This course is designed for those seeking to continue the journey of a clinical coding career. This course includes the second component of nationally recognised clinical coding skill set plus medical science integrated with clinical coding.

The course includes:

• Coding, Casemix and Morbidity Reporting Requirements
• Data abstraction from clinical records for the purpose of coding moderately complex records
• Use Code books to obtain the correct code, including correct application of relevant coding standards
• Communicate with clinicians regarding clinical coding queries and processes

Why this course

This course is flexible and is the best course to advance your coding skills. The course includes complex and highly complex cases to code. You will have access to highly experienced clinical coders and trainers.

Text and Materials Required

Required Text: Code books. You will not be able to complete the course without this resource. You may choose paper books, or electronic books.

The course provides:

• Learner’s guide which acts as a text and reference as well as a guide on how to move through the course. The guides include fully worked examples of data abstraction and coding with discussion (scenarios)
• Presentation video of key content where relevant
• Exercises to make sure you understand and give you experience in the issues covered
• Answers to the exercises and discussions are provided to assist your progress and understanding
• Chat room where you can ask questions and chat with the tutor and with other students
• References – to other sites and documents to assist additional learning
• Assessment – formal assessment of your skills (similar to the exercises but assessed). This is a timed online assessment process and individual feedback is provided.

This course is designed for those seeking to continue the journey of a clinical coding career. This course includes the second component of nationally recognised clinical coding skill set plus medical science integrated with clinical coding.
The course includes:

• Coding, Casemix and Morbidity Reporting Requirements
• Data abstraction from clinical records for the purpose of coding moderately complex records
• Use Code books to obtain the correct code, including correct application of relevant coding standards
• Communicate with clinicians regarding clinical coding queries and processes

Why this course

This course is flexible and is the best course to advance your coding skills. The course includes complex and highly complex cases to code. You will have access to highly experienced clinical coders and trainers.
Develop entry level coding skills, this course includes content of introductory and intermediate clinical coding, plus the processes required for clinical coding in the workplace. Start anytime, work at your own pace with online tutor support.
Students enrolling in this course qualify for 22274VIC Certificate IV in Clinical Classification. Gain your qualification using our simulated coding workplace with thousands of health records with audited coding answers and feedback.  Start anytime, work at your own pace with tutor support. 
Who should do this course?
This course is an excellent way to begin a career as a clinical coder.

How will I benefit

Graduates of this course will have the following theoretical knowledge:

• Principles of the operation of and reporting requirements for health information service
• Concepts underpinning human anatomy and physiology
• Factors which may affect patient’s health status
• Principles of health service funding models

Graduates of this course will have the following factual knowledge:

• Health classifications and standards used by clinical coders
• Roles, responsibilities, functions and authorities of health care professionals
• Structure and physiology of normal functioning of body systems
• Patient management across clinical disciplines and its documentation and recording requirements
• Medical terminology including the meaning of Latin roots, suffixes and prefixes

Graduates of this course will have the cognitive skills to:

• Accurately interpret the health information statutory and legislative reporting requirements of a health service
• Analyse clinical data to accurately assign and audit codes
• Analyse patient information documentation to identify principal diagnosis, additional diagnoses and interventions
• Identify sequencing of diagnoses and interventions
• Identify and address incomplete clinical documentation
• Interpret error reports to identify and address clinical coding issues

Graduates of this course will have the technical and communication skills to:

• Accurately code and audit data
• Use relevant technology
• Address deficiencies in documentation with relevant clinicians
• Communicate effectively within their work team/s

Structure and what to expect

This course is on-line using a simulated work place environment eHRol for course delivery, practice and assessment..  with tutor support (you don’t have to work on your own). The skills are taught in 3 Subjects.
You may progress at your own rate and start whenever you wish. It is expected that you can complete the all components within 18 months, but this is flexible.

Text and Materials Required

Required Text: Code books. You will not be able to complete the course without this resource. You may choose paper books, or electronic books.

The course provides:

• Learner’s guide which acts as a text and reference as well as a guide on how to move through the course. The guides include fully worked examples of data abstraction and coding with discussion (scenarios)
• Presentation video of key content where relevant
• Exercises to make sure you understand and give you experience in the issues covered
• Answers to the exercises and discussions are provided to assist your progress and understanding
• Chat room where you can ask questions and chat with the tutor and with other students
• References – to other sites and documents to assist additional learning
• Assessment – formal assessment of your skills (similar to the exercises but assessed). This is a timed online assessment process and individual feedback is provided.

The Subjects within this course are:

Subjects	Units of Competency	Nominal hours
Introduction to working with health records [HLT_001]	VU21653 Prepare for clinical coding 40 BSBMED305B apply the principles of confidentiality, privacy and security within the medical environment 20 BSBWHS201A contribute to health and safety of self and others 20 BSBWOR401A establish effective workplace relationships – part 1 30
Introduction to clinical coding (CC1_Vic)	VU21652 Apply knowledge of the health system for clinical coding purposes 30 BSBMED301B Interpret and apply medical terminology appropriately. 60 VU21654 Analyse clinical documentation 40 VU21655 Abstract clinical information to support clinical coding 30 VU21656 Assign codes to an episode of care 25
Building Clinical Coding skills  (CC2_Vic)	BSBWOR401A Establish effective workplace relationships – extended learning and practice for the clinical coding environment (part 2) 20 BSBWOR501B Manage personal work priorities and professional development 60 HLTHIR402D contribute to organisational effectiveness in the health industry 30 VU21655 – Abstract clinical information to support clinical coding – (moderately complex records) 30 VU21656 – Assign codes to an episode of care – Moderately complex records 25 VU21657 – Participate in clinical coding audits 50
	Nominal Duration	510 hours