Clinical Coding 1 Introduction with Clinical Knowledge and Terms (ICD-10-AM 9th) – [CC1_9+]

Nationally recognised training

The first course in Clinical Coding introduces ICD-10-AM (9th Edition) Clinical Classification (as offered by other RTOs such as HIMAA). The course includes nationally recognised competency HLTADM005 and BSBMED301 which includes:

  • The terms and language of healthcare
  • Duties and responsibilities of clinical coders
  • The coding process and the key tools
  • Data abstraction from clinical records for the purpose of coding Use ICD-10-AM (9th edition) to obtain the correct code, including correct application of coding standards.

Note: if you already have clinical qualifications which mean that you already understand clinical terms and processes or have completed BSBMED301 Interpret and apply medical terminology appropriately you should choose a course without a + (i.e. without clinical knowledge and terms includedl).

Why this course

This course has been designed to develop skills in abstracting information from health records for the purpose of clinical coding and using the ICD-10-AM 9th edition code system and rules to assign correct codes to an inpatient episode of care.

Who should do this course?

Any person, working or wishing to work in a country which uses ICD-10-AM 8th Edition including:

  • Nurses, Medical or administrative person seeking a new career in clinical classification or required to code using ICD-10-AM.
  • Administrative or clerical staff working in a day stay centre, required to provide ICD-10-AM codes
  • Insurers and Payers who seek to understand the skills and processes of clinical coding and interpret ICD-10-AM coded information.
  • Data managers who design, develop queries or interpret information using ICD-10-AM codes.
  • Researchers who use or collect data using ICD-10-AM codes.

How will I benefit

This course is designed to help you progress with flexibility, tutor support and chat facilities. At completion of this course you should be able to:

  • Understand and apply clinical knowledge and terms appropriately,
  • Understand the role and responsibilities of a clinical coder
  • Identify and evaluate clinical data from simple medical records (abstract data from records for clinical coding)
  • Assign codes to clinical data as required for morbidity reporting in Australia
  • Apply knowledge of medicine and healthcare systems as required for accurate clinical coding of simple records
  • Enter coded data into computer systems

Structure and what to expect

Online with tutor support (you don’t have to work on your own). The skills are taught as modules, including electives. You may progress at your own rate and start whenever you wish. Suggested pace of 1 module every 2 weeks each of which will take students approximately 15 hours to complete.

  • Taught over 13 modules
  • 6-12 months for course completion

Text and Materials Provided

Required Text: ICD-10-AM (9th Edition). You will not be able to complete the course without this resource. You may choose paper books, or electronic books. Students of this course are entitled to student rates when purchasing the code books.

The course provides:

  • Learner’s guide acts as a text and reference as well as a guide on how to move through the course
  • Presentation – powerpoint (pptx file) and video (presentation of the powerpoint) for some modules
  • Exercises – tasks for you to do to make sure you understand and give you experience in the issues covered.
  • Answers to the Exercises – answers or sample answers and discussions are provided to assist your progress and understanding.
  • Chat room – you may ask questions and chat with the tutor and with other students
  • References – to other sites and documents to assist additional learning.
  • Assessment – formal assessment of your skills (similar to the exercises but assessed). This is a timed online assessment process and individual feedback is provided

Recognition

eHE is authorised by the Australian Government to issue qualifications including certificates associated with this course.

You will receive the certificate of attainment upon successful completion. If you do not complete or pass you may request an attendance certificate. Formal Nationally recognised competencies are

  • HLTADM005 Produce coded clinical data
  • BSBMED301 Interpret and apply medical terminology appropriately

Industry Engagement

This course has been designed with consideration of the requirements for ‘work ready’ clinical coders. eHE staff and contributors have been active participants in the national Workforce evaluations of clinical coder education, and the recent review undertaken by the Victorian Government which led to the development of the Victorian Cert IV in Clinical Classification.

Our course developers and tutors have worked as coders, auditors, and lecturers in Health Information Management Programs and many have been senior members of the Health Information Management Association National Board. They have worked as advisers to coding services in Australia and internationally and are regarded as senior members of the profession.

In 2014 eHE presented academic papers to the HIMAA Conference on an analysis of current educational competencies for Clinical Coding and at the Clinical Documentation Coding and Analysis Conference on Development of Clinical Coder Skills, an alternative approach. The response from the industry to these presentations as well as that received from students has been taken into account in the development of this course.