Job summary
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
To be competent in coding all specialties across the organisation
The post holder must have taken the National Clinical Coding Qualification and hold accredited clinical coder status.
An additional 15% recruitment & retention premium applies
Main duties of the job
The Royal Wolverhampton NHS Trust is looking for Accredited Clinical Coder's who are self-motivated and enthusiastic with excellent communication skills. You will need to have significant coding experience and sound knowledge in the use of patient information and coding systems used within the NHS and can deliver a high standard of coding completeness and accuracy in a timely manner.
The Trust has a flexible and remote working policy which is available upon request. In addition to this, upon completion of local induction and on the job training, the successful candidate will be offered the option of working a portion of their contracted hours at home
You will need to;
- Exhibit excellent logical and analytical skills,
- Demonstrate sound judgement in translating often complex patient records.
- A good knowledge of medical terminology, anatomy and physiology.
- Have experience of clinical coding a wide range of specialties in an acute setting.
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 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 achievednumerous 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
Undertake bi-monthly audits of completed work with a Lead Auditor to monitor and provide feedback on accuracy and completeness of coding, compliance with national standards, and the quality of information that is recorded in the health records to ensure that the Trusts correct percentage targets are routinely attained.
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).
Supervise and mentor trainee Clinical Coders in conjunction with the Coding Managers and/or Training Manager to bring them up to the required level of competence including the monitoring of incomplete episodes reports.
To be in the pool of senior coders who undertake the coding of deceased patients
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 all specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training.
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
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
Undertake bi-monthly audits of completed work with a Lead Auditor to monitor and provide feedback on accuracy and completeness of coding, compliance with national standards, and the quality of information that is recorded in the health records to ensure that the Trusts correct percentage targets are routinely attained.
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).
Supervise and mentor trainee Clinical Coders in conjunction with the Coding Managers and/or Training Manager to bring them up to the required level of competence including the monitoring of incomplete episodes reports.
To be in the pool of senior coders who undertake the coding of deceased patients
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 all specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training.
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
Person Specification
Qualifications
Essential
- Holds Accredited Clinical Coding National Qualification
- Expert knowledge in Medical Terminology and Anatomy and Physiology
- Good educational background or equivalent gained through training, qualification and experience in related field
Experience
Essential
- Proven and in-depth knowledge, experience and understanding of ICD10 & OPCS4 coding classifications and standards in the NHS UK environment.
- Experience of full time work as a clinical coder in an Acute hospital covering a wide range of specialities
- Competent in the use of clinical coding computer based systems
Person Specification
Qualifications
Essential
- Holds Accredited Clinical Coding National Qualification
- Expert knowledge in Medical Terminology and Anatomy and Physiology
- Good educational background or equivalent gained through training, qualification and experience in related field
Experience
Essential
- Proven and in-depth knowledge, experience and understanding of ICD10 & OPCS4 coding classifications and standards in the NHS UK environment.
- Experience of full time work as a clinical coder in an Acute hospital covering a wide range of specialities
- Competent in the use of clinical coding computer based systems
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).
