Question about macro-recording (pixel)?

[RD10]

Hi, I was wondering if using AutoHotKey it is possible to do the following:

Let's say I had to move from the right side of a map to the left side of the map by holding the right arrow key.

On the way to the left side, there is a small ladder I need to climb up (using arrow key up).

This seems to be a rather straightforward macro.

However, there are obstacles that may (if they hit me) disrupt this process. For example, I would fall short of the ladder I need to climb up.

So my question is: Is there a way with this hotkey to ensure my character would always make it to that ladder? Even if hit by the obstacle? Can I set the up keystroke to begin when I reach a certain pixel spot on my screen? Is this possible?

I have little to no experience making a macro-script, and sorry if this is super confusing. Thank you!!