East Lancashire Hospitals NHS Trust

Senior Specialist Clinical Coder

The closing date is 26 March 2026

Job summary

Are you looking to further your career or maybe make a sideways move within the field of Clinical Coding? Then we want to hear from you.

The opportunity has arisen for an enthusiastic and committed individual to fill the role of Senior Specialist Clinical Coder here at Lancashire Teaching Hospitals NHS Foundation Trust (LTH) as part of One Lancashire and South Cumbria (One LSC).

We are looking for a highly motivated individual who is dedicated to providing a first-class service to the department and Trust. As such you will need to be extremely organised, focused, and willing to develop your skills. In return, we can offer rewarding experiences and the ability to make a positive difference to service delivery.

You will be involved with the direction of workflow, mentoring / supervision of staff, the achievement of deadlines, and promotion of the importance of Clinical Coding to the Payment by Results and local / national reporting processes.

As a Senior Specialist Clinical Coder, you will have extensive knowledge of A&P, Medical Terminology and Coding Classifications. You will be experienced in coding within an acute Trust setting covering a wide variety of specialities, with a particular interest in Urology, ENT, pain management and medicine. You will be ACC qualified or willing to gain on your commencement in post.

Main duties of the job

To provide Clinical Coding expertise in several specialty areas, to department and Trust staff.

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 ensure Coding deadlines are met, in accordance with SUS submission timetable.

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.

Details

Date posted

12 March 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

435-1LSC-LT-016-26

Job locations

Preston Business Centre

Preston

PR2 8DY


Job description

Job responsibilities

CODING

Accurate abstraction, translation, and input of information from source documents into diagnostic and procedural codes using ICD-10 and OPCS-4 classifications.

Liaise with clinicians and departments as appropriate to ensure coding requirements are fulfilled in accordance with national and local standards.

Clinically code episodes of admitted patient care for the achievement of SUS submission deadlines and in support of the PbR process.

Improve the quality of coded data by validating specialist areas on a regular basis, providing feedback to department Auditors / Trainer, department Manager and Divisional Managers or Clinicians, as appropriate.

WORKFLOW

Plan and coordinate workloads to ensure compliance with SUS submission deadlines.

Identify and evaluate any problem areas regarding the availability of source documents or accuracy of coding.

Supervise coding staff as required in support of the Assistant Manager.

Provide cover for peers in the structure as required.

Act as supervisor for clerical staff and on-site leader for the team, as required.

DEVELOPMENT

Provide support for staff development through the appraisal process, as required.

Responsible for maintaining expert knowledge of specialist areas and identifying own development needs.

Responsible for up-to-date knowledge of coding standards, local policies, and clinical specialties

Commitment to travelling to and providing feedback from external workshops.

Support the development of Coders and Trainees

COMMUNICATION

Become a credible Clinical Coding Lead for the Trust and influence clinician practice with regards to documentation in the clinical record

Responsible for giving expert advice to Trust staff of all levels and assisting the department management team with corporate queries.

Make constructive suggestions for service improvement and contribute ideas to improve internal processes.

Effective communication with a range of staff from other departments within this and other Trusts and constructive management of barriers

Responsible for effective clinical engagement in specialist fields

OTHER

Report errors on the Harris Flex, Evolve and Medicode computer systems.

Undertake income generation and quality checks provided by internal or external reports.

Perform any other duties which are commensurate with the responsibility levels of the role.

Job description

Job responsibilities

CODING

Accurate abstraction, translation, and input of information from source documents into diagnostic and procedural codes using ICD-10 and OPCS-4 classifications.

Liaise with clinicians and departments as appropriate to ensure coding requirements are fulfilled in accordance with national and local standards.

Clinically code episodes of admitted patient care for the achievement of SUS submission deadlines and in support of the PbR process.

Improve the quality of coded data by validating specialist areas on a regular basis, providing feedback to department Auditors / Trainer, department Manager and Divisional Managers or Clinicians, as appropriate.

WORKFLOW

Plan and coordinate workloads to ensure compliance with SUS submission deadlines.

Identify and evaluate any problem areas regarding the availability of source documents or accuracy of coding.

Supervise coding staff as required in support of the Assistant Manager.

Provide cover for peers in the structure as required.

Act as supervisor for clerical staff and on-site leader for the team, as required.

DEVELOPMENT

Provide support for staff development through the appraisal process, as required.

Responsible for maintaining expert knowledge of specialist areas and identifying own development needs.

Responsible for up-to-date knowledge of coding standards, local policies, and clinical specialties

Commitment to travelling to and providing feedback from external workshops.

Support the development of Coders and Trainees

COMMUNICATION

Become a credible Clinical Coding Lead for the Trust and influence clinician practice with regards to documentation in the clinical record

Responsible for giving expert advice to Trust staff of all levels and assisting the department management team with corporate queries.

Make constructive suggestions for service improvement and contribute ideas to improve internal processes.

Effective communication with a range of staff from other departments within this and other Trusts and constructive management of barriers

Responsible for effective clinical engagement in specialist fields

OTHER

Report errors on the Harris Flex, Evolve and Medicode computer systems.

Undertake income generation and quality checks provided by internal or external reports.

Perform any other duties which are commensurate with the responsibility levels of the role.

Person Specification

Essential and Desirable

Essential

  • Qualifications & Education
  • Knowledge & Experience
  • Skills & Abilities
  • Values & Behaviours

Desirable

  • Qualifications & Education
  • Knowledge & Experience
  • Skills & Abilities
Person Specification

Essential and Desirable

Essential

  • Qualifications & Education
  • Knowledge & Experience
  • Skills & Abilities
  • Values & Behaviours

Desirable

  • Qualifications & Education
  • Knowledge & Experience
  • Skills & Abilities

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

Preston Business Centre

Preston

PR2 8DY


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

Preston Business Centre

Preston

PR2 8DY


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Coding Manager

Nicola Williams

nicola.williams@lthtr.nhs.uk

Details

Date posted

12 March 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

435-1LSC-LT-016-26

Job locations

Preston Business Centre

Preston

PR2 8DY


Supporting documents

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