Perform clinical coding procedures

Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.

perform clinical coding
classify patient illnesses and treatments using clinical codes
match patient illnesses and treatments to appropriate clinical codes
record patient illnesses and treatments using clinical codes
conduct clinical coding processes
record information on patient condition using clinical codes
use clinical codes to classify patient illnesses and treatments
carry out clinical coding procedures
perform clinical coding processes
carry out clinical coding processes
conduct clinical coding procedures

skill/competence

sector-specific

Perform clinical coding procedures is an essential skill 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.
Clinical informatics manager: Clinical informatics managers oversee the daily operations of information systems used in a medical institutions. They also carry out research, using their understanding of clinical practices to find ways to improve healthcare services.

Perform clinical coding procedures is optional for these occupations. This means knowing this skill may be an asset for career advancement if you are in one of these occupations.

Medical transcriptionist: Medical transcriptionists interpret dictated information from the doctor or other healthcare professionals and convert it into documents. They create, format and edit medical records for patients based on the provided data and take care to apply punctuation and grammar rules.

References

1. Perform clinical coding procedures – ESCO