2.3 Provide timely and accurate responses to any written communications regarding coding queries as required 2.4 Make verbal inquiries of clinical health professionals as required according to organisational procedures and protocols 2.5 Refer any unresolved issues concerning clarity and accuracy of the clinical documentation and data to the appropriate person according to organisational procedures and protocols 3 Abstract clinical data 3.1 Select appropriate conditions/diseases and from medical records interventions for coding an episode of care from clinical documentation according to the Australian Coding Standards (ACS) 3.2 Identify the principal diagnosis according to the ACS for an episode of care from the identified patient information 3.3 Identify additional diagnoses and interventions from the identified patient information according to the ACS 3.4 Establish the correct sequencing of diagnoses and interventions according to the ACS for the episode of care 3.5 Use resources to assist in clarifying information where required Required Knowledge and Skills This describes the essential skills and knowledge and their level required for this unit. Required Knowledge: organisational procedures and protocols to: enable appropriate written and oral communications with clinical health professionals to clarify coding queries refer unresolved issues functional knowledge of medical terminology to enable: correct interpretation of clinical documentation and clear and accurate communication with clinical health professionals to clarify coding queries, including the meaning of Latin roots, suffixes and prefixes structure of normal functioning body systems to enable accurate interpretation of clinical information for coding including: cells, tissues and organs cardiovascular system respiratory system
2.3 Provide timely and accurate responses to any written communications regarding coding queries as required 2.4 Make verbal inquiries of clinical health professionals as required according to organisational procedures and protocols 2.5 Refer any unresolved issues concerning clarity and accuracy of the clinical documentation and data to the appropriate person according to organisational procedures and protocols 3 Abstract clinical data from medical records 3.1 Select appropriate conditions/diseases and interventions for coding an episode of care from clinical documentation according to the Australian Coding Standards (ACS) 3.2 Identify the principal diagnosis according to the ACS for an episode of care from the identified patient information 3.3 Identify additional diagnoses and interventions from the identified patient information according to the ACS 3.4 Establish the correct sequencing of diagnoses and interventions according to the ACS for the episode of care 3.5 Use resources to assist in clarifying information where required Required Knowledge and Skills This describes the essential skills and knowledge and their level required for this unit. Required Knowledge: organisational procedures and protocols to: enable appropriate written and oral communications with clinical health professionals to clarify coding queries refer unresolved issues functional knowledge of medical terminology to enable: correct interpretation of clinical documentation and clear and accurate communication with clinical health professionals to clarify coding queries, including the meaning of Latin roots, suffixes and prefixes structure of normal functioning body systems to enable accurate interpretation of clinical information for coding including: cells, tissues and organs cardiovascular system respiratory system