Job summary
South Tyneside and Sunderland NHS Foundation
Trust have an excellent opportunity for accomplished Accredited Clinical
Coders, working remotely or onsite, to fulfil important senior roles in our
friendly and supportive Clinical Coding team. We are looking for people who
have a high level of commitment who have excellent communication skills and can
demonstrate expertise within the role as a Senior Accredited Clinical Coder.
The post holder will demonstrate supportive leadership skills and the ability
to help develop and mentor less experienced Clinical Coders. This position
requires you to hold the National Clinical Coding Qualification. The post
holder must have gained their experience working within a Clinical Coding
department within either an NHS or private hospital within the UK.
Main duties of the job
The post holder will have the responsibility for
Coding all speciality-based patient admissions by abstracting clinical data
from electronic patient records and must be proficient when translating this
into diagnostic (ICD-10) and procedure (OPCS4) classification codes. Remote
working is an option. Applicants must demonstrate good organisational skills
and able to work well under pressure to adhere to Trust governance, deadlines
and prioritise their own workload to achieve this Excellent knowledge of
medical terminology, anatomy and physiology is essential, as well as excellent
analytical and problem-solving skills and must be able to demonstrate
competency in the use of ICD-10 and OPCS4 classifications. The post holder must
have completed a National Clinical Coding Refresher Course within the past two
years.
About us
Please add your telephone number to your application form so we can contact you quickly if required.
One Team One Trust - There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment.
We welcome all applications irrespective of peoples race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups. Looking after our workforces health and wellbeing is a priority for us. We also provide access to high quality education, training, career progression and support. Flexible working is supported via our Flexible Working Policy.
The Trust employs around 8,746 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area. We offer our staff outstanding benefits - Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Care Co-ordinator to help staff with childcare arrangements.If you use AI,
and it poses a risk to the integrity of your individual recruitment process, we
may withdraw your application at any stage of the process.
Job description
Job responsibilities
PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE
The accuracy of clinical coding activity is vitally important for secondary care Trusts, not only to secure the correct income but also to inform decision-making regarding the future of clinical services. Coded activity is also used by secondary users within the NHS, Government and external bodies, who produce statistics such as standardised mortality rates, set budget baselines and monitor clinical outcomes and key quality indicators.
Post holders will have attained the National Clinical Coding Qualification and be an Accredited Clinical Coder.
The main purpose of the job includes:
- To be an expert clinical coder dealing with highly complex clinical cases and queries, and resolving issues with senior clinical staff such as consultants.
- To be responsible for the daily operational supervision of the clinical coding team, in accordance with Trust and departmental policies. Monitoring of agreed key performance and quality indicators will form a major part of this role.
- The post holder will form part of the Clinical Coding management team and support the Clinical Coding Service as a whole in the overall management of the department.
- The post-holder will work closely with lead clinicians within all areas, to ensure that complex specialty level data is timely, standardised and robust to support performance.
- In conjunction with the Clinical Coding Management Team, the post holder will also act as a mentor to clinical coding team, validate their work, and offer sound advice and supporting them throughout their training period. The post holder will also be required to provide advice to experienced Clinical Coders, often to resolve complex or difficult coding queries in accordance with Trust and departmental policies.
- To undertake regular coding audits and reviews to assess coding accuracy, depth and quality.
- To accurately code all in-patient episodes applying national classification rules and conventions using source material such as Electronic Patient record and case notes.
- To ensure the completion of all consultant episodes within the agreed timescales and to follow up any uncoded episodes promptly.
- To code all episodes with sufficient depth ensuring that the extracted data accurately reflects the complexity of the patients diagnosis, Co-morbidities and any Procedures or Interventions carried out during an episode of care.
- To liaise on a regular basis with senior medical staff and managers on matters relating to clinical coding and to provide information for HRG costing, mortality indices and Sepsis, GIRFT, Model Hospital analysis.
- To be the first point of contact in routinely providing expert advice and resolving complex coding enquires, and engaging with senior clinicians
- To use and interrogate clinical information systems to assess coding accuracy and quality
- To attend directorate or specialty meetings to feedback coding queries and instruct staff about how to improve coding standards.
- To contribute to the production of clinical coding reports (performance monitoring) for senior clinical and managerial staff.
- To organise, instruct and supervise staff workload on a day-to-day and weekly basis, including staff rotas and coding schedules.
Job description
Job responsibilities
PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE
The accuracy of clinical coding activity is vitally important for secondary care Trusts, not only to secure the correct income but also to inform decision-making regarding the future of clinical services. Coded activity is also used by secondary users within the NHS, Government and external bodies, who produce statistics such as standardised mortality rates, set budget baselines and monitor clinical outcomes and key quality indicators.
Post holders will have attained the National Clinical Coding Qualification and be an Accredited Clinical Coder.
The main purpose of the job includes:
- To be an expert clinical coder dealing with highly complex clinical cases and queries, and resolving issues with senior clinical staff such as consultants.
- To be responsible for the daily operational supervision of the clinical coding team, in accordance with Trust and departmental policies. Monitoring of agreed key performance and quality indicators will form a major part of this role.
- The post holder will form part of the Clinical Coding management team and support the Clinical Coding Service as a whole in the overall management of the department.
- The post-holder will work closely with lead clinicians within all areas, to ensure that complex specialty level data is timely, standardised and robust to support performance.
