About the Coding Refresher Program
As of April 1st, 2026 all new enrolments in this program will utilize the new Canadian Coding Browser tool, released by CIHI. Access to the previous Folio coding software will no longer be available to download. If you are enrolling in this program and already have Folio, you may choose to use it, but all curriculum and assessments in this program will be updated to reflect use of the CCB. Please contact us if you have any questions.
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The Coding Refresher is intended for certified Health Information Management (HIM) Professionals who do not have recent acute healthcare coding experience and who wish to refresh their knowledge and skills in order to work in an entry-level coding role, or to prepare to take the Coding Specialist Program.
This refresher is a chapter-by-chapter review of the basic application of ICD-10-CA v2022 and CCI v2022 coding rules and conventions and the application of the Canadian Coding Standards for Version 2022 ICD-10-CA and CCI directive statements to clinical documentation. You will learn to use the Canadian Coding Browser in this program.
Suitable for individuals or teams being supported by organizations to upskill for coding positions (group and member discounts available).
You must be a CHIM to take this program. HICA professionals are not eligible.
Why Take This Program?
- You’re a certified HIM Professional wanting to acquire acute care coding experience to enter a coding role or enhance your knowledge
- You’re a newly certified HIM professional who needs additional coding practice and support for employment
- Online, self-paced, flexible learning
- Supported by expert coding faculty
- Approximately 80 hours of study – complete as quickly as you wish in up to 12 months
- Upgrade your skills in order to take the Coding Specialist Program
- Graduates may claim 30 CHIMA CPE Credits in the Formal HIM-Related Education category
- Click here to compare the Coding Refresher Course and the Coding Specialist Program
- Must be a CHIM professional and an active certified member of the Canadian Health Information Management Association (proof required)
- Must be a graduate of an accredited Canadian HIM program
- As part of enrolment, you will be asked to submit a current resume
- The ICD-10-CA/CCI Classification Primer Textbook is required
- Approximately 80 hours
- Take up to 12 months to complete, at your own pace
- $825 CAD
- $1025 International – please contact us prior to enrolling
- ICD-10-CA/CCI Classification Primer, 9th Edition – eBook ($155) or Paperback ($225)
At the completion of this course, you will be able to comfortably code at an entry level and be able to do the following:
- Review a source document and collect the pertinent facts.
- Enter the correct and complete ICD-10-CA and CCI codes and mandatory data elements into the appropriate abstract for the specific episode of care.
- Apply knowledge of abbreviations, medical terminology and biomedical sciences (e.g., anatomy and physiology, pathophysiology) to the pertinent facts documented in the source document.
- Apply ICD-10-CA and CCI to the pertinent facts documented in the source document.
- Demonstrate an understanding of the ICD-10-CA and CCI structure and format.
- Apply the ICD-10-CA and CCI coding rules, conventions and general principles.
- Maneuver through the electronic version (Folio Views®) of the classifications to efficiently and accurately locate ICD-10-CA and CCI codes.
- Apply the direction in the Canadian Coding Standards for ICD-10-CA and CCI.
Unit 1
- Maneuvering through the electronic version of the classifications
- ICD-10-CA coding conventions and rules
- CCI coding conventions and rules
- General coding standards for ICD-10-CA
- General coding standards for CCI
Unit 2
- Eye disorders
- Ear, nose, mouth and throat disorders
- Endocrine, nutritional and metabolic disorders
- Skin, subcutaneous tissue and breast disorders
- Musculoskeletal and connective tissue disorders
- Neoplasms
Unit 3
- Multisystemic or unspecified site infections
- HIV infections
- Cardiac disorders
- Vascular disorders
- Blood and hematopoietic disorders
- Respiratory disorders
Unit 4
- Digestive disorders
- Hepatobiliary and pancreatic disorders
- Kidney and urinary tract disorders
- Male reproductive disorders
- Female reproductive disorders
Unit 5
- Nervous system disorders
- Mental and behavioural disorders
- Other reasons for hospital care
- Poisonings, effects and reactions
- Burns
- Trauma
Unit 6
- Post-intervention conditions
- Pregnancy and childbirth
- Newborns
Faculty
Learn from experienced healthcare professionals who bring practical knowledge, real-world experience and expertise to the learning experience. Explore the profiles below to learn more about the faculty supporting this offering.
Diane Collins

Diane Collins
Diane Collins is a Health Information Management professional with more than 30 years of experience in health information, coding, data quality, and healthcare operations. She spent 13 years as an HIM Supervisor with the Saskatchewan Health Authority, supporting Health Information Management professionals across multiple facilities in rural Saskatchewan. Diane has also contributed to the Provincial Data Quality Committee and has experience providing contract coding services. She has been a CHA Learning faculty member for the Coding Specialist Program since 2019 and the Coding Refresher Program since 2024.
Learn MoreKalaivani Maheshkumar

Kalaivani Maheshkumar
Kalaivani Maheshkumar, B.P.T., CHIM, is a Health Information Management Professional with Alberta Health Services and a CHA Learning faculty member. She has more than 15 years of healthcare experience spanning Health Information Management, medical coding, and clinical physiotherapy in Canada and India. Kalaivani holds a Bachelor of Physiotherapy and completed CHA Learning’s Health Information Management Diploma in 2019 before earning the Certified in Health Information Management (CHIM) designation. Her experience includes medical coding, clinical documentation, health data, and supporting learners with the application of coding standards.
Learn MoreJanet Bayley

Janet Bayley
Janet Bayley is Coding Coordinator at Windsor Regional Hospital with more than 40 years of experience in health information management, medical coding, health records, decision support, and data quality. Her career includes coding and health information roles with healthcare organizations across Canada and the United States. Janet holds a Bachelor of Health Administration in Health Information Management from Toronto Metropolitan University and is a graduate of CHA Learning’s Coding Specialist Program. She has been a CHA Learning faculty member since 2014 and an active member of the Canadian Health Information Management Association since 1985.
Learn MoreLaura Monahan

Laura Monahan
Laura J. Monahan, CHIM, CCCS, is a Trauma Data Analyst with Fraser Health and a health information professional with more than 16 years of coding experience. She has worked in health information and coding roles across several Canadian provinces, with experience in DAD coding, health information processing, clinical documentation interpretation, and the application of Canadian Coding Standards. Laura completed the Health Information Management Program at New Brunswick Community College and holds the CHIM and Certified Coding Classification Specialist (CCCS) designations.
Learn MoreCoding Refresher Program Quick FAQ
- What will I achieve at the completion of this program?
At the end of this course, you will receive a certificate from CHA Learning. Graduates will also be eligible to take the Coding Specialist Program.
- Do I need to be a certified HIM Professional to enrol?
Yes, you must be a certified, active member of CHIMA to enrol.
- Do I have to have recent coding experience to enrol?
No, as long as you are certified and a graduate of a recognized HIM program, you do not need to have recent coding experience to take this course.
- Can I take this course if I live outside of Canada?
In some cases, international applicants are eligible to take this course. Please contact us to discuss your situation.
Apply Now for the Coding Refresher Program
Ready to Refresh Your Coding Skills? Strengthen your knowledge, gain additional coding practice and prepare for your next step in acute care coding.
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