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Insights On The Concept Of Hospital Coding

By Sherry Gross


All professions in the health care sector function within stipulated standards of health analysis.In appreciation of the need for uniformity, hospital coding was designed by international health organizations such as WHO. Medical coding refers to the way medical diagnostics, clinical procedures and health related matters are converted into commonly recognized code numbers by all countries.

These codes are useful in tracking ailments and other related health problems which include chronic ailments such as heart diseases and diabetes mellitus, contagious diseases like flu and norovirus. The procedural codes are useful in strategizing public health development, private insurance policy development and for workers compensation carriers.

These medical classification numbers and codes are used in all areas of medicine, public health sectors as well as medical informatics. These include therapeutic reactions, statistical analysis of ailments, reimbursement in diagnosis groups and oversight on epidemics and pandemic impacts.There are two main classes in coding systems, these are country specific standards and international standards.

In the statistical system, similar clinical concepts are grouped together into categories. The categories are limited to maintain a small size altogether. Some of these are those used by International statistical classification for diseases and related problems of health. For instance, international statistics place circulatory system diseases as chapter 1, with codes from 100 to 199. One of the code titles under this class is supra-ventricular tachycardia under which we also have some clinical concepts like the proxysmal junction tachycardia, nodal tachycardia and auricular tachycardia, among others. Another distinguishing feature of statistical classification is seen in the provision for unspecified and extra conditions that may not be placed in any particular category.

In a nomenclature system, there exists separate lists and codes for every clinical concept in health. Considering the previous example, each of the listed tachycardia bears its own code. Thus, in this respect, nomenclature is regarded as ineffective in compiling health statistics.

The types of coding methods as discussed include diagnostic codes generally used in determination of disorders, diseases and symptoms which may be used to determine morbidity and death, pharmaceutical codes which identify medications, procedural codes that are the alphanumeric codes or numbers used to identify given health interventions undertaken by medical professionals and topographical codes that indicate a precise location in the body.

World Health Organization has set several universally endorsed classification structures to facilitate surveillance on health related data among populations and also to compile national data that is consistent. This family, in international classification, includes the three major classification groupings on the basis of health parameters prepared by world health organization and approved by World Health Assembly.

Healthcare coding is growing rampantly in the health industry and the demand for coders is very high. In most countries, this job is plentiful and the salaries mostly start at $30000 a year. Anyone considering to join a career in this particular healthcare line must have the two main basics of the field, education and certification. In addition, aspirants competence and preciseness are two qualities that would give one an upper hand in the job

An upcoming tendency in coding is outsourcing classification work to third parties. As technology develops, classification platforms are also developing and the outsourcing models will in effect begin to get good basis in the health industry.




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