clinical coding
The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.
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.
Competences and skills
23 ESCO relationsEssential knowledge 4 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
3 competencesdocument management
The methodology of tracking, managing and storing documents in a systematic and organised manner as well as keeping a record of the versions created and modified by specific users (history tracking).
professional documentation in health care
The written standards applied in the health care professional environments for documentation purposes of one`s activity.
Cross-sector
1 competencemedical terminology
The meaning of medical terms and abbreviations, of medical prescriptions and various medical specialties and when to use it correctly.
Essential skills and competences 8 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
4 competencesmaintain healthcare user data confidentiality
Comply with and maintain the confidentiality of healthcare users` illness and treatment information.
perform clinical coding procedures
Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.
review patient's medical data
Assess and review relevant medical data of patients such as X-rays, medical history and laboratory reports.
use electronic health records management system
Be able to use specific software for the management of health care records, following appropriate codes of practice.
digital
Cross-sector
4 competencesadhere to organisational guidelines
Adhere to organisational or department specific standards and guidelines. Understand the motives of the organisation and the common agreements and act accordingly.
communicate in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
follow clinical guidelines
Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.
manage healthcare users' data
Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.
Optional knowledge 6 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
2 competenceshealth records management
The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.
healthcare analytics
The use of qualitative and quantitative methods to analyse patterns in healthcare data to the aim of improving healthcare administration, quality in patient care and diseases diagnosis.
Cross-sector
4 competenceshealth care system
The structure and function of health care services.
human anatomy
The dynamic relationship of human structure and function and the muscosceletal, cardiovascular, respiratory, digestive, endocrine, urinary, reproductive, integumentary and nervous systems; normal and altered anatomy and physiology throughout the human lifespan.
human physiology
The science that studies the human organs and its interactions and mechanisms.
medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
digital
Optional skills and competences 5 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
4 competencesarchive healthcare users' records
Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.
collect healthcare user's general data
Collect qualitative and quantitative data related to the healthcare user's anagraphic data and provide support on filling out the present and past history questionnaire and record the measures/tests performed by the practitioner.
collect statistics on medical records
Perform statistical analysis of various medical records of the healthcare facility, referring to the number of hospital admissions, discharges or waiting lists.
identify patients' medical records
Locate, retrieve and present medical records, as requested by authorized medical personnel.
Cross-sector
1 competencemanage digital documents
Manage various data formats and files by naming, publishing, transforming and sharing files and documents and transforming file formats.
digital