Job summary
An exciting opportunity has arisen to join our existing professional team of Clinical Coding staff, at the University Hospitals of Leicester NHS Trust.
We are looking for a highly motivated, hardworking and enthusiastic candidate to join us within the Clinical Coding Department.
Job overview
To extract, analyse, translate and data entry complex medical patient care records into diagnostic and procedural coding in an accurate and timely manner adhering to the Trusts deadlines.
The post holder should be able to demonstrate a high level of communication skills, excellent organisational and time management skills and the ability to work accurately under pressure to meet deadlines.
All necessary and relevant training will be provided to the post holder to enable them to carry out all roles and responsibilities of the post.
Main duties of the job
Extraction of complex clinical information from the health record on discharge of the patient and translation of medical terminology using ICD10 and OPCS4 into a form that can be tabulated, aggregated and sorted for statistical analysis, applying national and international rules and conventions to agreed standards.
Training and workshops will be provided by our team of Trainers.
All coders will attend workshops on a regular basis to enable them keep up to date with any changes within clinical coding and support learning skills and development.
*Please ensure you can demonstrate the criteria required for shortlisting*
Person Specification
Qualifications
Essential
- GCSE Maths and English or equivalent
- Accredited Clinical Coder
Experience
Essential
- Experience as a clinical coder
- NHS experience
About us
We are one of the biggest and busiest NHS trusts in the country, incorporating the General, Glenfield and Royal Infirmary hospitals. We have our very own Children's Hospital and run one of the country's leading heart centres.
Our team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland.
We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.
Our purpose is to provide 'Caring at its best' and our staff have helped us create a set of values that embody who we are and what we're here to do. They are:
- We focus on what matters most
- We treat others how we would like to be treated
- We are passionate and creative in our work
- We do what we say we are going to do
- We are one team and we are best when we work together
Our patients are at the heart of all we do and we believe that 'Caring at its best' is not just about the treatments and services we provide, but about giving our patients the best possible experience.
About the University Hospitals of Leicester NHS Trust:
http://www.leicestershospitals.nhs.uk/aboutus/work-for-us/current-vacancies/
The detailed job description and main responsibilities are included as an attachment to this advert.
Job description
Job responsibilities
- To accurately analyse, interpret and extract relevant clinical information and data (including complex conditions, treatments and High Cost Drugs) from a variety of electronic sources including Badger (Neonatal Care), CITO (scanned patient documents), CRIS (imaging reports), DICT3, Euroking E3 (Maternity admissions), Heart Suite (paediatric cardiology & surgery), ICE (discharge letters), iLab (pathology results), Intellect Web (cardiac surgery/cardiology), Medisoft (ophthalmology), Nerve Centre, ORMIS, Proton and Unisoft (endoscopy reports).
- Responsible for managing own workload within broad guidelines. Have a joint goal with other coders to achieve coding targets. Assist colleagues with coding patient case notes if necessary, to ensure all coding is completed within the Trusts stated deadlines. This may include mentoring less experienced colleagues.
- Responsible for identifying obstacles to meeting these deadlines and for taking appropriate action to overcome them.
- Responsible for identifying and analysing patterns of errors and notifying these to manager, with proposed potential solutions.
- To comply with both the Trust and departmental policies and procedures and implementing local policies when required.
- To work with Clinicians to improve the quality of clinical coded information across the Trust, participating in multi-disciplinary team meetings as a coding expert.
- To be a key knowledge resource for and assist with the development of documentation of coding processes, procedures and protocols to ensure quality and consistency within the hospital and adherence to national and international guidelines. Be responsible for the on-going revision and documentation of these processes.
- Assist with Mentoring and developing inexperienced staff to enable them to exercise their own initiative in selecting appropriate clinical terms to accurately reflect the patients episode of care.
- To undertake a programme of Continuous Professional Development, to ensure professional coding skills and knowledge are kept up to date and maintaining the ability to work autonomously to the highest professional standards.
- The post holder will be expected to have the ability to code more than one specialty.
Job description
Job responsibilities
- To accurately analyse, interpret and extract relevant clinical information and data (including complex conditions, treatments and High Cost Drugs) from a variety of electronic sources including Badger (Neonatal Care), CITO (scanned patient documents), CRIS (imaging reports), DICT3, Euroking E3 (Maternity admissions), Heart Suite (paediatric cardiology & surgery), ICE (discharge letters), iLab (pathology results), Intellect Web (cardiac surgery/cardiology), Medisoft (ophthalmology), Nerve Centre, ORMIS, Proton and Unisoft (endoscopy reports).
- Responsible for managing own workload within broad guidelines. Have a joint goal with other coders to achieve coding targets. Assist colleagues with coding patient case notes if necessary, to ensure all coding is completed within the Trusts stated deadlines. This may include mentoring less experienced colleagues.
- Responsible for identifying obstacles to meeting these deadlines and for taking appropriate action to overcome them.
- Responsible for identifying and analysing patterns of errors and notifying these to manager, with proposed potential solutions.
- To comply with both the Trust and departmental policies and procedures and implementing local policies when required.
- To work with Clinicians to improve the quality of clinical coded information across the Trust, participating in multi-disciplinary team meetings as a coding expert.
- To be a key knowledge resource for and assist with the development of documentation of coding processes, procedures and protocols to ensure quality and consistency within the hospital and adherence to national and international guidelines. Be responsible for the on-going revision and documentation of these processes.
- Assist with Mentoring and developing inexperienced staff to enable them to exercise their own initiative in selecting appropriate clinical terms to accurately reflect the patients episode of care.
- To undertake a programme of Continuous Professional Development, to ensure professional coding skills and knowledge are kept up to date and maintaining the ability to work autonomously to the highest professional standards.
- The post holder will be expected to have the ability to code more than one specialty.
Person Specification
Training & Qualifications
Essential
- Educated to GCSE standards Maths and English (a-c) or equivalent experience.
Desirable
- Willingness to study for Accredited Clinical Coder
Experience
Essential
- Experience of clinical coding in a hospital setting. Coding of multiple specialities.
Desirable
- Familiar with using an encoder
Communication and Relationship skills
Essential
- Experience of communicating with staff at all levels
Analytical and Judgement skills
Essential
- Excellent analytical skills. Excellent judgemental skills.
Planning and organisation skills
Essential
- Ability to prioritise and manage own work load, to meet Trust and nationally required deadlines.
Commitment to Trust Values and Behaviours
Essential
- Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours.
Other requirements specific to the role
Essential
- Accuracy / attention to detail. Ability to learn quickly. Completer / finisher. Must be able to work on any site.
Physical skills
Essential
- Ability to work with prolonged concentration. Exposure to patient case notes.
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
Person Specification
Training & Qualifications
Essential
- Educated to GCSE standards Maths and English (a-c) or equivalent experience.
Desirable
- Willingness to study for Accredited Clinical Coder
Experience
Essential
- Experience of clinical coding in a hospital setting. Coding of multiple specialities.
Desirable
- Familiar with using an encoder
Communication and Relationship skills
Essential
- Experience of communicating with staff at all levels
Analytical and Judgement skills
Essential
- Excellent analytical skills. Excellent judgemental skills.
Planning and organisation skills
Essential
- Ability to prioritise and manage own work load, to meet Trust and nationally required deadlines.
Commitment to Trust Values and Behaviours
Essential
- Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours.
Other requirements specific to the role
Essential
- Accuracy / attention to detail. Ability to learn quickly. Completer / finisher. Must be able to work on any site.
Physical skills
Essential
- Ability to work with prolonged concentration. Exposure to patient case notes.
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
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).
