Job summary
Would you like to be part of a successful team committed to providing in-depth and accurate clinical information?
The principal responsibilities of a Clinical Coder involve accurately extracting diagnoses and procedures from the health records, translating it into codes using the ICD-10 and OPCS-4 classifications and inputting them onto the Patient Administration System using encoding software.
You will follow all National Clinical Coding Standards to produce data that can be tabulated, aggregated and sorted for statistical analysis.
This is a remote position working from home however there may be a requirement to come on site on occasion.
Main duties of the job
Identify in the electronic patient record what clinical information needs to be collected and to correctly assign clinical codes to diagnoses and procedures in line with current clinical coding national standards.
Attend computer training on the EPIC hospital computer system in relation to clinical coding. This will enable the user to navigate the data fields in Epic required to extract data for clinical coding use and the completion of clinical coding.
Attend dedicated clinical coding encoder training sessions which will enable the user to be able to navigate the MEDICODE software successfully and gain full use of this system.
Undertake local and national clinical coding training programs held either internally or externally as required.
Ensure all coding is completed in a timely fashion in line with Trust and billing requirements.
Report to the Clinical Coding Team Leader any discrepancies in clinical information contained in the medical record that contradicts clinical coding guidelines.
Promote and adhere to clinical coding policies and procedures and national guidelines as laid down in the Data Quality Review and the National Classifications Service. Maintain these documents as and when new guidelines are issued.
Carry the on-call Medical Records Major Incident bleep as per rota. The week on call is for 24 hours, 7 days a week. This would entail being available at short notice in the event of a Major Incident.
About us
Our Trust
Cambridge University Hospitals (CUH) NHS Foundation Trust comprises Addenbrooke's Hospital and the Rosie Hospital in Cambridge. With over 13,000 staff and over 1100 beds the priorities of the Trust focus on a quality service which is all about people - patients, staff and partners. Recognised as providing 'outstanding' care to our patients and rated 'Good' overall by the Care Quality Commissioner, is testament to the skill and dedication of the people who work here. CUH's values - Together - Safe, Kind, Excellent - are at the heart of patient care, defining the way all staff work and behave. The Trust provides accessible high-quality healthcare for the local people of Cambridge, together with specialist services, dealing with rare or complex conditions for a regional, national and international population.
CUH is committed to promoting a diverse and inclusive community - a place where we can all be ourselves. We value our differences and fully advocate and support an inclusive working environment where every individual can fulfil their potential. We want to ensure our people are truly representative of all the communities that we serve. We welcome applications for all positions in the organisation irrespective of people's age, disability, ethnicity, race, nationality, gender identity, sex, sexual orientation, religion or belief, marriage and civil partnership status, or pregnancy and maternity status or social economic background.
Job description
Job responsibilities
Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.
Please note: You will be hired under an Annexe 21 until ACC qualified then you will be paid at Band 5
Due to Home Office immigration rules, a full time permanent vacancy cannot be filled by individuals on a Student visa. Therefore, please be advised that if you are a Student visa holder, we will not be able to offer you a full time permanent contract unless you have:
- applied for a Graduate visa- or you will have successfully completed your course and have applied for a Graduate visa before the anticipated start date of your employment- or the Trust has agreed that they will Sponsor you as a Skilled Worker and you will complete your studies within 3 months of the anticipated start date of employment
For NHS Cambridgeshire and Peterborough based roles, all applicants from NHS Cambridgeshire and Peterborough who have identified that they are at risk of redundancy will be prioritised over those not at risk. However, interviews cannot be guaranteed.
This vacancy will close at midnight on 26th October 2025
Interviews are due to be held on 5th November 2025
Benefits to you
At Cambridge University Hospitals, we want to do all we can to support good working days. We offer development opportunities and a wide range of benefits, including on-site leisure facilities, shopping concourse and day nurseries. Our good work programme currently includes providing reduced cost Stagecoach bus travel to and from Cambridge University Hospital site. Park and Ride bus journeys between Babraham Road and Trumpington sites are free, as is the route to and from Cambridge train station and our hospitals. We also subsidise the cost of parking on site for eligible staff.
On CUH campus, hot food is available 24/7 and at a reduced cost for colleagues. Recently we launched the first of our staff pod break spaces. Located in the Deakin Centre, we have a purpose-created colleague-only caf, with free tea and coffee, a break space and private outside area for colleagues to rest, refuel and recharge. Just one of the ways we are working hard to support good working days at CUH.
