Clinical coding

Description

The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.

Alternative labels

utilisation of clinical codes
clinical codification
translation of clinical statements into coded format
use of clinical codes
use of classification codes to reflect clinical statements
use of clinical codes to reflect medical statements
translation of medical statements into coded format
application of clinical codes
matching of clinical statements with standard codes of illness and treatments

Skill type

knowledge

Skill reusability level

sector-specific

Relationships with occupations

Essential knowledge

Clinical coding is an essential knowledge of the following occupations:

Medical records clerk:
Medical records clerks organise, keep up-to-date and archive patients` records for medical staff availability. They transfer medical information from a patient’s paper records to an electronic template.
Podiatry assistant: Podiatry assistants help the podiatrist by carrying out supportive tasks such as assisting in diagnosing and treating the disorders, diseases and deformities of the feet, advising people on foot care techniques and the importance of foot care for promoting better mobility and general well-being. They also perform small tasks such as cutting toe nails, applying plasters and general clerical duties.
Clinical coder: Clinical coders read patients’ medical records. They analyse and interpret medical statements about diseases, injuries and procedures. Clinical coders convert this information into health classification codes in order to calculate treatment reimbursements, to produce statistics and to monitor health care performance.
Medical records manager: Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.

Optional knowledge

Clinical coding is optional for these occupations. This means knowing this knowledge may be an asset for career advancement if you are in one of these occupations.

 


 

References

  1. Clinical coding – ESCO

 

Last updated on September 20, 2022