Job summary
Would you like to join our Clinical Coding
team as a Clinical Coder and GP Assistant? Read on to learn more about this
rewarding role and submit your application
The Clinical Coding service is a part of
the GP surgery and is responsible for extracting and codifying complex clinical
information that describes a patient's diagnostic and procedural healthcare
status within an episode of care in a timely manner.
The ability to accurate record and codify
its clinical activity is fundamental to understanding the quality of its
clinical services. Our coded data is used by all parts of the Group's business
to deliver trusted and high-quality services to patients.
Clinical Coders are a core component of the
Clinical Coding service and have a crucial supporting role in the overall
management of the Group as their output directly influences income through the
NHS Payment Scheme.
Main duties of the job
As a Clinical Coder you will be responsible
for codifying in a timely manner complex clinical activity according to all
relevant National Clinical Coding Standards and Local Clinical Coding Policies.
You will assist the Clinical Coding Team
Leads to support and mentor Associate Clinical Coders and to achieve the
submission of codified data in a timely manner.
Extract, analyze and codify complex
clinical information describing a patients diagnostic and procedural healthcare
status within an episode of care .
Ensure codified data is of high quality and
accurate i.e., in line with all relevant National Clinical Coding Standards and
Local Clinical Coding Policies.
Ensure codified data is entered into the
Patient Administration System (PAS) in a timely manner i.e., within defined
local and national timescales.
Where required work with other disciplines
of staff who are necessary to the successful completion of accurate clinical
coding i.e., clinicians and Senior Managers, providing and receiving complex
information using persuasive skills as required.
Communicate complex coding rules to a range
of staff involved in the coding process; medical, clinical and administrative
staff, Senior Managers and external agencies, e.g. Coroners Office as
appropriate.
Validate missing patient information;
contact clinicians and clerical staff as appropriate to locate clinical records
and missing patient information.
About us
We are a GMS
practice based in the Great Lever area of Bolton within a purpose built
building. A high proportion of our practice population comes from Black and
Minority Ethnic (BME) community and many of them do not have English as their
first language. We are really determined to address the social
deprivation, health inequalities and mental health issues in our community.
The practice team comprises of GPs, Nursing team, PCN Workforce, ARRS staff
and a supportive admin / management team.
The clinical
system is EMIS alongside Docman 10, Ardens, Accurx and Iplato.Our practice have
regularly been performing high on QOF and BQC.
The practice
location benefits from being close to motorway network with onsite parking.
Job description
Job responsibilities
1. Timely and Accurate Clinical Coding
- Codify complex clinical data promptly, adhering to National Clinical Coding Standards and Local Clinical Coding Policies.
- Extract, analyze, and codify detailed clinical information related to a patient's diagnostic and procedural status within their episode of care.
2.
Data Quality and Compliance- Ensure that all codified data is of high quality and accurate, fully compliant with relevant standards and policies.
- Enter codified data into the Patient Administration System (PAS) accurately and within the required local and national timescales.
3.
Collaboration with Multidisciplinary Teams- Work with clinicians, senior managers, and other relevant staff to obtain accurate clinical information.
- Provide and receive complex information from a range of stakeholders, using persuasive communication skills as needed to ensure successful coding outcomes.
- Communicate complex coding rules to medical, clinical, and administrative staff, as well as external agencies (e.g., Coroners Office), as appropriate.
4.
Supporting and Mentoring Junior Coders- Assist Clinical Coding Team Leads in supporting and mentoring Associate Clinical Coders to ensure the timely and accurate submission of coded data.
- Contribute to the development of coding processes and the improvement of team performance.
5.
Missing or Incomplete Data Resolution- Validate missing or incomplete patient information and work with clinicians and clerical staff to retrieve clinical records and other necessary data.
- Ensure that all patient information is accurately recorded and entered into the system, reducing delays and improving data integrity.
6.
Operational Support and Process Improvement- Actively support the organizations transformation and cost-improvement initiatives that use coded data to drive financial gains and enhance operational efficiency.
- Critically examine existing practices within the department to identify opportunities for cost improvements and support the implementation of action plans.
Job description
Job responsibilities
1. Timely and Accurate Clinical Coding
- Codify complex clinical data promptly, adhering to National Clinical Coding Standards and Local Clinical Coding Policies.
