Job summary
We are looking for motivated, dedicated, and organised individuals to fill the above posts so if you feel that you have the skills we need, we want to hear from you:
A good decision maker, you will be able to use your initiative and apply logical reasoning to code assignment based on set guidelines and conventions. Attention to detail is vital, as is the ability to absorb and retain complex information in a constantly changing environment. This means that you should be committed to ongoing learning including self-direction when required. You will be able to demonstrate a record of accurate working under the pressure of tight deadlines and the ability to concentrate for long periods of time is a must for this post.
Main duties of the job
To provide maximum coverage and high quality clinically coded information within the Clinical Coding Department and in line with national and local standards, in accordance with Trust deadlines.
To be accountable for the accurate translation of medical information, and therefore the quality of data produced, by responsibility for maintaining current and appropriate knowledge.
To use the ICD10 (International Statistical Classification of Diseases and Related Health Problems - 10thRevision) and OPCS classifications to appropriately assign codes to admitted patient care episodes in order to support service and management information requirements, along with the Payment by Results (PbR) process.
To work as a productive member of a pro-active team to ensure optimal efficiency for provision of an outstanding Coding Service to the Trust.
This role is mentally demanding requiring long periods of concentration in a highly pressured and changeable work environment.
About us
LTH workload covers a wide variety of clinical specialties, including a number of regional fields such as Oncology, Neurosurgery and Renal Medicine.
This role will give you the opportunity to begin an in-depth career in the field of Clinical Coding, broaden your experience within the profession or enhance your existing knowledge of these areas by working in specialist teams with rotation. Support is available within the team structure at LTH from the Senior Coders, Trainer, and Auditors.
Our Coders work with a range of electronic systems including scanned patient notes and as such the role involves full daily use of computer screens.
We are currently exploring an agile working model within the department so there is the option to introduce an element of homeworking alongside the Preston Business Centre base, following a period of on-site training.
As part of OneLSC we believe collaboration is a key factor to providing an outstanding clinical coding service for all the partner trusts.
Job description
Job responsibilities
Accurate abstraction, translation, and input of information from source documents into diagnostic and procedural codes using ICD-10 and OPCS-4 classifications
- Achievement of a minimum of 90 / 80 / 90 / 80% accuracy levels at individual audit in line with mandatory requirements
- Staff demonstrate that they follow the internal query mechanism to reach the most appropriate code.
Liaise with clinicians and departments as appropriate to ensure coding requirements are fulfilled in accordance with national and local standards.
- Attend meetings with senior staff or unaccompanied as appropriate and when required.
Clinically code episodes of admitted patient care for the achievement of SUS submission deadlines and in support of the PbR process
- 100% coding completeness achieved in line with SUS submission deadlines.
- Throughput levels monitored by senior staff according to the internal matrix of competence and any performance issues addressed in a timely manner.
- Provide cover across sites whenever required.
Engage with team rotation to provide a broad knowledge base and maintain good working relationships with all staff members.
- Rotation through teams in line with department timeframes.
Responsible for identifying own development needs.
- Maintenance of Personal Development Portfolio and active participation in the yearly appraisal
- Self-teach by accessing e-learning packages as requires.
- Undertake Trust essential training on a yearly basis or as required.
Commitment to travelling to and providing feedback from external workshops.
- Attend external workshops scheduled on a rolling basis and feed back to the trainer within one week.
- Expected to gain the National Clinical Coding Qualification within an agreed timescale.
Responsible for up-to-date knowledge of coding standards, local policies, and clinical specialties
- Updates, references, and notes recorded in personal classification books in a timely manner, either during scheduled office training sessions or in own time.
Share knowledge with colleagues, acting as mentor to less experienced Coders.
- Staff feedback states that they feel supported by colleagues.
Make constructive suggestions for service improvement and contribute ideas to improve internal processes.
- Participation in staff meetings, surveys and feedback documents recorded.
Effective communication with a range of staff from other departments within this and other Trusts and constructive management of barriers.
- Staff feedback states they feel valued, complaints are listened to and reported, and issues are resolved without conflict.
- Engagement with Coders throughout the Lancashire coding Collaborative evident at events, workshops, or meetings.
Report errors on the Harris Flex, Evolve and Medicode computer systems.
- Errors logged in a timely manner and by using the appropriate means.
Provide cover for administrative duties outlined in the Clerical Assistant Job Description.
