Job summary
- To lead the strategic development of the Trust's Clinical Coding Training & Audit Service in accordance with both national initiatives and local requirements.
- To work with the Head of Clinical Coding, the Head of Performance, the Head of Business Intelligence, Divisional Chief Operating Officers, Clinical Directors and Finance Leads to ensure that the Trust has robust systems in place to deliver the highest level of accuracy with regard to data capture, data assignment and coding, data validation and income optimisation.
- To manage the provision of a professional Clinical Coding Service, ensuring liaison and communication across all levels of the organisation so that the Trust has the highest standards of clinical coding and data quality.
- This post involves close liaison with a wide range of multi-disciplinary staff, internal and external to the Trust, advising on coding issues, this includes Senior Executives, Clinical Directors, Connecting for Health, the MIAA, independent contractors and the Department of Health.
Main duties of the job
To both operationally & strategically manage the Clinical Coding Training & Audit Service to ensure that the department continues to develop in terms of coding expertise and to ensure that patient records are accurately and efficiently coded to National standards within the specified timescale.
To be responsible for the resolution of complex local coding queries, particularly those arising from Trust Clinical Governance software - Doctor Foster Intelligence etc and where this cannot be resolved locally for the escalation through the appropriate channels in accordance with national policies and procedures.
To maintain overall line management responsibility for the Clinical Coding Training and Audit department, including departmental and individual performance monitoring, appraisals, development of PDP's, induction programmes for new staff and Management of Human Resource issues e.g. disciplinary, sickness and absence, recruitment and retention of staff in line with Trust policies.
About us
Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.
The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience.
The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital.
It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.
To hear more about our achievements click herehttps://www.liverpoolft.nhs.uk/media/13089/1606-annual-report-booklet_final.pdf
Follow us on Social Media:
Facebook - Liverpool University Hospitals Careers
Instagram - @LUHFTcareers
Twitter - @LUHFTcareers
Job description
Job responsibilities
- To both operationally & strategically manage the Clinical Coding Training Service to ensure that the department continues to develop in terms of coding expertise and to ensure that patient records are accurately and efficiently coded to National standards within the specified timescale.
- To be the main point of contact within the Trust, internally and externally, with regard to the coding Training process and to lead the implementation of new coding processes in accordance with national deadlines
- To be the Trust representative at the Regional Clinical Coding Advisory group and feedback on / action any issues raised as appropriate.
- To ensure that national guidelines and standards are adhered to so that high levels of coding accuracy and consistency are maintained and the Trust does not knowingly submit fraudulent data to the Department of Health and purchasers of healthcare.
- To be responsible for the development, implementation and maintenance of the Trusts Clinical Coding Policy and Procedure Document in line with national guidance and in line with this to continually review the coding process to improve efficiency. This will include developing and implementing new processes and re-designing existing ones as appropriate.
- To constantly review opportunities for income optimisation through efficient coding practice and liaison with clinical teams.
- To be responsible for coding aspects of implementation, maintenance and ongoing development of information systems/applications required to deliver accurate and auditable coding.
- To be responsible for the resolution of complex local coding queries, particularly those arising from Trust Clinical Governance software Doctor Foster Intelligence etc and where this cannot be resolved locally for the escalation through the appropriate channels in accordance with national policies and procedures.
- To maintain overall line management responsibility for the Clinical Coding Training and Audit department, including departmental and individual performance monitoring, appraisals, development of PDPs, induction programmes for new staff and Management of Human Resource issues e.g. disciplinary, sickness and absence, recruitment and retention of staff in line with Trust policies.
- To be responsible for and manage spending within the Training and Audit department, including training requirements, overtime, equipment and forward projecting of resource/budget requirements to meet business needs.
- Manage and develop a team of clinical coding auditors providing direction and support through clinical coding audit assessment days and clinical coding audit courses.
- Develop, implement and maintain a programme of clinical engagement.
- Devise and implement a program of random and targeted clinical coding audits for all specialties across the Trust, involving and consulting with clinical coders, clinicians and managers to enhance the accuracy and completeness of clinical coding and consequently ensuring income is maximised for all specialities within the Trust as per the National Clinical Coding Standards. A critical element of this post is to ensure that coded information used to produce the HRG is as accurate as possible.
