Clinical coders translate descriptions of medical diagnoses and procedures into codes, which record healthcare data.
Duties & Tasks
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.
Clinical coders work closely with medical staff who are responsible for recording the information required for coding medical data within patients' medical records.
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.