- Duties performed whenever required.
Take personal responsibility for building and maintaining good working relationships with colleagues and mangers.
- Trust values are evident in all encounters, participation in teambuilding exercises and professional approach demonstrated.
Undertake any other duties commensurate with the levels of responsibility outlined for this post.
- Duties performed whenever required.
Job description
Job responsibilities
Accurate abstraction, translation, and input of information from source documents into diagnostic and procedural codes using ICD-10 and OPCS-4 classifications
- Achievement of a minimum of 90 / 80 / 90 / 80% accuracy levels at individual audit in line with mandatory requirements
- Staff demonstrate that they follow the internal query mechanism to reach the most appropriate code.
Liaise with clinicians and departments as appropriate to ensure coding requirements are fulfilled in accordance with national and local standards.
- Attend meetings with senior staff or unaccompanied as appropriate and when required.
Clinically code episodes of admitted patient care for the achievement of SUS submission deadlines and in support of the PbR process
- 100% coding completeness achieved in line with SUS submission deadlines.
- Throughput levels monitored by senior staff according to the internal matrix of competence and any performance issues addressed in a timely manner.
- Provide cover across sites whenever required.
Engage with team rotation to provide a broad knowledge base and maintain good working relationships with all staff members.
- Rotation through teams in line with department timeframes.
Responsible for identifying own development needs.
- Maintenance of Personal Development Portfolio and active participation in the yearly appraisal
- Self-teach by accessing e-learning packages as requires.
- Undertake Trust essential training on a yearly basis or as required.
Commitment to travelling to and providing feedback from external workshops.
- Attend external workshops scheduled on a rolling basis and feed back to the trainer within one week.
- Expected to gain the National Clinical Coding Qualification within an agreed timescale.
Responsible for up-to-date knowledge of coding standards, local policies, and clinical specialties
- Updates, references, and notes recorded in personal classification books in a timely manner, either during scheduled office training sessions or in own time.
Share knowledge with colleagues, acting as mentor to less experienced Coders.
- Staff feedback states that they feel supported by colleagues.
Make constructive suggestions for service improvement and contribute ideas to improve internal processes.
- Participation in staff meetings, surveys and feedback documents recorded.
Effective communication with a range of staff from other departments within this and other Trusts and constructive management of barriers.
- Staff feedback states they feel valued, complaints are listened to and reported, and issues are resolved without conflict.
- Engagement with Coders throughout the Lancashire coding Collaborative evident at events, workshops, or meetings.
Report errors on the Harris Flex, Evolve and Medicode computer systems.
- Errors logged in a timely manner and by using the appropriate means.
Provide cover for administrative duties outlined in the Clerical Assistant Job Description.
- Duties performed whenever required.
Take personal responsibility for building and maintaining good working relationships with colleagues and mangers.
- Trust values are evident in all encounters, participation in teambuilding exercises and professional approach demonstrated.
Undertake any other duties commensurate with the levels of responsibility outlined for this post.
- Duties performed whenever required.
Person Specification
Knowledge and Experience
Essential
- Knowledge of Data Protection and Information Governance
- Knowledge of Clinical Coding uses and Classifications
- Experience of self-directed learning and absorbing / retaining complex information
- Experience of decision making in a work-based environment
- Experience of working to deadlines in a pressured or stressful environment
Desirable
- Experience of using Harris Flex CPR system, Evolve scanned record, QlikView BI application and Medicode 360 coding system
- Knowledge of Medical Terminology / Anatomy & Physiology
- Experience of coding in an Acute Trust setting
Qualifications and Education
Essential
- Educated to A level standard or equivalent.
Desirable
- Accredited Clinical Coder status
- Educated to degree level
Person Specification
Knowledge and Experience
Essential
- Knowledge of Data Protection and Information Governance
- Knowledge of Clinical Coding uses and Classifications
- Experience of self-directed learning and absorbing / retaining complex information
- Experience of decision making in a work-based environment
- Experience of working to deadlines in a pressured or stressful environment
Desirable
- Experience of using Harris Flex CPR system, Evolve scanned record, QlikView BI application and Medicode 360 coding system
- Knowledge of Medical Terminology / Anatomy & Physiology
- Experience of coding in an Acute Trust setting
Qualifications and Education
Essential
- Educated to A level standard or equivalent.
Desirable
- Accredited Clinical Coder status
- Educated to degree level
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.