- In conjunction with the Clinical Coding Management Team, the post holder will also act as a mentor to clinical coding team, validate their work, and offer sound advice and supporting them throughout their training period. The post holder will also be required to provide advice to experienced Clinical Coders, often to resolve complex or difficult coding queries in accordance with Trust and departmental policies.
- To undertake regular coding audits and reviews to assess coding accuracy, depth and quality.
- To accurately code all in-patient episodes applying national classification rules and conventions using source material such as Electronic Patient record and case notes.
- To ensure the completion of all consultant episodes within the agreed timescales and to follow up any uncoded episodes promptly.
- To code all episodes with sufficient depth ensuring that the extracted data accurately reflects the complexity of the patients diagnosis, Co-morbidities and any Procedures or Interventions carried out during an episode of care.
- To liaise on a regular basis with senior medical staff and managers on matters relating to clinical coding and to provide information for HRG costing, mortality indices and Sepsis, GIRFT, Model Hospital analysis.
- To be the first point of contact in routinely providing expert advice and resolving complex coding enquires, and engaging with senior clinicians
- To use and interrogate clinical information systems to assess coding accuracy and quality
- To attend directorate or specialty meetings to feedback coding queries and instruct staff about how to improve coding standards.
- To contribute to the production of clinical coding reports (performance monitoring) for senior clinical and managerial staff.
- To organise, instruct and supervise staff workload on a day-to-day and weekly basis, including staff rotas and coding schedules.
Person Specification
Qualifications
Essential
- Accredited clinical coding qualification (ACC)
- Completed a Clinical Coding Standards Course.
- Attended a Clinical Coding Standards Refresher Course within the last year.
- Attendance at specialty Clinical Coding workshops / Forums.
- GCSE (A-C) 4-9 or equivalent
- Demonstrate evidence of on-going personal development.
Desirable
Skills and Knowledge
Essential
- Knowledge of national & local performance/quality standards
- Knowledge of DSPT standards
- In-depth knowledge and skills relating to clinical coding including ICD-10 and OPCS-4 national guidelines and standards
- In-depth knowledge of clinical terminology and a comprehensive understanding of anatomy and physiology
- Detailed knowledge of NHS data systems (PAS systems) (applicants with coding experience)
- Knowledge and experience of encoding software e.g. Medicode.
- In-depth knowledge of histology and radiology reports to ensure accuracy of coded information.
- An understanding of Healthcare Resource groups (HRGs) and Payment by Results (PbR).
- Understanding of Clinical Effectiveness, General Data Protection Regulation, ensuring patient and colleague confidentiality at all times, Caldicott Guidelines, Freedom of Information Act
- Ability to ensure updates to coding rules and conventions are applied as published by NHS_England and Clinical Classification Service
- Ability to ensure NICE guidelines are adhered too.
- To use judgement based on training and knowledge to apply National Standards correctly
- Ability to assist with delivery of training needs to a variety of audiences, including clinical coding and medical staff
- Ability to support the development of bespoke training packages to meet individual coder requirements
- Ability to partake in internal and external clinical coding audits
- Ability to support the development/mentoring trainee clinical-coding staff
- Up to date IT and keyboard skills and Microsoft teams applications
- Excellent organisational skills
Desirable
- Complex Workload Management
Physical Skills
Essential
- Advanced keyboard skills for inputting patient information into computer.
Experience
Essential
- Previous NHS Experience
- Experience in coding across a wide range of specialties.
- Extensive experience of PAS/hospital systems
Person Specification
Qualifications
Essential
- Accredited clinical coding qualification (ACC)
- Completed a Clinical Coding Standards Course.
- Attended a Clinical Coding Standards Refresher Course within the last year.
- Attendance at specialty Clinical Coding workshops / Forums.
- GCSE (A-C) 4-9 or equivalent
- Demonstrate evidence of on-going personal development.
Desirable
Skills and Knowledge
Essential
- Knowledge of national & local performance/quality standards
- Knowledge of DSPT standards
- In-depth knowledge and skills relating to clinical coding including ICD-10 and OPCS-4 national guidelines and standards
- In-depth knowledge of clinical terminology and a comprehensive understanding of anatomy and physiology
- Detailed knowledge of NHS data systems (PAS systems) (applicants with coding experience)
- Knowledge and experience of encoding software e.g. Medicode.
- In-depth knowledge of histology and radiology reports to ensure accuracy of coded information.
- An understanding of Healthcare Resource groups (HRGs) and Payment by Results (PbR).
- Understanding of Clinical Effectiveness, General Data Protection Regulation, ensuring patient and colleague confidentiality at all times, Caldicott Guidelines, Freedom of Information Act
- Ability to ensure updates to coding rules and conventions are applied as published by NHS_England and Clinical Classification Service
- Ability to ensure NICE guidelines are adhered too.
- To use judgement based on training and knowledge to apply National Standards correctly
- Ability to assist with delivery of training needs to a variety of audiences, including clinical coding and medical staff
- Ability to support the development of bespoke training packages to meet individual coder requirements
- Ability to partake in internal and external clinical coding audits
- Ability to support the development/mentoring trainee clinical-coding staff
- Up to date IT and keyboard skills and Microsoft teams applications
- Excellent organisational skills
Desirable
- Complex Workload Management
Physical Skills
Essential
- Advanced keyboard skills for inputting patient information into computer.
Experience
Essential
- Previous NHS Experience
- Experience in coding across a wide range of specialties.
- Extensive experience of PAS/hospital systems
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