Other Projects & Case Studies

Diploma of Clinical Coding: Draft 2 Validation

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, the Diploma of Clinical Coding; a new skill set; seven new Clinical Coding Units of Competency; and the update of 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, the Diploma of Clinical Coding; a new skill set; seven new Clinical Coding Units of Competency; and the update of 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
  • The ways in which 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 the new entry-level Clinical Coding qualification; one skill set; seven new Units of Competency; and the update of three Clinical Coding Units of Competency, a Clinical Coding Technical Advisory Committee (TAC) was formed comprised of stakeholders and subject matter experts from across Australia. 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 eight core Units of Competency:
                     o HLTCCD001 Understand the role of clinical coding within the health care system
                     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 health care setting 
                     o HLTCCD005 Abstract information for clinical coding
                     o HLTCCD006 Undertake basic clinical coding
                     o HLTCCD007 Undertake moderately complex clinical coding
                     o HLTWHS001 Participate in workplace health and safety.
  • The following seven 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 Understand the role of clinical coding within the health care system
                     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 health care setting
                     o HLTCCD005 Abstract information for clinical coding 
                     o HLTCCD009 Undertake a clinical coding audit
                     o HLTCCD010 Analyse and report for clinical coding auditing.
  • The following existing 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 HLTCCD006 Undertake basic clinical coding)
                     o HLTADM006 Undertake complex clinical coding
                     (to be superseded by HLTCCD007 Undertake moderately complex clinical coding)
                     o HLTADM007 Complete highly complex clinical coding
                     (to be superseded by HLTCCD008 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 HLTCCD008 Undertake highly complex clinical coding
                     o HLTCCD009 Undertake a clinical coding audit
                     o HLTCCD010 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 have subsequently reviewed and confirmed the changes required for the development of Draft 2, based on feedback received from the first round of public 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 2 Validation - Closed

    Consultation on Draft 2 started on Friday, 12th June 2020 and closed at 5.00pm on Monday, 6th July 2020.

    The Draft 2 consultation period will seek feedback on one qualification, one skill set and ten Units of Competency:

    • HLT50320 Diploma of Clinical Coding
    • HLTCCD001 Understand the role of clinical coding within the health care system
    • HLTCCD002 Interpret and navigate health care records
    • HLTCCD003 Use medical terminology in health care
    • HLTCCD004 Establish knowledge of anatomy and physiology in a health care setting
    • HLTCCD005 Abstract information for clinical coding
    • HLTCCD006 Undertake basic clinical coding
    • HLTCCD007 Undertake moderately complex clinical coding
    • HLTCCD008 Undertake highly complex clinical coding
    • HLTCCD009 Undertake a clinical coding audit
    • HLTCCD010 Analyse and report for clinical coding.

    Please click here to access Draft 2 documents, including a Validation Guide.

    Consultation Activities

    A series of webinars were available, as well as access to the SkillsIQ Online Feedback Forum page.

    Webinars:

    Date                                                                       Time

    Webinar 1: Wednesday, 17th June 2020          11.00am–12:00pm - closed
    Webinar 2: Wednesday, 24th June 2020          11.00am–12:00pm - closed
    Webinar 3: Wednesday, 1st July 2020              11.00am–12:00pm - closed

    Please click here to view the Clinical Coding Draft 2 webinar presentation.

    Project Timings

    Following the close of the validation period, feedback received will be collated and evaluated. This feedback will inform the development of the Final Draft of the Clinical Coding Training Package Products.

    Further Information

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