Job summary
This is an exciting opportunity in Nottingham University Hospital NHS Trust working remotely full time. You will be an Accredited Clinical Coder (ACC) or have several years' experience working as a Clinical Coder. Working as part of a large team, you will abstract and analyse clinical information from digitised case notes, other relevant documents, hospital electronic systems and translate into diagnostic and operative procedure codes using the current classifications, adhering to the national standards and conventions, inputting the data on to the Trust's patient information system to meet the Trust' financial and statistical data commitments.
In addition to the brief list above you must familiarise yourself with the full job description and person specification attached to this advert prior to applying.
You'll need the ability to work independently, code accurately to national coding guidelines with little or no supervision and organise/prioritise your own day to day work requirements. You'll be physically capable of sitting for prolonged periods, using computer systems.
Main duties of the job
Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised case notes, laboratory reports and discharge summaries.
Ensure that complex clinical data regarding diagnoses and surgical procedures on patient episodes is coded using national (OPCS-4) and international (ICD-10) or any other classifications that may be implemented in the future adhering to all national standards and conventions.
Input coded clinical information into the Trust's patient information system in conjunction with a clinical encoder ensuring accuracy, completeness and timeliness at all times.
Liaise closely with the data quality team to ensure correct episode data on patient hospital system.
Work within deadlines whilst maintaining a high quality of accuracy and completeness of clinical coding
Effectively manage assigned workload.
Continue professional education and undertake personal professional development in order to refresh clinical coding skills. Keep up to date on changes to code assignment, coding methodology and local policy amendments to ensure coding reflects the activity of the trust.
Participate in in-house audits to promote the accuracy and consistency of clinical coding and the representation of activity and case-mix within the Trust.
Maintain confidentiality of all coded and other patient information.
About us
Nottingham University Hospitals NHS Trust is the East Midlands Major Trauma Centre, catering for a population of 4.5 million. Operating 7 days per week and 24 hours per day.
Formed in 2006, we are now one of the biggest and busiest acute Trusts in England. We provide services to over 2.5 million residents of Nottingham and its surrounding communities. We also provide specialist services to a further 3-4 million people from neighbouring counties each year.
As an organisation, the NHS offers a wide range of benefits including flexible working, fantastic pension contributions, market leading annual leave allowance, not to mention our Blue Light Card and NHS exclusive discounts.
Job description
Job responsibilities
KEY JOB RESPONSIBILITIES
Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised casenotes, laboratory reports and discharge summaries. Accessing clinical data on wards and patient areas where necessary and working independently with minimal supervision.
Ensure that complex clinical data regarding diagnoses and surgical procedures on patient episodes is coded using national (OPCS-4) and international (ICD-10) or any other classifications that may be implemented in the future adhering to all national standards and conventions.
Input coded clinical information into the Trusts patient information system in conjunction with a clinical encoder ensuring accuracy, completeness and timeliness at all times.
Validate admission and discharge details to maintain accuracy of data and for the identification of missing and incorrect activity
Liaise closely with the data quality team to ensure correct episode data on patient hospital system
Identify and register new cancers for inclusion in the national Cancer Register
Work within deadlines whilst maintaining a high quality of accuracy and completeness of clinical coding
Effectively manage assigned workload.
Continue professional education and undertake personal professional development in order to refresh clinical coding skills. Keep up to date on changes to code assignment, coding methodology and local policy amendments to ensure coding reflects the activity of the trust.
Consult with clinicians for clarification on new interventional procedures and clinical practice to ensure correct understanding for code assignment
Provide coding advice to medical, clinical and administration staff to ensure consistency
Set up work schedules to facilitate the flow of casenotes whilst creating good working relationships with staff in other departments.
Liaise with medical secretaries, ward personnel, departmental staff and patient records clerks to locate, retrieve and return casenotes.
Mentor less experienced coders and provide trainee coders with specialized knowledge across all specialties.
Participate in the on-going development of the coding team by communicating specialist knowledge in the form of in-house presentations and training workshops
Participate in in-house audits to promote the accuracy and consistency of clinical coding and the representation of activity and case-mix within the Trust.
Maintain confidentiality of all coded and other patient information.
Please refer to the job description and person specification attached to the advert for the full details of the vacancy.
Job description
Job responsibilities
KEY JOB RESPONSIBILITIES
Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised casenotes, laboratory reports and discharge summaries. Accessing clinical data on wards and patient areas where necessary and working independently with minimal supervision.
Ensure that complex clinical data regarding diagnoses and surgical procedures on patient episodes is coded using national (OPCS-4) and international (ICD-10) or any other classifications that may be implemented in the future adhering to all national standards and conventions.
Input coded clinical information into the Trusts patient information system in conjunction with a clinical encoder ensuring accuracy, completeness and timeliness at all times.
Validate admission and discharge details to maintain accuracy of data and for the identification of missing and incorrect activity
Liaise closely with the data quality team to ensure correct episode data on patient hospital system
Identify and register new cancers for inclusion in the national Cancer Register
Work within deadlines whilst maintaining a high quality of accuracy and completeness of clinical coding
Effectively manage assigned workload.
Continue professional education and undertake personal professional development in order to refresh clinical coding skills. Keep up to date on changes to code assignment, coding methodology and local policy amendments to ensure coding reflects the activity of the trust.
Consult with clinicians for clarification on new interventional procedures and clinical practice to ensure correct understanding for code assignment
Provide coding advice to medical, clinical and administration staff to ensure consistency
Set up work schedules to facilitate the flow of casenotes whilst creating good working relationships with staff in other departments.
Liaise with medical secretaries, ward personnel, departmental staff and patient records clerks to locate, retrieve and return casenotes.
Mentor less experienced coders and provide trainee coders with specialized knowledge across all specialties.
Participate in the on-going development of the coding team by communicating specialist knowledge in the form of in-house presentations and training workshops
Participate in in-house audits to promote the accuracy and consistency of clinical coding and the representation of activity and case-mix within the Trust.
Maintain confidentiality of all coded and other patient information.
Please refer to the job description and person specification attached to the advert for the full details of the vacancy.
Person Specification
Training and Qualifications
Essential
- NCCQ - Accredited Clinical Coder
- To have at least 5 GCSE's or equivalent Educational qualifications
- Minimum of 1 years' experience as a Clinical Coder with documented evidence of formal training and competency achievement gained or formal refresher training
Experience
Essential
- Have experience Clinical Coding working in a NHS hospital setting.
- Ability to code accurately and to national coding guidelines with little or no supervision
Other skills
Essential
- Excellent communication and interpersonal skills
- Ability to use own judgement to interpret & summarise relevant clinical terminology
- Organisation/prioritisation of own day to day work requirements
- Be able to work remotely
Person Specification
Training and Qualifications
Essential
- NCCQ - Accredited Clinical Coder
- To have at least 5 GCSE's or equivalent Educational qualifications
- Minimum of 1 years' experience as a Clinical Coder with documented evidence of formal training and competency achievement gained or formal refresher training
Experience
Essential
- Have experience Clinical Coding working in a NHS hospital setting.
- Ability to code accurately and to national coding guidelines with little or no supervision
Other skills
Essential
- Excellent communication and interpersonal skills
- Ability to use own judgement to interpret & summarise relevant clinical terminology
- Organisation/prioritisation of own day to day work requirements
- Be able to work remotely
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.
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.
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).