Job summary
Full
Time/Part Time
Circa £50,000
Depending on experience
Remote with some travel to Norwich and London
We are seeking a meticulous and experienced Clinical Coder able to work
independently, to join us. The successful candidate will be responsible for
accurately coding medical records using ICD-10 and OPCS-4 classifications,
ensuring compliance and hold the National Clinical Coding Qualification (ACC)
Main duties of the job
- Analysing and coding patient records using ICD-10 and OPCS-4 classifications.
- Ensuring accuracy and completeness of coded data.
- Collaborating with clinical staff to clarify diagnoses and procedures.
- Maintain up-to-date knowledge of coding standards and practices.
- Participating in audits and quality improvement initiatives.
- Project work to combine systems which is taking place/due to take place.
- Working across different sites.
About us
We're an independent healthcare provider, with established roots in muscular-skeletal health and diagnostics, founded by expert NHS clinicians who recognised a way to improve things.
Our approach means that whether it's speed, flexibility, efficiency or quality, every aspect has been carefully considered to surpass expectations. This is why we've been a trusted partner of the NHS for over ten years, and the provider of choice for countless private patients.
We work with integrity. When it comes to collaboratively delivering care, relationships are key. Whether we're interacting with each other, our partners or our patients, we're always open and honest. Every key decision is based on clear process and informed by evidence.
We act with empathy. Everyone who is here, is here because they care about people. We always try and put ourselves in the shoes of whomever we're interacting with and treat people with compassion and consideration.
We inspire with passion. It's hard work, but we absolutely love what we do. There's no room for a half-hearted approach to healthcare, it requires dedication, and that's what everyone here has. A Healthshare employee is enthusiastic, with a verve and panache that inspires others around them.
Benefits:
- 25 days annual leave (plus Bank Holidays) and option to buy/sell
- Private Healthcare (Benenden)
- Company Pension Scheme
- Life Assurance
- Blue Light Card
- Refer a Friend Scheme
- CPD Opportunities
- Wagestream
- Reward Gateway
- Cycle to Work Scheme
- Smart Tech
- EV Car Scheme
Job description
Job responsibilities
Job Purpose
- The Post holder
will be responsible for ensuring high-quality clinical coding data
-
They will be
required to collect, collate and code clinical; information, often highly
complex in nature, covering a wide range of specialties
-
To ensure the
quality and depth of coding adhere to the national clinical coding standards
set out by NHS England to provide consistently recorded data to well defined
standards
-
Clinical Coding
is continuously monitored and improved, to provide complete, timely useful
quality data
-
The post holders
key responsibility is to abstract complex clinical information from the
patients health record on discharge and translate the medical terminology into
alphanumerical codes using the International Classification of Diseases (ICD
10) for diagnoses, and the OPCS Classification of interventions and procedures
in compliance with national clinical coding standards and guidelines
-
To liaise with
other departments including clinicians, medical secretaries, nursing staff,
medical records team, and ward clerk to promote confidence and awareness in
clinical coded data
-
To action coding
queries as raised by members of the clinical coding team, sharing expertise,
and assisting in the interpretation of complex information ensuring national
standards are adhered
Key roles and responsibilities
- To explain how to maximise the organisations income and data
quality by sharing what clinical information is required on the patients
medical record
- Adhere to the rules and conventions of ICD-10 and OPCS and take
responsibility for updating your own references manuals and classifications
when changes have been issued
- To input coded information into the
hospital PAS computer system, paying particular attention to accuracy,
timeliness and confidentiality
- Liaise regularly with internal and
external key stake holders to ensure high quality coded clinical data
-
Ensure all
queries raised by staff are resolved promptly and effectively, or where
appropriate are referred to the Clinical Coding coder.
-
Accompany where
necessary the Coding Auditor (external) to discuss coding issues relevant to
areas of expertise
-
The post holder
will identify opportunities for improvement related to clinical coding. A
proactive approach to service development is encouraged
-
Ability to keep
team members informed of progress, changes, and deadlines, sharing knowledge
and experiences with the whole team
-
Adaptable to
changing priorities, such as maintenance of on-going projects while dealing
with urgent ad-hoc work
-
Working according
to the individual clinical coding audits, where you are expected to meet the
minimum data standards outlined in the clinical coding audit policy
-
Take
responsibility for locating missing histology results at the time of coding and
updating the clinical data, in accordance with those results in time for the
SUS submission date
-
Be responsible
for updating personal coding classifications following changes to standards,
published by NHS England Terminology Classification Service
-
Use own judgement
to translate cases and assign the relevant codes where information isnt always
clear
-
Report complex
coding issues as a directed for verification and/or send to the NHS England
classification help desk. Share all responses with relevant staff
-
Work in partnership with the development of new
service and procedure mobilization, modelling the financial returns from
procedure coding to support business case development
Key Working Relationships
- Regular verbal, written and electronic communication with clinical
teams and non-clinical teams to ensure timely availability of case notes and
clinical information for coding
- At times required to relay highly complex coding information to
other colleagues and or other staff groups outside the department including
lead clinicians
- Works effectively as an individual and as part of a team
- To escalate unresolved clinical coding queries and operational
issues to the IT and data team
- To actively lead and participate in staff rotation
- Communicate complex coding rules and standards and provide support to
colleagues where required
- Effectively work alongside Finance and Information Teams
calculating tariffs and providing clinical codes and HRGs when required
- Liaise
regularly with clinicians regarding complex clinical documentation making joint
decisions on correct codes to use to accurately reflect clinical activity
- Is able
to work effectively across teams and specialities within the department.