- Extract, analyze, and codify detailed clinical information related to a patient's diagnostic and procedural status within their episode of care.
2.
Data Quality and Compliance- Ensure that all codified data is of high quality and accurate, fully compliant with relevant standards and policies.
- Enter codified data into the Patient Administration System (PAS) accurately and within the required local and national timescales.
3.
Collaboration with Multidisciplinary Teams- Work with clinicians, senior managers, and other relevant staff to obtain accurate clinical information.
- Provide and receive complex information from a range of stakeholders, using persuasive communication skills as needed to ensure successful coding outcomes.
- Communicate complex coding rules to medical, clinical, and administrative staff, as well as external agencies (e.g., Coroners Office), as appropriate.
4.
Supporting and Mentoring Junior Coders- Assist Clinical Coding Team Leads in supporting and mentoring Associate Clinical Coders to ensure the timely and accurate submission of coded data.
- Contribute to the development of coding processes and the improvement of team performance.
5.
Missing or Incomplete Data Resolution- Validate missing or incomplete patient information and work with clinicians and clerical staff to retrieve clinical records and other necessary data.
- Ensure that all patient information is accurately recorded and entered into the system, reducing delays and improving data integrity.
6.
Operational Support and Process Improvement- Actively support the organizations transformation and cost-improvement initiatives that use coded data to drive financial gains and enhance operational efficiency.
- Critically examine existing practices within the department to identify opportunities for cost improvements and support the implementation of action plans.
Person Specification
Qualifications
Essential
- A health related degree or similar qualification.
- Previous experience in a healthcare setting as an administrator
- Strong knowledge of human anatomy and physiology and medical terminology.
- Good level of knowledge and experience with Microsoft Office 365 suite.
- Administration and clerical experience in an office environment.
- Experience with accurate data entry.
- Ability to work positively under time pressures.
- Ability to work to a high degree of accuracy and attention to detail.
- Ability to work on own initiative and as part of a team.
- Excellent interpersonal communication skills both written and verbal. Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and administrative staff. Ability to relate appropriately with external agencies, e.g. Coroners office
- Ability to organise, plan and prioritise workload to ensure timescales are met.
- Ability to apply self-learning directive to maintain and develop own skills and knowledge.
- Fast and accurate keyboard skills with good IT skills.
- Knowledge of the importance of confidentiality, the Data Protection Act and Caldicott principles.
- Ability to maintain frequent prolonged concentration with a VDU.
- Capable of safely lifting and handling medical records.
- Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality, diversity and inclusion of our staff, patients and service users.
- Adaptable to change.
- Willingness to undertake training to develop professionally.
- A keen interest in data quality.
- Capable of handling indirect exposure to distressing or emotional circumstances.
Desirable
- A minimum of 5 GCSEs including English and Maths at least Grade C/Grade 4 or equivalent qualification.
- Basic understanding of Agile Principles.
- Basic understanding of data and process automation concepts.
Person Specification
Qualifications
Essential
- A health related degree or similar qualification.
- Previous experience in a healthcare setting as an administrator
- Strong knowledge of human anatomy and physiology and medical terminology.
- Good level of knowledge and experience with Microsoft Office 365 suite.
- Administration and clerical experience in an office environment.
- Experience with accurate data entry.
- Ability to work positively under time pressures.
- Ability to work to a high degree of accuracy and attention to detail.
- Ability to work on own initiative and as part of a team.
- Excellent interpersonal communication skills both written and verbal. Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and administrative staff. Ability to relate appropriately with external agencies, e.g. Coroners office
- Ability to organise, plan and prioritise workload to ensure timescales are met.
- Ability to apply self-learning directive to maintain and develop own skills and knowledge.
- Fast and accurate keyboard skills with good IT skills.
- Knowledge of the importance of confidentiality, the Data Protection Act and Caldicott principles.
- Ability to maintain frequent prolonged concentration with a VDU.
- Capable of safely lifting and handling medical records.
- Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality, diversity and inclusion of our staff, patients and service users.
- Adaptable to change.
- Willingness to undertake training to develop professionally.
- A keen interest in data quality.
- Capable of handling indirect exposure to distressing or emotional circumstances.
Desirable
- A minimum of 5 GCSEs including English and Maths at least Grade C/Grade 4 or equivalent qualification.
- Basic understanding of Agile Principles.
- Basic understanding of data and process automation concepts.
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.
