Unit of competency Outline

Date retreived
22/07/2026 9:38 PM AWST

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Undertake highly complex clinical coding

Undertake highly complex clinical coding

Unit of competency
National Code
HLTCCD008
State Code
ODI47
TGA Status
Current
DTWD Status
Approved
Current Release Number
2.00
Current Release Date
02/07/2021
View on TGA
State Implementation and Classification
Approved Date
29/10/2021
Field of Education
080313 - Public And Health Care Administration
Original Release Date
29/10/2021
Nominal Hours
135
Description
This unit describes the performance outcomes, skills and knowledge required to complete coding of highly complex patient health care records with an advanced understanding of coding conventions, standards and practices in an extensive case-mix.This unit applies to clinical coders who take responsibility for their own outputs, as well as mentoring other clinical coders as required. Work may be performed as an individual or as part of a team under limited supervision.The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian standards and industry codes of practice.No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.
Notes
Elements and Performance Criteria
1. Abstract clinical data from highly complex patient health care records.
  • 1.1. Abstract conditions, diseases or procedures from highly complex patient health care records from a range of specialties.
  • 1.2. Interpret and apply the Australian coding standards (ACS) to ensure correct assignment of clinical codes when interpreting information from a highly complex case-mix.
  • 1.3. Identify the principal diagnosis for an admission and any additional diagnoses when applying codes to highly complex cases.
  • 1.4. Identify interventions when coding a highly complex case-mix.
2. Assign codes relating to highly complex patient health care records.
  • 2.1. Assign diagnosis and intervention codes according to current classification indices, standards and conventions.
  • 2.2. Determine sequencing of diagnoses codes according to current classification standards and conventions.
  • 2.3. Assign condition onset flag (COF).
  • 2.4. Determine sequencing of intervention codes according to current classification standards and conventions.
  • 2.5. Use resources to assist in making coding decisions.
  • 2.6. Complete assigning of codes from highly complex patient health care records.
  • 2.7. Review and validate Diagnosis Related Group (DRG) assigned to episode of care.
3. Provide clinical coding expertise in the workplace.
  • 3.1. Share clinical coding expertise in discussions within the coding unit.
  • 3.2. Provide mentoring support for clinical coders.
  • 3.3. Supervise and select patient health care records for clinical coders according to their ability.
  • 3.4. Conduct research to generate solutions to address clinical coding issues.
  • 3.5. Oversee the submission process for coding queries through jurisdictional or national governance bodies.
No information
No information
Replaces
State Code National Code Title Type
AVB12 HLTADM007 Complete highly complex clinical coding Unit of competency
State Code National Code Title Type
AE573 HLTSS00071 Clinical Coding Auditor Skill Set Skill set