Unlock Essential Knowledge with the Best Medical History and Records Books for Professionals and Students
Written by Jordan Lee, Healthcare Documentation Specialist
10. Medical Terminology & Anatomy for Coding
Betsy J. Shiland MS, RHIA, CCS, CHDA, CPC, CPB, CPPM
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 4.8 out of 5 stars 424
Category: Medical History and Records
Medical Terminology & Anatomy for Coding is an indispensable resource for anyone involved in medical documentation. Betsy J. Shiland meticulously breaks down complex medical terms and anatomical structures, making it easier for coders and medical records professionals to accurately document patient information.
Why You’ll Love It: This book offers clear definitions and comprehensive explanations, ensuring you can efficiently translate medical terminology into precise coding entries.
Fun Fact: Betsy J. Shiland is a certified health information technician with over 15 years of experience in medical coding and documentation, known for her ability to simplify intricate medical concepts.
9. HCPCS Level II Professional 2025 (HCPCS Level II American Medical Association)
American Medical Association
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 5.0 out of 5 stars 3
Category: Medical History and Records
The HCPCS Level II Professional 2025 is essential for medical coders and billing professionals. Published by the American Medical Association, this comprehensive codebook provides up-to-date HCPCS Level II codes, facilitating accurate billing and reimbursement processes.
Why You’ll Love It: The latest edition includes new codes and updates, ensuring you stay compliant with current billing standards and enhance your coding accuracy.
Fun Fact: The American Medical Association has been the authoritative source for HCPCS coding for decades, continually updating their resources to reflect changes in healthcare practices and policies.
8. Stress-Free Documentation for Mental Health Therapists: The Complete Guide to Progress Notes, Treatment Planning, and Medical Necessity
Maelisa McCaffrey
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 5.0 out of 5 stars 55
Category: Medical History and Records
Stress-Free Documentation for Mental Health Therapists offers a comprehensive approach to managing patient records with ease. Maelisa McCaffrey provides practical templates and strategies to streamline progress notes, treatment plans, and medical necessity documentation.
Why You’ll Love It: This guide simplifies the documentation process, allowing therapists to focus more on patient care while maintaining accurate and thorough records.
Fun Fact: Maelisa McCaffrey combines her expertise in mental health therapy with a passion for efficient documentation, resulting in a resource that enhances both clinical practice and administrative tasks.
7. Medical Billing & Coding For Dummies (For Dummies Career/Education)
Karen Smiley
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐☆ 4.4 out of 5 stars 2,238
Category: Medical History and Records
Medical Billing & Coding For Dummies is the perfect starting point for those new to the field. Karen Smiley breaks down the essentials of medical billing and coding, providing clear instructions and practical tips to help you succeed in the healthcare documentation industry.
Why You’ll Love It: The easy-to-understand format and comprehensive coverage make this book a valuable tool for both beginners and those looking to refresh their knowledge.
Fun Fact: Karen Smiley has over a decade of experience in medical billing and coding education, helping thousands of students achieve certification and career advancement.
6. Buck’s Step-by-Step Medical Coding, 2024 Edition
Elsevier
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐☆ 4.6 out of 5 stars 35
Category: Medical History and Records
Buck’s Step-by-Step Medical Coding, 2024 Edition is a trusted resource for mastering medical coding. Published by Elsevier, this book offers detailed explanations and step-by-step instructions to help coders accurately assign codes and understand the complexities of medical records.
Why You’ll Love It: The structured approach and extensive examples make it easier to grasp complex coding concepts and apply them effectively in real-world scenarios.
Fun Fact: Elsevier is a leading publisher in the medical field, known for producing high-quality educational resources that support healthcare professionals worldwide.
5. Bates’ Pocket Guide to Physical Examination and History Taking (Lippincott Connect)
Lynn S. Bickley MD, FACP
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐☆ 4.7 out of 5 stars 665
Category: Medical History and Records
Bates’ Pocket Guide to Physical Examination and History Taking is an essential tool for healthcare professionals. Lynn S. Bickley provides concise and practical guidance on conducting thorough patient histories and physical examinations, ensuring accurate and comprehensive medical records.
Why You’ll Love It: The portable format and clear instructions make it easy to reference during patient interactions, enhancing the quality of documentation and patient care.
Fun Fact: Lynn S. Bickley is a renowned professor of clinical medicine, with extensive experience in teaching and clinical practice, making her guides highly respected in the medical community.
4. CPC Study Guide 2024-2025 – 4 Full-Length Practice Tests, Secrets Exam Preparation for the AAPC Professional Coder Certification: [5th Edition]
Matthew Bowling
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 5.0 out of 5 stars 3
Category: Medical History and Records
CPC Study Guide 2024-2025 is your ultimate resource for preparing for the AAPC Professional Coder Certification exam. Matthew Bowling provides four full-length practice tests, detailed answer explanations, and insider tips to help you achieve certification with confidence.
Why You’ll Love It: The comprehensive practice tests and targeted study strategies make it easier to identify strengths and areas for improvement, ensuring you are well-prepared for the certification exam.
Fun Fact: Matthew Bowling has successfully guided numerous students through their CPC certification journey, leveraging his deep understanding of medical coding to create effective study materials.
3. Bates’ Guide To Physical Examination and History Taking (Lippincott Connect)
Lynn S. Bickley MD, FACP
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐☆ 4.5 out of 5 stars 74
Category: Medical History and Records
Bates’ Guide To Physical Examination and History Taking is a comprehensive guide for medical students and professionals. Lynn S. Bickley offers in-depth coverage of the techniques and procedures necessary for accurate patient assessments and thorough medical documentation.
Why You’ll Love It: The detailed illustrations and step-by-step instructions enhance your ability to perform effective physical examinations and maintain precise medical records.
Fun Fact: Lynn S. Bickley’s guides are considered gold standards in medical education, widely adopted across medical schools and healthcare institutions for their clarity and depth.
2. ICD-10-CM 2025 the Complete Official Codebook (ICD-10-CM the Complete Official Codebook)
American Medical Association
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 5.0 out of 5 stars 3
Category: Medical History and Records
The ICD-10-CM 2025 the Complete Official Codebook is essential for medical coders and billing professionals. Published by the American Medical Association, this comprehensive codebook provides all the necessary ICD-10-CM codes for accurate diagnosis and billing.
Why You’ll Love It: The complete and authoritative source ensures you have access to the latest codes and updates, facilitating precise and compliant medical record-keeping.
Fun Fact: The American Medical Association updates the ICD-10-CM codebook annually to reflect the latest advancements and changes in medical diagnostics and treatments.
1. CPT Professional 2025
American Medical Association
⭐⭐⭐⭐⭐ ⭐⭐⭐⭐⭐ 3.8 out of 5 stars 5
Category: Medical History and Records
Topping our list is CPT Professional 2025, the definitive guide for CPT coding. Published by the American Medical Association, this comprehensive codebook is essential for medical coders and billing professionals seeking to ensure accuracy and compliance in their documentation.
Why You’ll Love It: The latest edition includes all the newest CPT codes and revisions, providing you with the most current information to enhance your coding precision and efficiency.
Fun Fact: The CPT Professional Codebook is updated annually by the American Medical Association to incorporate the latest advancements in medical procedures and technologies, making it an indispensable tool for healthcare professionals.
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