4. End-point assessment
The EPA for Clinical Coder contains two methods of assessment:
Clinical Coding Test
The Clinical Coding Test will consist of 2 papers and will be carried out in a controlled environment. Paper A will be an online Multiple Choice Question (MCQ) Test, which will be closed book and take 45 minutes. There will be a total of 20 questions each with four options, of which one correct answer will need to be selected by the apprentice. The multiple-choice questions will cover:
- ten questions on clinical coding skills
- six questions on communication and information governance
- two questions on extraction and evaluation of data
- two questions on IT.
Paper B will be a Clinical Coding Case Study Test. The Clinical Coding Case Study Test demonstrates that the candidate has the ability to use the professional tools needed to apply their knowledge. They will be required to read and review the case study and assign the correct codes using two specified texts. There will be three case studies, each with 20 marks allocated.
The apprentice will complete Paper A before progressing to Paper B.
Paper A MCQ Test |
Paper B (Case Study Test) |
Overall Clinical Coding Test Grade |
Pass |
Pass |
Pass |
Pass |
Distinction |
Distinction |
Distinction |
Pass |
Pass |
Distinction |
Distinction |
Distinction |
The Observation of Practice lasts for a minimum of 90 minutes, and takes place during the apprentice’s work day. It’s essential for assessing skills. During the Observation, an Independent End-Point Assessor (IEPA) will use their professional judgement to limit impact to business operations and will ensure sensitivity in delicate situations.
Professional Discussion
The apprentice will complete a structured discussion with the Independent End-Point Assessor (IEPA), to demonstrate the KSBs associated with this assessment method. During the on-programme phase of the apprenticeship, the apprentice will compile a Portfolio of Evidence to evidence the KSBs. The Portfolio of Evidence will not be assessed, but will inform the questioning in the Professional Discussion. During the Professional Discussion, the IEPA will ask a minimum of five questions, to explore the apprentice’s knowledge and experience.
The Professional Discussion will last 60 minutes (+10% at the discretion of the IEPA).
Grading: the Professional Discussion is graded Fail, Pass or Distinction.