Job summary
An exciting opportunity has arisen to join our Clinical Coding Department as an ACC qualified Clinical Coder at University Hospitals Plymouth NHS Trust (UHP).
Having relevant demonstrable experience and an ACC qualification you will provide highly accurate clinical coding, have good organisational skills, an eye for detail and accuracy and the ability to work as part of a successful and innovative team.
Core duties are the provision of an efficient and high-quality clinical coding service, as well as meeting Trust deadlines associated with clinical coding. The role will also require some engagement in validation meetings with clinicians, education of junior clinicians in the importance of co-morbidity recording, building working relationships with service teams and to act as a point of contact for coding issues.
We require a highly motivated and enthusiastic person to join our extremely busy team. If you are looking to develop your skills in the coding environment and feel that you can make a positive contribution to our service, we would like to hear from you.
We also offer a limited Working from Home Rota and are working towards implementing an EPR system which will create the opportunity for further flexible working.
***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***
Main duties of the job
To provide comprehensive, high quality, efficient clinical coding of inpatients and day cases using ICD 10 and OPCS4 classifications to facilitate Payment by Results, statistical and performance analysis, and clinical care/audit. The UHP Clinical Coding Department codes approximately 143,000 inpatient and day case episodes per year.
Duties may also include some engagement in validation meetings with clinicians, education of junior clinicians in the importance of co-morbidity recording, building working relationships with service teams and to act as a point of contact for coding issues.
About us
The Clinical Coding Department is made up of a team of 25 Coders including our Manager, Deputy Manager, Trainer and Auditor and Support Trainer/Auditor and an Admin Support Team of a Team Leader and 3 Admin Assistants. The team are based on Level 7 at Derriford Hospital.
The role of a coder is rewarding with good career prospects, the team are all very supportive of each other.
The working environment is quiet as the role requires a high degree of focus and concentration.
PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.
Job description
Job responsibilities
To provide comprehensive, high quality, efficient clinical coding of inpatients and day cases using ICD 10 and OPCS4 classifications to facilitate Payment by Results, statistical and performance analysis, and clinical care/audit. The UHP Clinical Coding Department codes approximately 143,000 inpatient and day case episodes per year.
Duties may also include some engagement in validation meetings with clinicians, education of junior clinicians in the importance of co-morbidity recording, building working relationships with service teams and to act as a point of contact for coding issues.
Key Dimensions:
The post-holder will provide comprehensive, high quality, efficient clinical coding of inpatients and day cases for a wide range of specialties and will assist the Clinical Coding Service Manager and the Performance Improvement Manager in acting as a point of reference for clinicians and other staff groups throughout the service lines.
The post-holder will provide support to other Coders.
PRIMARY DUTIES & AREAS OF RESPONSIBILITY
To be fully conversant with the relevant publications of International Classification of Diseases (ICD 10) and Classification of Surgical Operations and Procedures (OPCS4).
To critically examine the clinical information required assigning the national codes in accordance with the national guidelines.
To extract diagnoses and operations from summary sheets and health records for all inpatient and day case episodes, showing a high level of expertise across all specialties.
To classify diagnoses and operations and to accurately input onto the iPM system, every code relevant to the care episode that affects the care and influences the health status of the patient.
To prioritise and code any outstanding uncoded episodes as identified by computer printouts, so that work targets, laid down by the Clinical Coding Service Manager are met.
To act as a mentor giving support and advice to other more junior coding staff.
To act as a specialty lead for at least one specialty, attending audit meetings as required and advising on review / audit issues to that directorate/specialty.
To ensure adherence to local procedures for clinical coding relating to individual specialties/consultants.
To liaise with consultants, junior medical staff, business managers, information analysts, finance staff, clinical effectiveness and audit staff and medical secretaries to address any queries arising during the abstraction process.
Assist the Clinical Coding Service Manager, and the Performance Improvement Manager, in providing support through the accuracy, timeliness and quality of coded data enabling the calculation of a set of high-level indicators (clinical indicators) that provide an overview of Hospital performance.
To undergo intensive training covering all specialties of coding in order to be able to change and adapt to new coding procedures as required.
To keep abreast of current national developments pertaining to clinical coding with colleagues throughout the region and inform Trust personnel as necessary.
To participate in clinical coding projects where necessary.
COMMUNICATIONS & WORKING RELATIONSHIPS
- Performance Improvement Manager
- Clinical Coding Service Manager
- Deputy Clinical Coding Manager
- Clinical Coding Auditor/Trainer
- Clinical Coding staff
- Clinicians
- Junior Medical Staff
- Care Group staff
- Ward staff
- Central Records Library staff
OTHER
To undertake any other duties as required by the Clinical Coding Service Manager
Maintain personal and professional development to meet the changing demands of the job
Ensure that expertise within your area is seen as a resource within and outside the Trust and form working partnerships with other health service providers.
Adhere to policy and recommendations relating to data security and confidentiality.
To be familiar with and adhere to the Health and Safety Policy and other Trust policies and procedures.
Job description
Job responsibilities
To provide comprehensive, high quality, efficient clinical coding of inpatients and day cases using ICD 10 and OPCS4 classifications to facilitate Payment by Results, statistical and performance analysis, and clinical care/audit. The UHP Clinical Coding Department codes approximately 143,000 inpatient and day case episodes per year.
