HLT50321

Diploma of Clinical Coding

The role of the Clinical Coder is to assign codes for conditions (including certain health status and circumstances of injury and poisoning) and health interventions, in accordance with recognised classifications and associated directives, that have been documented by clinicians in relation to patient health care events.

In accordance with Australian Coding Standards, Clinical Coders are expected to analyse all areas of the clinical record relevant to the episode and seek clinical clarification regarding any areas that are unclear or where more information is required prior to code assignment (refer to ACS excerpt Attachment A).

Once codes have been assigned, Clinical Coders can be expected to enter these codes into the hospital’s patient administration system and ensure that an AR-DRG group is allocated.

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