Job summary
This vacancy is subject to Recruitment & Retention Premium of 15% (reviewed every 12 months)
Clinical Coding has a crucial role in the management of the hospital for contractual/billing purposes, due to the implementation of Payment by Results and is a source of healthcare data for the Department of Health (DOH) and World Health Organisation (WHO).
The post holder is responsible for providing high quality and timely coded clinical data. This requires the application of all coding rules and conventions pertaining to ICD-10 (International Classification of Diseases, Version 10) and OPCS-4 (Classification of Interventions and Procedures), incorporating national standards as set down in the Clinical Coding Instruction Manual ICD-10, OPCS-4 and Coding Clinics
The post holder would have the initiative to extract all necessary medical information via patients' health records and a wide range of hospital information systems for the coding to be completed within set timeframes. Ability to organise and prioritise workloads, meet deadlines and tackle problems systematically is of paramount importance
To be competent in coding specialties across the organisation
Patient and departmental confidentiality must be maintained at all times.
Main duties of the job
o Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patient's health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting.
o Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients.
About us
The Royal Wolverhampton NHS Trust is one of the largest NHS trusts in the West Midlands providing primary, acute and community services and we are incredibly proud of the diversity of both our staff and the communities we serve. We are building a workforce that can help us to fulfil our values, improve the quality of care for patients, and solve the health care problems of tomorrow. We're passionate about the value that diversity of thinking and lived experience brings in enabling us to become a learning organisation and leader in delivering compassionate care for our patients.
We are delighted that we have been rated as "Good" by CQC. We have achieved numerous awards; The Nursing Times Best Diversity and Inclusion Practice and Best UK Employer of the Year for Nursing Staff in 2020.
The Trust is a supportive working environment committed to creating flexible working arrangements that suit your needs and as such will consider all requests from applicants who wish to work flexibly.
Job description
Job responsibilities
Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patients health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting.
Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients.
Ensure strict adherence to procedures established for clinical coding as laid out by the classifications in use and take into account changes made to the classification should the need arise.
Participate in regular training sessions in order to develop and enhance coding speciality skills.
Update national classification books and manuals in line with national standards released by the NHS Classification Service. For example Coding Clinics
Demonstrate a high level of skills in the use of International Classification of Diseases, volume 10 (ICD-10) and the Classification of Interventions and Procedures, (OPCS-4).
Identify and report errors found on the Patient Administration System e.g. incorrect consultant designation.
Work with specialty divisions to support and maintain a professional and flexible coding service.
Ability to code specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training.
Attend multi-disciplinary meetings for assigned specialities/wards.
Provide specialist advice to clinical and non-clinical staff with regards to clinical coding.
To ensure that working processes are followed in own area of work and ensure and initiate service review when these processes are no longer effective providing suggestions for development when required and implementing agreed revisions.
Provide cover for absence of clinical coding staff, as required ensuring continuity of service provision
Ensure that health records tracking is maintained if required
This job description covers the major tasks to be carried out and the level of responsibilities to which the post holder will work. These may be revised and changed from time to time. Discussions will take place with the post holder.
Job description
Job responsibilities
Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patients health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting.
Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients.
Ensure strict adherence to procedures established for clinical coding as laid out by the classifications in use and take into account changes made to the classification should the need arise.
Participate in regular training sessions in order to develop and enhance coding speciality skills.
Update national classification books and manuals in line with national standards released by the NHS Classification Service. For example Coding Clinics
Demonstrate a high level of skills in the use of International Classification of Diseases, volume 10 (ICD-10) and the Classification of Interventions and Procedures, (OPCS-4).
Identify and report errors found on the Patient Administration System e.g. incorrect consultant designation.
Work with specialty divisions to support and maintain a professional and flexible coding service.
Ability to code specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training.
Attend multi-disciplinary meetings for assigned specialities/wards.
Provide specialist advice to clinical and non-clinical staff with regards to clinical coding.
To ensure that working processes are followed in own area of work and ensure and initiate service review when these processes are no longer effective providing suggestions for development when required and implementing agreed revisions.
Provide cover for absence of clinical coding staff, as required ensuring continuity of service provision
Ensure that health records tracking is maintained if required
This job description covers the major tasks to be carried out and the level of responsibilities to which the post holder will work. These may be revised and changed from time to time. Discussions will take place with the post holder.
Person Specification
Qualifications
Essential
- Holds Accredited Clinical Coding Qualification/working towards or has equivalent experience attained
- Good educational background or equivalent gained through training, qualification and experience in related field
- Practical coding experience
Experience
Essential
- Minimum two years hands on experience in Clinical coding in an Acute hospital covering a wide range of specialities.
- Proven and in-depth knowledge, experience and understanding of ICD10 & OPCS4 coding classifications and standards in the NHS UK environment.
Person Specification
Qualifications
Essential
- Holds Accredited Clinical Coding Qualification/working towards or has equivalent experience attained
- Good educational background or equivalent gained through training, qualification and experience in related field
- Practical coding experience
Experience
Essential
- Minimum two years hands on experience in Clinical coding in an Acute hospital covering a wide range of specialities.
- Proven and in-depth knowledge, experience and understanding of ICD10 & OPCS4 coding classifications and standards in the NHS UK environment.
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
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).