- Assess, analyse and report on audit findings providing recommendations to senior management such as training needs of coders and documentation issues relating to patients records which may impact of the accuracy and timeliness of clinical coding.
- Raise awareness of the value of the clinical coding function and promote innovative ideas for service improvement in an environment where innovative ideas for service improvement are actively encouraged and implemented.
- Support the Assistant Director of Performance and Information, Head of Performance and the Head of Business Intelligence in analysing and interpreting complex clinical information and data in order for problems and anomalies regarding data quality can be recognised and rectified.
- To be the point of contact for any external coding audits, including the annual PbR Data Assurance Audit. This will include responsibility for the completion of pre audit questionnaires and pre and post audit meetings with external auditors.
- To work with Clinical Directors, the Head of Performance and the Head of Business Intelligence to ensure the Trust meets the requirements of Assertion 1.1.8 of the Data Security & Protection Toolkit.
Job description
Job responsibilities
- To both operationally & strategically manage the Clinical Coding Training Service to ensure that the department continues to develop in terms of coding expertise and to ensure that patient records are accurately and efficiently coded to National standards within the specified timescale.
- To be the main point of contact within the Trust, internally and externally, with regard to the coding Training process and to lead the implementation of new coding processes in accordance with national deadlines
- To be the Trust representative at the Regional Clinical Coding Advisory group and feedback on / action any issues raised as appropriate.
- To ensure that national guidelines and standards are adhered to so that high levels of coding accuracy and consistency are maintained and the Trust does not knowingly submit fraudulent data to the Department of Health and purchasers of healthcare.
- To be responsible for the development, implementation and maintenance of the Trusts Clinical Coding Policy and Procedure Document in line with national guidance and in line with this to continually review the coding process to improve efficiency. This will include developing and implementing new processes and re-designing existing ones as appropriate.
- To constantly review opportunities for income optimisation through efficient coding practice and liaison with clinical teams.
- To be responsible for coding aspects of implementation, maintenance and ongoing development of information systems/applications required to deliver accurate and auditable coding.
- To be responsible for the resolution of complex local coding queries, particularly those arising from Trust Clinical Governance software Doctor Foster Intelligence etc and where this cannot be resolved locally for the escalation through the appropriate channels in accordance with national policies and procedures.
- To maintain overall line management responsibility for the Clinical Coding Training and Audit department, including departmental and individual performance monitoring, appraisals, development of PDPs, induction programmes for new staff and Management of Human Resource issues e.g. disciplinary, sickness and absence, recruitment and retention of staff in line with Trust policies.
- To be responsible for and manage spending within the Training and Audit department, including training requirements, overtime, equipment and forward projecting of resource/budget requirements to meet business needs.
- Manage and develop a team of clinical coding auditors providing direction and support through clinical coding audit assessment days and clinical coding audit courses.
- Develop, implement and maintain a programme of clinical engagement.
- Devise and implement a program of random and targeted clinical coding audits for all specialties across the Trust, involving and consulting with clinical coders, clinicians and managers to enhance the accuracy and completeness of clinical coding and consequently ensuring income is maximised for all specialities within the Trust as per the National Clinical Coding Standards. A critical element of this post is to ensure that coded information used to produce the HRG is as accurate as possible.
- Assess, analyse and report on audit findings providing recommendations to senior management such as training needs of coders and documentation issues relating to patients records which may impact of the accuracy and timeliness of clinical coding.
- Raise awareness of the value of the clinical coding function and promote innovative ideas for service improvement in an environment where innovative ideas for service improvement are actively encouraged and implemented.
- Support the Assistant Director of Performance and Information, Head of Performance and the Head of Business Intelligence in analysing and interpreting complex clinical information and data in order for problems and anomalies regarding data quality can be recognised and rectified.
- To be the point of contact for any external coding audits, including the annual PbR Data Assurance Audit. This will include responsibility for the completion of pre audit questionnaires and pre and post audit meetings with external auditors.
