Heather Grain eHealth Eduction - Development of Clinical Coder Skills - An Alternative Approach

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care

PREPARED BY: HEATHER GRAIN FEB 2014

Development of Clinical Coder Skills

an alternative approach

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A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Perspec've on clinical coder workforce

‹#› Farkli Acilar -‐ Different Perspec5ves 2011


“ The formula-on of the problem is o4en more essen-al than its solu-on”

Albert Einstein

Do we understand the problem?

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The Problem


• People do not seek clinical coding as a job.

• Many people who have been trained as HIMs

don’t undertake that role for long.

• Educators not providing courses

• Educators failing to understand the needs of

the industry

• Lack of course resources and material

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The Problem…..s


Do they • know it exists? • want to do it? • have a wrong idea of what it is • see it as a career

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Not seeking to be a clinical coder


Do they • only want to do part of it • find it too expensive – to learn, to buy books • know the skills needed • see training as an obstacle • takes too long, OR doesn’t give them enough 5me to finish at their own pace

• flexible start and end 5mes

• have support to undertake training • see the training as worth the investment

• know where to get training ‹#›

Not seeking to be a clinical coder


• Require student demand

• Require skilled staff • High maintenance educa5on program

• Very few educators with coding skills • Requires highly changeable materials

• Requires prac5cal placement

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Educators not offering courses

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Solu'on must address all issues

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Do they know it exists? oaen no – market the career Do they want to do it? Do they have a wrong idea of what it is? create a posi5ve image Do they see it as a career? show a career pathway


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A Career Perspec5ve

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Training obstacles

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• entry point unclear • complete whole series – not competent • not job based – profession oriented • not integrated learning • expense of training • courses with different learning approaches


Know all before you do any originates in university programs for HIMs

professional entry not job entry

Assumed learning aaer training or on ‘prac’

• real world record and system skills

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Tradi5onal Approach


Build progressive skills providing career structure lower entry level clearer defini5on of levels of skill easier entry – encourage starters greater recogni5on of high level skills recognise prior learning provide mentors flexible methods and 5mes

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Alterna5ve View


Real world – job based approach building detail and skill, e.g.: endoscopy centres specialisa5ons such as obstetrics clear defini5on of known scope of competence Establish knowledge of

• coding principles (including coding standards applica5on) • medical language/science taught with coding (reinforcement) • record handling principles • informa5on systems

• process management, EHRs and coding systems • what you do and don’t know how to code • access to mentors • coding issues resolu5on and support • hand wriien and electronic record samples 13

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Skill development


• Prac5cal coding skills • Mentored support

• Data management and extrac5on

• Introduc5on to terminologies

• Audit par5cipa5on and contribu5on

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Addi5onal knowledge to consider


• Cer5ficate IV -‐ underselling the skills

• Coding skills require • Evalua5on • Assessment • Significant knowledge applica5on

These are more post graduate diploma Could airact qualified clinical people

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Level of skill

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Future

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H. Grain

What will grow from the oaen harsh ground.

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Australia’s entry and success ……

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H. Grain

Innova5on

new technology

new approaches

Courage to lead the world……

A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Future ?

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H. Grain

Heather Grain eHealth Eduction - Development of Clinical Coder Skills - An Alternative Approach

Health & Medicine

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