-
Self-management and an ability to achieve targets as defined by the executive
team
-
Excellent communication skills, with an ability to relay complex clinical
coding information to operational staff and clinicians.
-
Be confident in the use of clinical IT systems and
interrogating electronic patient records to abstract information for clinical
coding
Job description
Job responsibilities
Job Purpose
- The Post holder
will be responsible for ensuring high-quality clinical coding data
-
They will be
required to collect, collate and code clinical; information, often highly
complex in nature, covering a wide range of specialties
-
To ensure the
quality and depth of coding adhere to the national clinical coding standards
set out by NHS England to provide consistently recorded data to well defined
standards
-
Clinical Coding
is continuously monitored and improved, to provide complete, timely useful
quality data
-
The post holders
key responsibility is to abstract complex clinical information from the
patients health record on discharge and translate the medical terminology into
alphanumerical codes using the International Classification of Diseases (ICD
10) for diagnoses, and the OPCS Classification of interventions and procedures
in compliance with national clinical coding standards and guidelines
-
To liaise with
other departments including clinicians, medical secretaries, nursing staff,
medical records team, and ward clerk to promote confidence and awareness in
clinical coded data
-
To action coding
queries as raised by members of the clinical coding team, sharing expertise,
and assisting in the interpretation of complex information ensuring national
standards are adhered
Key roles and responsibilities
- To explain how to maximise the organisations income and data
quality by sharing what clinical information is required on the patients
medical record
- Adhere to the rules and conventions of ICD-10 and OPCS and take
responsibility for updating your own references manuals and classifications
when changes have been issued
- To input coded information into the
hospital PAS computer system, paying particular attention to accuracy,
timeliness and confidentiality
- Liaise regularly with internal and
external key stake holders to ensure high quality coded clinical data
-
Ensure all
queries raised by staff are resolved promptly and effectively, or where
appropriate are referred to the Clinical Coding coder.
-
Accompany where
necessary the Coding Auditor (external) to discuss coding issues relevant to
areas of expertise
-
The post holder
will identify opportunities for improvement related to clinical coding. A
proactive approach to service development is encouraged
-
Ability to keep
team members informed of progress, changes, and deadlines, sharing knowledge
and experiences with the whole team
-
Adaptable to
changing priorities, such as maintenance of on-going projects while dealing
with urgent ad-hoc work
-
Working according
to the individual clinical coding audits, where you are expected to meet the
minimum data standards outlined in the clinical coding audit policy
-
Take
responsibility for locating missing histology results at the time of coding and
updating the clinical data, in accordance with those results in time for the
SUS submission date
-
Be responsible
for updating personal coding classifications following changes to standards,
published by NHS England Terminology Classification Service
-
Use own judgement
to translate cases and assign the relevant codes where information isnt always
clear
-
Report complex
coding issues as a directed for verification and/or send to the NHS England
classification help desk. Share all responses with relevant staff
-
Work in partnership with the development of new
service and procedure mobilization, modelling the financial returns from
procedure coding to support business case development
Key Working Relationships
- Regular verbal, written and electronic communication with clinical
teams and non-clinical teams to ensure timely availability of case notes and
clinical information for coding
- At times required to relay highly complex coding information to
other colleagues and or other staff groups outside the department including
lead clinicians
- Works effectively as an individual and as part of a team
- To escalate unresolved clinical coding queries and operational
issues to the IT and data team
- To actively lead and participate in staff rotation
- Communicate complex coding rules and standards and provide support to
colleagues where required
- Effectively work alongside Finance and Information Teams
calculating tariffs and providing clinical codes and HRGs when required
- Liaise
regularly with clinicians regarding complex clinical documentation making joint
decisions on correct codes to use to accurately reflect clinical activity
- Is able
to work effectively across teams and specialities within the department.
-
Self-management and an ability to achieve targets as defined by the executive
team
-
Excellent communication skills, with an ability to relay complex clinical
coding information to operational staff and clinicians.
-
Be confident in the use of clinical IT systems and
interrogating electronic patient records to abstract information for clinical
coding
Person Specification
Qualifications
Essential
- National Clinical Coding Qualification (ACC)
Experience
Essential
- Proven extensive experience as a Clinical Coder with the ability to use SystemOne and PatientSource.
Knowledge and skills
Desirable
- Full understanding of ICD10, OPCS and the impact of HRGs.
- Detailed knowledge of medical terminology, human anatomy and coding procedures.
- Excellent attention to detail and analytical skills.
- Strong communication and interpersonal skills.
- Ability to work independently and autonomously, with no supervision.
- Take ownership of own workload, priorities, and risks.
Person Specification
Qualifications
Essential
- National Clinical Coding Qualification (ACC)
Experience
Essential
- Proven extensive experience as a Clinical Coder with the ability to use SystemOne and PatientSource.
Knowledge and skills
Desirable
- Full understanding of ICD10, OPCS and the impact of HRGs.
- Detailed knowledge of medical terminology, human anatomy and coding procedures.
- Excellent attention to detail and analytical skills.
- Strong communication and interpersonal skills.
- Ability to work independently and autonomously, with no supervision.
- Take ownership of own workload, priorities, and risks.
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.
