Royal Cornwall Hospitals Trust

Senior Clinical Coder

The closing date is 19 October 2025

Job summary

An exciting opportunity has arisen for three enthusiastic and motivated Senior Clinical Coders to join our highly experienced and friendly Clinical Coding team at the Royal Cornwall Hospitals Trust in Cornwall. You will have the opportunity to engage with clinicians, validate clinical coding and become the lead coder for designated specialties.

You will need to be able to demonstrate an extensive understanding of both ICD-10 and OPCS 4 classifications, complex coding rules and the application of national clinical coding standards.

As a department we can offer clinical coders a comprehensive training and development structure through strong leadership, an in-house training programme delivered through a Terminology and Classifications Delivery Service Approved Clinical Coding Trainer, and CPD for clinical coders and ACC coders, developing existing skills and learning new ones.

We have 3 full-time vacancies available. Remote or hybrid working will be considered for the successful candidates. Our Trust is currently transitioning from a hybrid to an electronic way of working with our Electronic Patient Record (EPR) due to go live in June 2026, this will enable to increase the remote working options in the future.

PLEASE NOTE WE ARE ONLY ACCEPTING APPLICATIONS FROM EXPERIENCED ACC CLINICAL CODERS.

Main duties of the job

Carrying out complex clinical coding on a daily basis.

Liaising with clinicians to improve documentation for clinical coding purposes.

Dealing with complex coding queries.

Participating in clinical coding audits and data validation.

Mentoring trainee & less experienced clinical coders.

About us

The Royal Cornwall Hospitals NHS Trust (RCHT) is the main provider of acute and specialist care services in Cornwall and the Isles of Scilly. We serve a population of around 500,000 people - a figure that can increase significantly with

visitors during the busiest times of the year. We employ approximately 6,700 staff and have a budget of approximately £580 million.

We are a teaching hospital in partnership with the University of Exeter Medical School, University of Plymouth School of Nursing and Midwifery, and Peninsula Dental School.

The Knowledge Spa on the Royal Cornwall Hospital site is the base for medical and nursing as well as ongoing education for health professions in clinical and non-clinical roles.

Keeping at the forefront of medical advances, we are continually developing our clinical services as well as our facilities and are committed to maximising the range of specialist care that can be offered locally. Allied to this is a growing reputation for research and innovation.

Royal Cornwall Hospitals NHS Trust is a research active organisation.

It's established South West Clinical School in Cornwall exists to promote clinical academic career opportunities for nurses, midwives and allied health professionals interested in research and evidence-based activities. Read their research paper to find out more.

Website: https://www.plymouth.ac.uk/research/clinical-schools/royal-cornwall-hospitals-nhs-trust-clinical-school

https://doi.org/10.1177/17449871231209037

Details

Date posted

03 September 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year pa pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

156-7423459

Job locations

Royal Cornwall Hospital

Truro

TR1 3LJ


Job description

Job responsibilities

PLEASE NOTE: To view the full Job Description and Person Specification, please click the supporting document on the right-hand side.

To be an employee of the NHS you need to successfully complete the following:

Identity Checks

Professional registration and qualification checks

Employment history and reference checks

Occupational Health clearance

Satisfactory Disclosure and Barring Service check

Right to work in the UK

For further information please visit:

https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation

We reserve the right to close this advert early.

We may be able to offer flexible working. Please discuss at interview.

Job description

Job responsibilities

PLEASE NOTE: To view the full Job Description and Person Specification, please click the supporting document on the right-hand side.

To be an employee of the NHS you need to successfully complete the following:

Identity Checks

Professional registration and qualification checks

Employment history and reference checks

Occupational Health clearance

Satisfactory Disclosure and Barring Service check

Right to work in the UK

For further information please visit:

https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation

We reserve the right to close this advert early.

We may be able to offer flexible working. Please discuss at interview.

Person Specification

Qualifications

Essential

  • Accredited Clinical Coding Qualification (NCCQ).
  • Minimum of 5 GCSE passes at grade 4 or above or equivalent, must include Maths, English & Science.
  • ECDL or equivalent IT qualification.

Desirable

  • Supervisory qualification
  • Willingness to undertake auditor qualification

Experience

Essential

  • Working in a coding dept.
  • Experience of participating in complex coding audits and validation.
  • Experience of working with hospital-based computer systems.
  • Windows Packages.
  • Experience of working with clinicians, senior managers and other NHS staff.
  • Experienced at supervising or mentoring staff.

Desirable

  • Experience of using data analysis and benchmarking tools.

Skills

Essential

  • Excellent communication skills
  • Good keyboard skills.
  • Presentation skills.
  • Knowledge of HRGs, NTPS, PbR
  • Methodical, accurate & numerate.
  • Excellent organisational and problem-solving skills.
  • Leadership skills.
  • Able to prioritise and manage own workload.
  • Ability to meet deadlines and work under pressure.

Desirable

  • Knowledge of legislation relating to people management, training, Health & Safety and confidentiality.
  • Ability to deliver training to newly appointed staff.
Person Specification

Qualifications

Essential

  • Accredited Clinical Coding Qualification (NCCQ).
  • Minimum of 5 GCSE passes at grade 4 or above or equivalent, must include Maths, English & Science.
  • ECDL or equivalent IT qualification.

Desirable

  • Supervisory qualification
  • Willingness to undertake auditor qualification

Experience

Essential

  • Working in a coding dept.
  • Experience of participating in complex coding audits and validation.
  • Experience of working with hospital-based computer systems.
  • Windows Packages.
  • Experience of working with clinicians, senior managers and other NHS staff.
  • Experienced at supervising or mentoring staff.

Desirable

  • Experience of using data analysis and benchmarking tools.

Skills

Essential

  • Excellent communication skills
  • Good keyboard skills.
  • Presentation skills.
  • Knowledge of HRGs, NTPS, PbR
  • Methodical, accurate & numerate.
  • Excellent organisational and problem-solving skills.
  • Leadership skills.
  • Able to prioritise and manage own workload.
  • Ability to meet deadlines and work under pressure.

Desirable

  • Knowledge of legislation relating to people management, training, Health & Safety and confidentiality.
  • Ability to deliver training to newly appointed staff.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Royal Cornwall Hospitals Trust

Address

Royal Cornwall Hospital

Truro

TR1 3LJ


Employer's website

https://www.royalcornwall.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Royal Cornwall Hospitals Trust

Address

Royal Cornwall Hospital

Truro

TR1 3LJ


Employer's website

https://www.royalcornwall.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Coding Service Manager

Katie Fairhurst

katie.fairhurst@nhs.net

01872253486

Details

Date posted

03 September 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year pa pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

156-7423459

Job locations

Royal Cornwall Hospital

Truro

TR1 3LJ


Supporting documents

Privacy notice

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