Job summary
The Clinical Coding department is responsible for the coding of all inpatient attendances within the Trust and a proportion of outpatient activity. It is the department's responsibility to ensure these are coded within local and nationally agreed timescales ensuring accuracy, completeness of coding and correct HRG assignment, to enable the Trust to receive the appropriate financial reimbursement.
Main duties of the job
You will join a supportive team with a dedicated Clinical Coding Trainer and receive full training on all aspects of the job. Essential skills for the role are in areas of demonstrating knowledge of data extraction and interpretation; communication skills; IT; knowledge of anatomy and physiology.
At interview you will need to demonstrate interpersonal and organisational skills and possess a strong willingness to learn. You will need to be a team player who is able to show initiative, have a positive attitude and be able to manage your workload to meet the demands of the operational service. Training will be provided in all technical aspects of the role and IT systems that are used.
The main aspects of the job are;
- To abstract and analyse complex clinical information from patients records and then translate this into a coded format in line with National Standards.
- To ensure the timely entry of encoded data onto appropriate computer systems to meet the Trust's requirements for statutory information and financial flows.
- To use a variety of Clinical Information Systems to analyse medical information and ensure data quality for which a high level of knowledge of Medical Terminology and Anatomy & Physiology is essential.
To observe high levels of patient confidentiality at all times.
About us
Based in the North East of England we provide a range of hospital and community health services from our leading facilities, including the Queen Elizabeth Hospital, Blaydon urgent care centre and Bensham Hospital, all within Gateshead.
Established in 2005, we were one of the first foundation trusts in the country and since then have consistently achieved the highest levels of care for patients.
We now employ around 4,800 staff and currently provide 444 hospital beds across the Gateshead region.
Our values should be the 'golden thread' which runs through everything we do - they are the core of who we are. Our five values can easily be remembered by the simple acronymICORE; Innovation, Care, Openness, Respect, Engagement.
We have a number of staff networks including the Global Ethnic Majority (GEM) network, D-Ability network, LGBTQ+ Network and the Women's Network, to challenge us and help us to constantly improve. Our Armed Forces network is one of our emerging networks.
The health and wellbeing of our staff is one of our highest priorities, and we offer a range of support and initiatives as part of our 'Balance' programme balancegateshead.com to cater for our diverse workforce, so that your individual needs can be supported, allowing you a happy and healthy working experience with us.
Job description
Job responsibilities
Ability to communicate effectively at all levels with managerial, clinical and administrative staff both verbally and in writing.
Ability to establish working relationships with a wide range of personnel.
Ability to work as part of a team.
Persuading and negotiating skills.
Establish relationships and maintain good channels of communication with other internal departments, other NHS organisations and other commercial companies.
Attend all departmental meetings.
Extract and translate clinical terminology into alpha-numerical codes using the international classification of ICD-10 for diagnoses, and OPCS-4 for interventions and procedures in compliance with national guidelines for use across the Trust.
Interpret and code patient information, which is frequently of a highly sensitive and distressing nature.
Liaise with clinical and information staff to ensure queries are resolved in a timely manner;
Advise on and provide ad-hoc information on national standards and coded data as and when required to both clinical and non-clinical staff.
Identify uncoded episodes to ensure coding is conducted in a timely accurate fashion and coding deadlines are achieved.
Ensure amendments to the ICD10 / OPCS 4 classifications are made accordingly in a timely manner.
Job description
Job responsibilities
Ability to communicate effectively at all levels with managerial, clinical and administrative staff both verbally and in writing.
Ability to establish working relationships with a wide range of personnel.
Ability to work as part of a team.
Persuading and negotiating skills.
Establish relationships and maintain good channels of communication with other internal departments, other NHS organisations and other commercial companies.
Attend all departmental meetings.
Extract and translate clinical terminology into alpha-numerical codes using the international classification of ICD-10 for diagnoses, and OPCS-4 for interventions and procedures in compliance with national guidelines for use across the Trust.
Interpret and code patient information, which is frequently of a highly sensitive and distressing nature.
Liaise with clinical and information staff to ensure queries are resolved in a timely manner;
Advise on and provide ad-hoc information on national standards and coded data as and when required to both clinical and non-clinical staff.
Identify uncoded episodes to ensure coding is conducted in a timely accurate fashion and coding deadlines are achieved.
Ensure amendments to the ICD10 / OPCS 4 classifications are made accordingly in a timely manner.
Person Specification
Qualifications
Essential
- GCSE or equivalent Maths and English Grade C or above
Desirable
- GCSE or equivalent Human Biology
- NHS England Clinical Coding Standards Course Course
- National Clinical Coding Qualification
Knowledge
Essential
- Knowledge of anatomy and physiology
- Ability to extract and analyse data accurately
- Good organisational skills
- Good interpersonal communication skills
- Keyboard/IT skills
Desirable
- Understanding of NHS organisations
- Medical Terminology
Experience
Essential
- Experience of working to deadlines
- Ability to work with limited supervision
- Ability to prioritise own workload and use initiative
Person Specification
Qualifications
Essential
- GCSE or equivalent Maths and English Grade C or above
Desirable
- GCSE or equivalent Human Biology
- NHS England Clinical Coding Standards Course Course
- National Clinical Coding Qualification
Knowledge
Essential
- Knowledge of anatomy and physiology
- Ability to extract and analyse data accurately
- Good organisational skills
- Good interpersonal communication skills
- Keyboard/IT skills
Desirable
- Understanding of NHS organisations
- Medical Terminology
Experience
Essential
- Experience of working to deadlines
- Ability to work with limited supervision
- Ability to prioritise own workload and use initiative
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).
