The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!
From the Wiki University
What evidence can you provide to prove your understanding of each of the following citeria?
Elements define the essential outcomes |
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Completed |
Evidence:
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Abstract clinical data from highly complex medical records
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Abstract appropriate conditions/diseases and procedures from highly complex medical records from a range of specialties Completed |
Evidence:
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Interpret and apply the Australian coding standards (ACS) to ensure correct assignment of codes from a varied and highly complex casemix Completed |
Evidence:
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Identify the principal diagnosis and principal procedure for an admission when coding a varied and highly complex casemix Completed |
Evidence:
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Identify additional diagnoses and procedures when coding a varied and highly complex casemix Completed |
Evidence:
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Assign codes relating to highly complex medical records
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Perform clinical coding on a broad casemix, utilising knowledge of medical science and applying International statistical classification of diseases and related health problems (ICD-10-AM), Australian classification of health interventions (ACHI) and ACS new edition changes Completed |
Evidence:
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Apply ACS where appropriate, to ensure the correct assignment of codes when coding from highly complex medical records for a range of specialties Completed |
Evidence:
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Assign complete and accurate ICD-10-AM disease and ACHI procedure codes abstracted from a varied and highly complex casemix Completed |
Evidence:
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Utilise appropriateresources to make informed coding decisions relating to highly complex medical records Completed |
Evidence:
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Ensure coding reflects the correct sequencing of diagnoses and procedures Completed |
Evidence:
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Identify coding issues and determine appropriate solutions Completed |
Evidence:
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Complete the process of assigning the correct codes from highly complex medical records within appropriate timeframes Completed |
Evidence:
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Maintain confidentiality of medical records and client information at all times Completed |
Evidence:
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Meet occupational health and safety duty of care requirements Completed |
Evidence:
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Provide clinical coding expertise in the workplace
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Add value to discussions regarding clinical coding within the coding unit Completed |
Evidence:
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Provide mentoring support for entry level clinical coders Completed |
Evidence:
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Supervise an entry level clinical coder and select appropriate medical records for them Completed |
Evidence:
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Follow up with clinicians regarding ambiguities in documentation, where required Completed |
Evidence:
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Conduct research using appropriate materials/ resources and or clinical input to generate solutions to address clinical coding issues Completed |
Evidence:
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Maintain currency of data collection and coding
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Record, enter, edit and maintain a client information system of coded data (disease index) Completed |
Evidence:
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Secure and interpret changes to data collection and coding requirements, according to relevant standards, protocols and legislation Completed |
Evidence:
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Identify necessary amendments to data collection and coding activities Completed |
Evidence:
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Provide necessary information and training to ensure that amendments are implemented with maximum ease Completed |
Evidence:
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Ensure computer software is updated to meet any adjustment needs Completed |
Evidence:
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Monitor the implementation of amendments Completed |
Evidence:
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