- To work with Clinical Directors, the Head of Performance and the Head of Business Intelligence to ensure the Trust meets the requirements of Assertion 1.1.8 of the Data Security & Protection Toolkit.
Person Specification
Qualifications
Essential
- Relevant postgraduate degree and demonstrable experience
- Relevant degree and demonstrable experience
- GCSE Maths and English or equivalent
- European Computer Driving Licence or equivalent
- Accredited Clinical Coding qualification
- Audit qualification or demonstrable experience
Desirable
- Training qualification or demonstrable experience
Experience
Essential
- Experienced Clinical Coding Auditor
- At least 5 years NHS experience in an Acute Trust
- Management Experience
- Policy Writing Experience
- Ability to present Audit findings
Knowledge
Essential
- An expert knowledge and understanding of ICD10 and OPCS Classifications and their relevance to National Standards
- An expert knowledge of medical terminology and anatomical and physiological terms
- Experience and advanced knowledge of a Patient Administration System
- Significant experience and advanced knowledge in the understanding of NHS Clinical Coding requirements, data definitions and guidelines
- Experience and expert knowledge of Clinical Coding audit
- Experience and expert knowledge of Clinical Coding training
- Expert knowledge of Clinical Coding encoder software and associated policy management
- Expert knowledge of Data Protection legislation and patient confidentiality agenda
- Expert understanding of Commissioning structures and requirements inc. PbR and HRGs
Skills
Essential
- Advanced Microsoft Office skills inc. Excel, Word and PowerPoint
- Ability to work & communicate with a range of internal and external professionals
- Ability to present information in a variety of detailed and concise forms
- Ability to concentrate for prolonged periods of time
- Ability to work under intense pressure, run multiple tasks at the same time and deal with interruptions
- Ability to plan own workload and use own initiative with limited support
- Ability to work to strict deadlines and display attention to detail and accuracy
- Flexible approach to work
- Good interpersonal approach
- Team worker
- Excellent verbal and written communication manner and ability to produce high level reports
- Advanced Keyboard & Mouse Skills
Other
Essential
- Reliable, flexible, motivated and pro-active
- Good attendance
- Willingness to assist colleagues
Person Specification
Qualifications
Essential
- Relevant postgraduate degree and demonstrable experience
- Relevant degree and demonstrable experience
- GCSE Maths and English or equivalent
- European Computer Driving Licence or equivalent
- Accredited Clinical Coding qualification
- Audit qualification or demonstrable experience
Desirable
- Training qualification or demonstrable experience
Experience
Essential
- Experienced Clinical Coding Auditor
- At least 5 years NHS experience in an Acute Trust
- Management Experience
- Policy Writing Experience
- Ability to present Audit findings
Knowledge
Essential
- An expert knowledge and understanding of ICD10 and OPCS Classifications and their relevance to National Standards
- An expert knowledge of medical terminology and anatomical and physiological terms
- Experience and advanced knowledge of a Patient Administration System
- Significant experience and advanced knowledge in the understanding of NHS Clinical Coding requirements, data definitions and guidelines
- Experience and expert knowledge of Clinical Coding audit
- Experience and expert knowledge of Clinical Coding training
- Expert knowledge of Clinical Coding encoder software and associated policy management
- Expert knowledge of Data Protection legislation and patient confidentiality agenda
- Expert understanding of Commissioning structures and requirements inc. PbR and HRGs
Skills
Essential
- Advanced Microsoft Office skills inc. Excel, Word and PowerPoint
- Ability to work & communicate with a range of internal and external professionals
- Ability to present information in a variety of detailed and concise forms
- Ability to concentrate for prolonged periods of time
- Ability to work under intense pressure, run multiple tasks at the same time and deal with interruptions
- Ability to plan own workload and use own initiative with limited support
- Ability to work to strict deadlines and display attention to detail and accuracy
- Flexible approach to work
- Good interpersonal approach
- Team worker
- Excellent verbal and written communication manner and ability to produce high level reports
- Advanced Keyboard & Mouse Skills
Other
Essential
- Reliable, flexible, motivated and pro-active
- Good attendance
- Willingness to assist colleagues
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
