Clinical Coding: Draft 1 Consultation Open

SkillsIQ, under the direction of the Technicians Support Services Industry Reference Committee (IRC), has undertaken a project to develop a new entry-level Clinical Coding qualification and eight new Clinical Coding Units of Competency and to update three existing Clinical Coding Units of Competency to ensure that entry-level clinical coders have access to appropriate skills and knowledge, in order to meet the current and future needs of the Australian health care system.
SkillsIQ, under the direction of the Technicians Support Services Industry Reference Committee (IRC), has undertaken a project to develop a new entry-level Clinical Coding qualification and eight new Clinical Coding Units of Competency and to update three existing Clinical Coding Units of Competency to ensure that entry-level clinical coders have access to appropriate skills and knowledge, in order to meet the current and future needs of the Australian health care system.


Background

The aim of the proposed development and update will ensure that the clinical coding workforce is equipped with the holistic skills and knowledge required to perform an entry-level clinical coder job role in a health setting in any jurisdiction. The proposed new qualification will create a consistent standard of practice for clinical coders.

The following key areas have been considered during the Training Package development and update process:

  • Clinical knowledge – medical science, medical terminology, anatomy and physiology
  • Health system knowledge – relevant to understanding the role of a clinical coder
  • Coding knowledge – use of the classifications, coding standards, conventions and guidelines
  • How coded data is used
  • Accessing and abstracting clinical information from medical records
  • Analysing and interpreting digital and paper medical records relevant to clinical coding
  • Knowledge of health funding models
  • Privacy and confidentiality, applying principles of privacy and ethics applicable to clinical coding
  • The role of a clinical coder, including participating in audits.

To inform the development of a new entry-level Clinical Coding qualification and the update of three Clinical Coding Units of Competency, a Clinical Coding Technical Advisory Committee (TAC) comprised of stakeholders and subject matter experts from across Australia was formed. Formation of the TAC informed the identification and validation of the exact nature of the skills needs and knowledge requirements in the industry and the respective Training Package Product update requirements.

As a result, the following developments have been proposed:

  • The development of a new entry level Clinical Coding qualification:
                     o Diploma of Clinical Coding
  • The Diploma of Clinical Coding comprises the following nine core Units of Competency:
                     o HLTCCD001 Work effectively in a clinical coding setting
                     o HLTCCD002 Interpret and navigate health records
                     o HLTCCD003 Use medical terminology in health care
                     o HLTCCD004 Establish knowledge of anatomy and physiology in a healthcare setting
                     o HLTCCD005 Apply principles of privacy and confidentiality in health care
                     o HLTCCD006 Abstract information for clinical coding
                     o HLTCCD007 Undertake basic clinical coding
                     o HLTCCD008 Undertake moderately complex clinical coding
                     o HLTWHS001 Participate in workplace health and safety
  • The following eight new Units of Competency have been developed to address the key skills and knowledge required by an entry level clinical coder job role:
                     o HLTCCD001 Work effectively in a clinical coding setting
                     o HLTCCD002 Interpret and navigate health records
                     o HLTCCD003 Use medical terminology in health care
                     o HLTCCD004 Establish knowledge of anatomy and physiology in a healthcare setting
                     o HLTCCD005 Apply principles of privacy and confidentiality in health care
                     o HLTCCD006 Abstract information for clinical coding
                     o HLTCCD010 Undertake a clinical coding audit
                     o HLTCCD011 Analyse and report for clinical coding auditing
  • The following three Clinical Coding Units of Competency have been updated in terms of content and Unit codes:
                     o HLTADM005 Produce coded clinical data
                     (to be superseded by HLTCCD007 Undertake basic clinical coding)
                     o HLTADM006 Undertake complex clinical coding
                     (to be superseded by HLTCCD008 Undertake moderately complex clinical coding)
                     o HLTADM007 Complete highly complex clinical coding
                     (to be superseded by HLTCCD009 Undertake highly complex clinical coding)
  • A new skill set, Clinical Coding Auditor Skill Set, has been developed for experienced clinical coders seeking to broaden their skills to include clinical coding auditing.The Skill Set comprises the following units:
                     o HLTCCD009 Undertake highly complex clinical coding
                     o HLTCCD010 Undertake a clinical coding audit
                     o HLTCCD011 Analyse and report for clinical coding auditing

To take forward Training Package Product development work, the Clinical Coding TAC and the Technicians Support Services IRC will subsequently review and confirm the changes required for the development of Draft 2, based on feedback received from the first round of consultation.

Project Governance

The Technicians Support Services IRC is comprised of a number of key expert stakeholders within the industry, as follows:



The Clinical Coding TAC is comprised of a number of key subject matter expert stakeholders within the industry, as follows:



Project Status – Draft 1 Consultation

Consultation on Draft 1 will start on 4 November and will close at 5.00pm on 2 December 2019.

The Draft 1 consultation period will seek feedback on one qualification and eleven Units of Competency:

  • HLT50319 Diploma of Clinical Coding
  • HLTCCD001 Work effectively in a clinical coding setting
  • HLTCCD002 Interpret and navigate health records
  • HLTCCD003 Use medical terminology in health care
  • HLTCCD004 Establish knowledge of anatomy and physiology in a healthcare setting
  • HLTCCD005 Apply principles of privacy and confidentiality in health care
  • HLTCCD006 Abstract information for clinical coding
  • HLTCCD007 Undertake basic clinical coding
  • HLTCCD008 Undertake moderately complex clinical coding
  • HLTCCD009 Undertake highly complex clinical coding
  • HLTCCD010 Undertake a clinical coding audit
  • HLTCCD011 Analyse and report for clinical coding

Please click here to access Draft 1 documents, including a Consultation Guide.

Consultation Activities

A series of face-to-face workshops will be held across all states and territories, along with webinars and access to the SkillsIQ Online Feedback Forum page. Please click on the links below to register for a workshop or webinar.

Workshops:

City                  Date                                                          Time

Perth                Wednesday, 13 November 2019          12.00pm–2:00pm - closed
Adelaide          Friday, 15 November 2019                    12.00pm–2:00pm - closed
Melbourne      Monday, 18 November 2019                 12.00pm–2:00pm - closed
Canberra         Tuesday, 19 November 2019                12.00pm–2:00pm - closed
Hobart             Friday, 22 November 2019                    11.30pm–1:30pm - cancelled
Darwin             Monday, 25 November 2019                12.00pm–2:00pm
Brisbane          Wednesday, 27 November 2019          12.00pm–2:00pm
Sydney            Thursday, 28 November 2019               12.00pm–2:00pm

Webinars:

Date                                                                      Time

Webinar 1: Monday, 11 November 2019        11.00am–12:00pm - closed
Webinar 2: Friday, 29 November 2019            11.30am–12:30pm

Project Timings

Following the close of the consultation period, feedback received will be collated and evaluated. This feedback will inform the development of Draft 2, which will be made publicly available for validation prior to the submission for endorsement.

Further Information

For further information, please contact Devika Mudaliar on (02) 9392 8100 or via email: devika.mudaliar@skillsiq.com.au.