Job summary
This is an opportunity at Guys & St Thomas' NHS Foundation Trust working at York Street, London. Working as part of large team, you will abstract and analyse clinical information from digitised case notes, other relevant documents, hospital electronic systems and translate into diagnostic and operative procedure codes using the current classifications, adhering to the national standards and conventions.
We are looking for a professional with good understanding of medical terminology, anatomy and physiology and disease processes with background of healthcare or have completed relevant courses.
In addition to the brief list above you must familiarise yourself with the full job description and person specification attached to this advert prior to applying
Please Note: Vacancy may close early due to high numbers of applications
Main duties of the job
- The clinical coding team is a busy unit that must consistently deliver high-quality work within tight deadlines. The team's performance directly affects the Trust's revenue recovery and service planning.
- Accurately extract and evaluate all pertinent information regarding a patient's hospital care episode.
- This involves identifying and interpreting complex clinical data, including primary diagnoses, procedures, co-morbidities, and systemic conditions, from paper and electronic records.
- Translate clinical information into ICD-10 and OPCS-4 codes, which are used to create Health Related Groupings (HRGs) under the National Tariff Payment System (NTPS) that in turn determines the Trust's funding from Integrated Care Boards (ICB).
About us
Guy's and St Thomas NHS Foundation Trust comprises five of the UK's best known hospitals.
We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth & Southwark.
we strive to recruit and retain the best staff. The dedication and skills of our employees lie at the heart of our organisation and ensure that our services are the highest quality.
The department is well for its training programme, with multiple specialty workshops. There is hybrid working possibilities once the coders are trained and be able to work independently.
Job description
Job responsibilities
Abstract pertinent information from patient case notes and other relevant sources, detailing primary diagnoses, co-morbidities, operations, investigations, and treatments for each care period provided to patients. Utilize knowledge and experience to translate this data into ICD-10 and OPCS-4 codes, ensuring accuracy and adherence to coding conventions. Enter the coded information promptly and accurately into the hospital's Patient Administration System, following established guidelines for International Classification of Diseases and OPCS procedure books.
Job description
Job responsibilities
Abstract pertinent information from patient case notes and other relevant sources, detailing primary diagnoses, co-morbidities, operations, investigations, and treatments for each care period provided to patients. Utilize knowledge and experience to translate this data into ICD-10 and OPCS-4 codes, ensuring accuracy and adherence to coding conventions. Enter the coded information promptly and accurately into the hospital's Patient Administration System, following established guidelines for International Classification of Diseases and OPCS procedure books.
Person Specification
Communication skills
Essential
- Clear communication to clarify information with healthcare providers
Desirable
- Ability to write concise and accurate notes regarding clinical queries
Experience
Essential
- Strong understanding of medical terminology, anatomy, physiology and pathology
- Familiarity with clinical coding classifications
- Proficient in analysing complex medical record
Desirable
- Proficiency with coding software and electronic health records system
Organisational skills
Essential
- Prioritise tasks to ensure timely and accurate coding
Desirable
- Ability to read large volume of clinical records
Team work and collaboration
Essential
- Aligning personal goals with team objectives
- Showing respect for others' viewpoints and ideas
Desirable
- Paying attention to colleagues' input and concerns
adopt ability and flexibity
Essential
- The adoption of new healthcare technologies, including new electronic health records, and coding software, requires coders to be flexible and willing to learn new systems
- Clinical coding standards and classification frequently undergo updates and revisions.
- Adaptable coders can quickly learn and implement new coding systems and guidelines
Desirable
- Being flexible in prioritising tasks and meeting deadlines during peak times
Person Specification
Communication skills
Essential
- Clear communication to clarify information with healthcare providers
Desirable
- Ability to write concise and accurate notes regarding clinical queries
Experience
Essential
- Strong understanding of medical terminology, anatomy, physiology and pathology
- Familiarity with clinical coding classifications
- Proficient in analysing complex medical record
Desirable
- Proficiency with coding software and electronic health records system
Organisational skills
Essential
- Prioritise tasks to ensure timely and accurate coding
Desirable
- Ability to read large volume of clinical records
Team work and collaboration
Essential
- Aligning personal goals with team objectives
- Showing respect for others' viewpoints and ideas
Desirable
- Paying attention to colleagues' input and concerns
adopt ability and flexibity
Essential
- The adoption of new healthcare technologies, including new electronic health records, and coding software, requires coders to be flexible and willing to learn new systems
- Clinical coding standards and classification frequently undergo updates and revisions.
- Adaptable coders can quickly learn and implement new coding systems and guidelines
Desirable
- Being flexible in prioritising tasks and meeting deadlines during peak times
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).
