Develop entry level coding skills, this course includes content of introductory and intermediate clinical coding, plus the processes required for clinical coding in the workplace. This course is designed for those working in healthcare with support of their employer.
Who should do this course?
Any person working in a hospital or with the support of a hospital clinical coding unit. It is expected that the hospital will provide additional coding practice for you on top of that achieved through the course.
How will I benefit
Graduates of this course will have the following theoretical knowledge:
- principles of the operation of and reporting requirements for health information service
- concepts underpinning human anatomy and physiology
- factors which may affect patient’s health status
- principles of health service funding models
Graduates of this course will have the following factual knowledge:
- health classifications and standards used by clinical coders
- roles, responsibilities, functions and authorities of health care professionals
- structure and physiology of normal functioning of body systems
- patient management across clinical disciplines and its documentation and recording requirements
- medical terminology including the meaning of Latin roots, suffixes and prefixes
Graduates of this course will have the cognitive skills to:
- accurately interpret the health information statutory and legislative reporting requirements of a health service
- analyse clinical data to accurately assign and audit codes
- analyse patient information documentation to identify principal diagnosis, additional diagnoses and interventions
- identify sequencing of diagnoses and interventions
- identify and address incomplete clinical documentation
- interpret error reports to identify and address clinical coding issues
Graduates of this course will have the technical and communication skills to:
- accurately code and audit data
- use relevant technology
- address deficiencies in documentation with relevant clinicians
- communicate effectively within their work team/s
Structure and what to expect
This course is on-line with tutor support (you don’t have to work on your own). The skills are taught in 3 Subjects.
You may progress at your own rate and start whenever you wish. It is expected that you can complete the all components within 18 months, but this is flexible.
The Subjects within this course are:
|Subjects||Units of Competency||Nominal hours|
|Introduction to working with health records [HLT_001]||
|Introduction to clinical coding (CC1_Vic)||
|Building Clinical Coding skills (CC2_Vic)||
|Nominal Duration||510 hours|
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
eHE is authorised by the Australian Government to issue qualifications including certificates associated with this course. You will receive the Certificate IV qualification upon successful completion indicating which competencies were achieved. If you do not complete or pass you may request an statement of achievement for those courses successfully completed. Formal Nationally Recognised Competencies Included:
- BSBWHS201A Contribute to health and safety of self and others
- HLTHIR402D Contribute to organisational effectiveness in the health industry
- BSBMED301B Interpret and apply medical terminology appropriately
- BSBMED305B Apply the principles of confidentiality, privacy and security within the medical environment
- BSBWOR401A Establish effective workplace relationships
- BSBWOR501B Manage personal work priorities and professional development
- VU21652 Apply knowledge of the health system for clinical coding purposes
- VU21653 Prepare for clinical coding
- VU21654 Analyse clinical documentation
- VU21655 Abstract clinical information to support clinical coding
- VU21656 Assign codes to an episode of care
- VU21657 Participate in clinical coding audits
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.