Australian Coding Institute in Kochi

Australian Clinical Coding Training Clinical Coders convert information from a patient's medical record into alphanumerical codes according to a health classification system. Assigning accurate codes is the key for quality information exchange for better care in healthcare.

The International Classification of Diseases (ICD) is published by the World Health Organisation (WHO) for worldwide use in translating the narrative descriptions of diseases, injuries and procedures contained in medical records into alphanumeric codes.

In Australia the classification system is ICD-10-AM, ACHI and ACS (International Classification of Diseases 10th revision Australian Modification Australian Classification of Health Interventions and Australian Coding Standards)

Clinical coding is a health administration function that involves the translation of written clinical statements into a code format. A clinical coder will analyse information about an episode of patient care and assign standardized codes using a classification system. For example, acute appendicitis is represented by the code ‘K35.8′.

For coding diagnoses, most nations use the International Classification of Diseases 10th edition (ICD-10), developed by the World Health Organization. The standardized codes used in Australia are defined in the ICD-10 AM, which is a customized Australian modification. Other countries have also adopted the Australian coding framework, such as The Kingdom of Saudi Arabia, whereas its neighboring country, The United Arab Emirates, has adopted the U.S framework known as ICD-10 CM. Nations wishing to code procedures/surgery have had to develop their own classification for procedures, or purchase a procedural classification from another nation. Australia, Britain, the USA and Canada have all developed their own classification for procedures.

What Does a Clinical Coder Do?

A clinical coder is responsible for deciding which diagnoses and procedures found in medical records meet the criteria for coding according to relevant standards. The coder then assigns codes and procedures for these diagnoses based on ICD-10 AM or CM conventions and standards. Clinical coding is a specialised skill that requires knowledge of medical terminology, anatomy, physiology, disease processes and analytical skills.

The data produced represents an integral part of health information management and is used for a variety of reasons, including:

• Clinical research and audits
• Health resource allocation
• Medical Billing
• Epidemiological studies
• Clinical bench-marking
• Case mix management
• Health services planning
• Education
• Statistics

In many countries, including Australia, the assigned codes and other patient data are also processed by software to determine a Diagnosis Related Group for the episode of care. This can then be used for funding and reimbursement. This process allows hospital episodes to be grouped into meaningful categories, helping professionals to better match patient needs to health care resources.

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