CUH is committed to assisting employees in achieving a good work-life balance irrespective of role or personal circumstances. Flexible arrangements may include, but are not limited to, part-time working, job-share, term-time working and flexible start and finish times.
Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases, alternative working hours will be considered.
We welcome applications from the Armed Forces.
Job description
Job responsibilities
Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.
Please note: You will be hired under an Annexe 21 until ACC qualified then you will be paid at Band 5
Due to Home Office immigration rules, a full time permanent vacancy cannot be filled by individuals on a Student visa. Therefore, please be advised that if you are a Student visa holder, we will not be able to offer you a full time permanent contract unless you have:
- applied for a Graduate visa- or you will have successfully completed your course and have applied for a Graduate visa before the anticipated start date of your employment- or the Trust has agreed that they will Sponsor you as a Skilled Worker and you will complete your studies within 3 months of the anticipated start date of employment
For NHS Cambridgeshire and Peterborough based roles, all applicants from NHS Cambridgeshire and Peterborough who have identified that they are at risk of redundancy will be prioritised over those not at risk. However, interviews cannot be guaranteed.
This vacancy will close at midnight on 26th October 2025
Interviews are due to be held on 5th November 2025
Benefits to you
At Cambridge University Hospitals, we want to do all we can to support good working days. We offer development opportunities and a wide range of benefits, including on-site leisure facilities, shopping concourse and day nurseries. Our good work programme currently includes providing reduced cost Stagecoach bus travel to and from Cambridge University Hospital site. Park and Ride bus journeys between Babraham Road and Trumpington sites are free, as is the route to and from Cambridge train station and our hospitals. We also subsidise the cost of parking on site for eligible staff.
On CUH campus, hot food is available 24/7 and at a reduced cost for colleagues. Recently we launched the first of our staff pod break spaces. Located in the Deakin Centre, we have a purpose-created colleague-only caf, with free tea and coffee, a break space and private outside area for colleagues to rest, refuel and recharge. Just one of the ways we are working hard to support good working days at CUH.
CUH is committed to assisting employees in achieving a good work-life balance irrespective of role or personal circumstances. Flexible arrangements may include, but are not limited to, part-time working, job-share, term-time working and flexible start and finish times.
Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases, alternative working hours will be considered.
We welcome applications from the Armed Forces.
Person Specification
Qualifications
Essential
Desirable
- A Level or higher in Human Biology/Medical Science
- Completed the NHS Classifications Service Clinical Coding Foundation course
- Medical Terminology course/Certificate
Experience
Essential
- Data entry experience
- Relevant office experience
Desirable
- Previous/current healthcare experience
- Experience in managing/supervising staff
Knowledge
Essential
- Understanding of confidentiality
- Knowledge of Anatomy and Physiology
- Knowledge of simple Medical terminology
Desirable
- Knowledge of clinical coding
- HRG awareness
- WHO awareness
Skills
Essential
- High degree of accuracy and attention to detail
- Communication skills
- Able to work as a team member
- Ability to meet deadlines
Desirable
- Project or research skills
- Training or presentation skills
- Use of Microsoft Excel and Word
Additional Requirements
Essential
- The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust Values kind, safe and excellent. This behaviour is outlined on the final page of this person specification.
- Must undertake the Clinical Coding Foundation course
- Must participate in training relevant to role
Person Specification
Qualifications
Essential
Desirable
- A Level or higher in Human Biology/Medical Science
- Completed the NHS Classifications Service Clinical Coding Foundation course
- Medical Terminology course/Certificate
Experience
Essential
- Data entry experience
- Relevant office experience
Desirable
- Previous/current healthcare experience
- Experience in managing/supervising staff
Knowledge
Essential
- Understanding of confidentiality
- Knowledge of Anatomy and Physiology
- Knowledge of simple Medical terminology
Desirable
- Knowledge of clinical coding
- HRG awareness
- WHO awareness
Skills
Essential
- High degree of accuracy and attention to detail
- Communication skills
- Able to work as a team member
- Ability to meet deadlines
Desirable
- Project or research skills
- Training or presentation skills
- Use of Microsoft Excel and Word
Additional Requirements
Essential
- The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust Values kind, safe and excellent. This behaviour is outlined on the final page of this person specification.
- Must undertake the Clinical Coding Foundation course
- Must participate in training relevant to role
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.
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.
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
Cambridge University Hospital NHS Foundation Trust
Address
Addenbrookes Hospital - Division F
Hills Road
Cambridge
CB2 0QQ
Employer's website
https://www.cuh.nhs.uk (Opens in a new tab)