Clinical coders translate descriptions of medical diagnoses and procedures into codes, which record healthcare data.
Personal requirements of a Clinical Coder
- able to perform precise and detailed work
- able to concentrate for long periods of time
- excellent problem-solving skills
- good communication and interpersonal skills
- able to work as part of a team
- interested in healthcare procedures
- willing to continually update skills and knowledge.
Duties & Tasks of a Clinical Coder
Clinical coders may perform the following tasks:
- read and analyse medical records to help identify all diagnoses, operations and procedures relevant to the current period of patient care
- clarify inconsistent or non-specific information in a medical record by consulting with the responsible medical practitioner
- allocate codes to patients' current period of care, using knowledge of the information contained within the International Classification of Diseases, 10th Revision Australian Modification, commonly referred to as ICD-10-AM
- conduct assessment of work to ensure there is continuous improvement in ICD-10-AM coding and collection of quality health data
- assess the medical record content and highlight shortcomings to management
- maintain ICD-10-AM coding books to make sure they are updated to the current version being used
- assist with the education of clinical staff with regard to ICD-10-AM
- work with computing and finance staff
- ensure the patient episode is allocated to the correct Diagnosis Related Group (DRG)
- assist with medical research and casemix (patient statistics) projects.
Working conditions for a Clinical Coder
Clinical coders work closely with medical staff who are responsible for recording the information required for coding medical data within patients' medical records.