisites

Accreditation You Can Trust

Washington Technical Institute is fully accredited by the Middle States Association Commissions on Elementary and Secondary Schools (MSA-CESS)—a regional accrediting agency recognized for setting high standards in education. This accreditation affirms that our programs, operations, and outcomes meet rigorous academic and institutional benchmarks. MSA-CESS accreditation is a mark of quality that ensures our students receive an education that is both credible and respected. It also means WTI is committed to continuous improvement, student success, and accountability at every level.