Lewisham and Greenwich NHS Trust

Senior Coding Analyst

The closing date is 25 May 2025

Job summary

To analyse and extract diagnostic and procedural information from patient case notes, other source documentation as appropriate and information systems and assign the appropriate code, in accordance with local and national clinical coding standards in an accurate and timely fashion.

To provide an efficient and high quality clinical coding service to support the business needs of the Trust, including Clinical Governance, Information Governance and finance by ensuring accurate translation and input of medical terminology.

Main duties of the job

To analyse the information available using policies, procedures and guidelines and local and national coding rules and conventions to translate this information into the appropriate codes as set out by national guidance (OPCS 4 and ICD-10 or any classification that may be implemented in the future.)

To deal with coding queries as and when is necessary throughout the working day and to communicate complex coding rules to medical, clinical, administration staff and external agencies.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Details

Date posted

09 May 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£29,970 to £36,483 a year per annum plus HCAS (15% R & R for ACC qualified Coders)

Contract

Permanent

Working pattern

Full-time, Flexible working, Home or remote working, Compressed hours

Reference number

197-RF6755

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Job description

Job responsibilities

Researching the appropriate codes to use (ICD and OPCS) referring to both local and national coding rules, conventions and policies. To access a variety of information systems, e.g. pathology, to obtain other information to inform the coding process and to ensure the completeness and accuracy of coding by checking results both in real time and by following missing results.

To support the Divisional Lead Coding Analyst in dealing with the uncoded lists, and ensure all outstanding coding is cleared as a priority without compromising data quality and meeting coding deadlines.

To identify data quality queries on Icare, for example patients not admitted, transferred and discharged, wrong Consultants and dates and liaising with Directorate or IT staff to ensure the issue is addressed.

To identify any data quality issues with the encoded data, where the system is not accepting the codes, and escalating as necessary to the Divisional Coding Lead.

To alert the Divisional Lead Coding Analyst to major problems identified with the patient administration system or the encoder.

To analyse the information available using policies, procedures and guidelines and local and national coding rules and conventions to translate this information into the appropriate codes as set out by national guidance (OPCS 4 and ICD-10 or any classification that may beimplemented in the future.)

Job description

Job responsibilities

Researching the appropriate codes to use (ICD and OPCS) referring to both local and national coding rules, conventions and policies. To access a variety of information systems, e.g. pathology, to obtain other information to inform the coding process and to ensure the completeness and accuracy of coding by checking results both in real time and by following missing results.

To support the Divisional Lead Coding Analyst in dealing with the uncoded lists, and ensure all outstanding coding is cleared as a priority without compromising data quality and meeting coding deadlines.

To identify data quality queries on Icare, for example patients not admitted, transferred and discharged, wrong Consultants and dates and liaising with Directorate or IT staff to ensure the issue is addressed.

To identify any data quality issues with the encoded data, where the system is not accepting the codes, and escalating as necessary to the Divisional Coding Lead.

To alert the Divisional Lead Coding Analyst to major problems identified with the patient administration system or the encoder.

To analyse the information available using policies, procedures and guidelines and local and national coding rules and conventions to translate this information into the appropriate codes as set out by national guidance (OPCS 4 and ICD-10 or any classification that may beimplemented in the future.)

Person Specification

Education and Qualifications

Essential

  • Coding Foundation Diploma including specialty workshops: ? Neoplasm ? Vascular ? Obstetrics ? T & O
  • Trust in-house test.
  • Evidence of Continuing professional development

Desirable

  • ECDL
  • Other relevant qualification e.g. health sciences, clinical qualification

Experience

Essential

  • Significant clinical coding experience across a wide range of specialties
  • Experience of using Patient Administrations Systems and encoding software
  • Experience of coding audit
  • Practical experience with standard clinical coding schemes (ICD-10 and OPCS4)

Knowledge

Essential

  • Good understanding of PbR
  • Comprehensive knowledge of coding rules and classifications
  • Use MS Word and Excel to an intermediate level
  • Comprehensive knowledge of medical terminology and anatomy and physiology Knowledge of HRGs (Health Resource Group)
Person Specification

Education and Qualifications

Essential

  • Coding Foundation Diploma including specialty workshops: ? Neoplasm ? Vascular ? Obstetrics ? T & O
  • Trust in-house test.
  • Evidence of Continuing professional development

Desirable

  • ECDL
  • Other relevant qualification e.g. health sciences, clinical qualification

Experience

Essential

  • Significant clinical coding experience across a wide range of specialties
  • Experience of using Patient Administrations Systems and encoding software
  • Experience of coding audit
  • Practical experience with standard clinical coding schemes (ICD-10 and OPCS4)

Knowledge

Essential

  • Good understanding of PbR
  • Comprehensive knowledge of coding rules and classifications
  • Use MS Word and Excel to an intermediate level
  • Comprehensive knowledge of medical terminology and anatomy and physiology Knowledge of HRGs (Health Resource Group)

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.

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

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


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

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


Employer contact details

For questions about the job, contact:

Clinical Coding Manager and Auditor

Narmathaa Ravichandran

narmathaaravichandran@nhs.net

07590653515

Details

Date posted

09 May 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£29,970 to £36,483 a year per annum plus HCAS (15% R & R for ACC qualified Coders)

Contract

Permanent

Working pattern

Full-time, Flexible working, Home or remote working, Compressed hours

Reference number

197-RF6755

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Supporting documents

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