HLTCCD009 — Undertake a clinical coding audit
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What an assessment for HLTCCD009 must cover
32 assessable components: 3 elements (11 performance criteria), 5 performance evidence and 16 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.
Elements & performance criteria
1 Prepare for internal and external audits.
- 1.1Determine objectives, scope and criteria of internal and external audits according to workplace requirements.
- 1.2Identify audit methodology and resources for an audit plan.
- 1.3Identify and gather policies and procedures and workplace documentation needed for audit.
- 1.4Conduct entry meeting with audit parties and explain audit process.
- 1.5Determine dispute resolution processes.
2 Validate clinical coding data.
- 2.1Identify and arrange access to sample records to be audited.
- 2.2Review and evaluate coded data according to audit methodology and record findings using audit tool.
- 2.3Evaluate appropriateness of the assigned Diagnosis Related Group (DRG).
- 2.4Allocate data discrepancies to relevant error categories.
3 Review audit outcomes.
- 3.1Participate in formal and informal meetings to address any data discrepancies, error classifications and documentation issues according to organisational policies and procedures.
- 3.2Raise documentation and classification queries with health care information personnel or clinicians according to organisational policies and procedures.
Performance evidence
- perform an audit on 50 episodes of care including a minimum of:
- 25 moderately complex episodes of care
- 5 highly complex episodes of care
- record errors in above coded data
- undertake above audit activities within industry guidelines.
Knowledge evidence
- factors that impact on classification allocation:
- impact of specific diagnosis and intervention codes
- purposes of internal and external audits
- financial implications of clinical coding
- audit methodologies
- audit processes and industry guidelines for:
- scope and criteria for audit
- selection of methodology
- procedures for documenting and justifying coding variances
- procedures for reporting
- procedures for following up results
- data sampling methods
- continuous quality improvement (CQI) process
- organisational policies and procedures for:
- accessing, using, securing and releasing data
- communicating audit results.
Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.
See what you get before you start
Real, unedited Auditori output (RIIHAN201E shown), branded for a sample RTO:
Questions about assessing HLTCCD009
What does an assessment tool for HLTCCD009 need to cover?
To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTCCD009 needs to address all 32 unit components: 3 elements with 11 performance criteria, 5 performance evidence requirements, 16 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.
How does Auditori generate an assessment tool for HLTCCD009?
Auditori pulls the current release of HLTCCD009 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.
Is the first assessment tool really free?
Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTCCD009 — with no card and no subscription required. After that it's pay-as-you-go per unit.
Can I check my existing HLTCCD009 assessment instead of generating a new one?
Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTCCD009, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.
Related units
- HLTCCD001 — Apply an understanding of the health care system to clinical coding practice
- HLTCCD002 — Interpret and navigate health care records
- HLTCCD003 — Use medical terminology in health care
- HLTCCD004 — Interpret clinical documentation using knowledge of anatomy and physiology
- HLTCCD005 — Abstract information for clinical coding
- HLTCCD006 — Undertake basic clinical coding
- HLTCCD007 — Undertake moderately complex clinical coding
- HLTCCD008 — Undertake highly complex clinical coding
- HLTCCD010 — Analyse and report on clinical coding auditing
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