Duties may also include some engagement in validation meetings with clinicians, education of junior clinicians in the importance of co-morbidity recording, building working relationships with service teams and to act as a point of contact for coding issues.
Key Dimensions:
The post-holder will provide comprehensive, high quality, efficient clinical coding of inpatients and day cases for a wide range of specialties and will assist the Clinical Coding Service Manager and the Performance Improvement Manager in acting as a point of reference for clinicians and other staff groups throughout the service lines.
The post-holder will provide support to other Coders.
PRIMARY DUTIES & AREAS OF RESPONSIBILITY
To be fully conversant with the relevant publications of International Classification of Diseases (ICD 10) and Classification of Surgical Operations and Procedures (OPCS4).
To critically examine the clinical information required assigning the national codes in accordance with the national guidelines.
To extract diagnoses and operations from summary sheets and health records for all inpatient and day case episodes, showing a high level of expertise across all specialties.
To classify diagnoses and operations and to accurately input onto the iPM system, every code relevant to the care episode that affects the care and influences the health status of the patient.
To prioritise and code any outstanding uncoded episodes as identified by computer printouts, so that work targets, laid down by the Clinical Coding Service Manager are met.
To act as a mentor giving support and advice to other more junior coding staff.
To act as a specialty lead for at least one specialty, attending audit meetings as required and advising on review / audit issues to that directorate/specialty.
To ensure adherence to local procedures for clinical coding relating to individual specialties/consultants.
To liaise with consultants, junior medical staff, business managers, information analysts, finance staff, clinical effectiveness and audit staff and medical secretaries to address any queries arising during the abstraction process.
Assist the Clinical Coding Service Manager, and the Performance Improvement Manager, in providing support through the accuracy, timeliness and quality of coded data enabling the calculation of a set of high-level indicators (clinical indicators) that provide an overview of Hospital performance.
To undergo intensive training covering all specialties of coding in order to be able to change and adapt to new coding procedures as required.
To keep abreast of current national developments pertaining to clinical coding with colleagues throughout the region and inform Trust personnel as necessary.
To participate in clinical coding projects where necessary.
COMMUNICATIONS & WORKING RELATIONSHIPS
- Performance Improvement Manager
- Clinical Coding Service Manager
- Deputy Clinical Coding Manager
- Clinical Coding Auditor/Trainer
- Clinical Coding staff
- Clinicians
- Junior Medical Staff
- Care Group staff
- Ward staff
- Central Records Library staff
OTHER
To undertake any other duties as required by the Clinical Coding Service Manager
Maintain personal and professional development to meet the changing demands of the job
Ensure that expertise within your area is seen as a resource within and outside the Trust and form working partnerships with other health service providers.
Adhere to policy and recommendations relating to data security and confidentiality.
To be familiar with and adhere to the Health and Safety Policy and other Trust policies and procedures.
Person Specification
Knowledge and Experience
Essential
- Demonstrable experience as a Clinical Coder
- Expertise in clinical coding using ICD10 and OPCS4
- Proven knowledge of anatomy and physiology
- Proven knowledge and demonstrable experience in the use of medical terminology
- Good keyboard skills
- Good proven knowledge of Microsoft Office software
Desirable
- Proven evidence of working with clinical data
- Proven knowledge of national coding developments
- Proven knowledge of patient management systems in relation to clinical coding
Qualifications
Essential
- Accredited Clinical Coder (IHRIM)
- GCSE's 9-4 (A-C) in Maths & English or equivalent qualification
Desirable
- Educated to GCSE standard in a science subject
Aptitude & Abilities
Essential
- Accuracy and attention to detail is essential
- Effective communication and inter-personal skills
- Used to changing priorities and tight deadlines
- Ability to work well within a busy environment
- Ability to prioritise own workloads
- Ability to maintain confidentiality to the highest degree
- Team Worker
DISPOSITION / ATTITUDE / MOTIVATION
Essential
- Analytical
- Self-motivated
- Customer orientated
- Quality Control
Person Specification
Knowledge and Experience
Essential
- Demonstrable experience as a Clinical Coder
- Expertise in clinical coding using ICD10 and OPCS4
- Proven knowledge of anatomy and physiology
- Proven knowledge and demonstrable experience in the use of medical terminology
- Good keyboard skills
- Good proven knowledge of Microsoft Office software
Desirable
- Proven evidence of working with clinical data
- Proven knowledge of national coding developments
- Proven knowledge of patient management systems in relation to clinical coding
Qualifications
Essential
- Accredited Clinical Coder (IHRIM)
- GCSE's 9-4 (A-C) in Maths & English or equivalent qualification
Desirable
- Educated to GCSE standard in a science subject
Aptitude & Abilities
Essential
- Accuracy and attention to detail is essential
- Effective communication and inter-personal skills
- Used to changing priorities and tight deadlines
- Ability to work well within a busy environment
- Ability to prioritise own workloads
- Ability to maintain confidentiality to the highest degree
- Team Worker
DISPOSITION / ATTITUDE / MOTIVATION
Essential
- Analytical
- Self-motivated
- Customer orientated
- Quality Control
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).