Job summary
Would you like to join our Clinical Coding team as a Clinical Coder? Read on to learn more about this rewarding role and submit your application.The Clinical Coding service is a part of the Digital Division of the University Hospitals of Leicester and is responsible for extracting and codifying complex clinical information that describes a patient's diagnostic and procedural healthcare status within an episode of care in a timely manner.The ability of UHL to accurately record and codify its clinical activity is fundamental to understanding the quality of its clinical services. Our coded data is used by all parts of the Trusts business to deliver trusted and high-quality services to patients.Accredited Clinical Coders are a core component of the Clinical Coding service and have a crucial supporting role in the overall management of the Trust as their output directly influences income through the NHS Payment Scheme.
*Please ensure you can demonstrate the criteria required for shortlisting*
Person Specification
Qualifications
Essential
GCSE Maths and English or equivalent
21 day NHSD Clinical Coding Standards Course
Experience
Essential
Experienced in the use of ICD 10 and OPCS
Minimum 18 months NHS experience using ICD10 & OPCS
Previous applicants should not apply.
Main duties of the job
Main duties of the job
Extraction of complex clinical information from the health record on discharge of the patient and translation of medical terminology using ICD10 and OPCS4 into a form that can be tabulated, aggregated and sorted for statistical analysis, applying national and international rules and conventions to agreed standards. Training and workshops will be provided by our team of Trainers. All coders will attend workshops on a regular basis to enable them keep up to date with any changes within clinical coding and support learning skills and development
About us
About us
We are one of the biggest and busiest NHS Trusts in the country, incorporating the General, Glenfield and Royal Infirmary Hospitals. We have our very own Children's Hospital and run one of the country's leading Heart Centres. The UHL team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland. We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.
Our vision is to be leading in healthcare and trusted in communities. We now have a vision for UHL that is captured in a single sentence and that we can all get behind.
The values we hold as we work towards our vision are vital:
We are compassionate
We are proud
We are inclusive
And we are one team
Our patients are at the heart of all we do and we believe that our Trust Values are not just about the treatments and services we provide, but about giving our patients the best possible experience.
Our service is led by an open, transparent and dedicated leadership team who are striving to create a productive and supportive work environment which delivers a high quality codified output to accurately describe our patient's healthcare status and needs.
Job description
Job responsibilities
To accurately analyse, interpret and extract relevant clinical information and data (including complex conditions, treatments and High Cost Drugs) from a variety of electronic sources including Badger (Neonatal Care), CITO (scanned patient documents), CRIS (imaging reports), DICT3, Euroking E3 (Maternity admissions), Heart Suite (paediatric cardiology & surgery), ICE (discharge letters), iLab (pathology results), Intellect Web (cardiac surgery/cardiology), Medisoft (ophthalmology), Nerve Centre, ORMIS, Proton and Unisoft (endoscopy reports).
Responsible for managing own workload within broad guidelines. Have a joint goal with other coders to achieve coding targets. Assist colleagues with coding patient case notes if necessary, to ensure all coding is completed within the Trusts stated deadlines. This may include mentoring less experienced colleagues.
Responsible for identifying obstacles to meeting these deadlines and for taking appropriate action to overcome them.
Responsible for identifying and analysing patterns of errors and notifying these to manager, with proposed potential solutions.
To comply with both the Trust and departmental policies and procedures and implementing local policies when required.
To work with Clinicians to improve the quality of clinical coded information across the Trust, participating in multi-disciplinary team meetings as a coding expert.
To be a key knowledge resource for and assist with the development of documentation of coding processes, procedures and protocols to ensure quality and consistency within the hospital and adherence to national and international guidelines. Be responsible for the on-going revision and documentation of these processes.
Assist with Mentoring and developing inexperienced staff to enable them to exercise their own initiative in selecting appropriate clinical terms to accurately reflect the patients episode of care.
To undertake a programme of Continuous Professional Development, to ensure professional coding skills and knowledge are kept up to date and maintaining the ability to work autonomously to the highest professional standards.
The post holder will be expected to have the ability to code more than one specialty.
Job description
Job responsibilities
To accurately analyse, interpret and extract relevant clinical information and data (including complex conditions, treatments and High Cost Drugs) from a variety of electronic sources including Badger (Neonatal Care), CITO (scanned patient documents), CRIS (imaging reports), DICT3, Euroking E3 (Maternity admissions), Heart Suite (paediatric cardiology & surgery), ICE (discharge letters), iLab (pathology results), Intellect Web (cardiac surgery/cardiology), Medisoft (ophthalmology), Nerve Centre, ORMIS, Proton and Unisoft (endoscopy reports).
Responsible for managing own workload within broad guidelines. Have a joint goal with other coders to achieve coding targets. Assist colleagues with coding patient case notes if necessary, to ensure all coding is completed within the Trusts stated deadlines. This may include mentoring less experienced colleagues.
Responsible for identifying obstacles to meeting these deadlines and for taking appropriate action to overcome them.
Responsible for identifying and analysing patterns of errors and notifying these to manager, with proposed potential solutions.
To comply with both the Trust and departmental policies and procedures and implementing local policies when required.
To work with Clinicians to improve the quality of clinical coded information across the Trust, participating in multi-disciplinary team meetings as a coding expert.
To be a key knowledge resource for and assist with the development of documentation of coding processes, procedures and protocols to ensure quality and consistency within the hospital and adherence to national and international guidelines. Be responsible for the on-going revision and documentation of these processes.
Assist with Mentoring and developing inexperienced staff to enable them to exercise their own initiative in selecting appropriate clinical terms to accurately reflect the patients episode of care.
To undertake a programme of Continuous Professional Development, to ensure professional coding skills and knowledge are kept up to date and maintaining the ability to work autonomously to the highest professional standards.
The post holder will be expected to have the ability to code more than one specialty.
Person Specification
Training & Qualifications
Essential
- Educated to GCSE standards Maths and English (a-c) or equivalent experience. Completed the 21 day NHSD Clinical Coding Standards Course. Completed Refresher course in the last 3 years (if appropriate)
Desirable
- Willingness to study for Accredited Clinical Coder
Experience
Essential
- Experience of coding multiple specialties using ICD10 and OPCS in an NHS setting for a minimum of 18 months. Ability to achieve minimum 90% accuracy for primary codes.
Desirable
- Familiar with using an encoder
Communication and Relationship skills
Essential
- Experience of communicating with staff at all levels
Analytical and Judgement skills
Essential
- Excellent analytical skills. Excellent judgemental skills.
Planning and organisation skills
Essential
- Ability to prioritise and manage own work load, to meet Trust and nationally required deadlines.
Other requirements specific to the role
Essential
- Accuracy / attention to detail. Ability to learn quickly. Completer / finisher. Must be able to work on any site.
Physical skills
Essential
- Ability to work with prolonged concentration. Exposure to patient case notes.
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
Person Specification
Training & Qualifications
Essential
- Educated to GCSE standards Maths and English (a-c) or equivalent experience. Completed the 21 day NHSD Clinical Coding Standards Course. Completed Refresher course in the last 3 years (if appropriate)
Desirable
- Willingness to study for Accredited Clinical Coder
Experience
Essential
- Experience of coding multiple specialties using ICD10 and OPCS in an NHS setting for a minimum of 18 months. Ability to achieve minimum 90% accuracy for primary codes.
Desirable
- Familiar with using an encoder
Communication and Relationship skills
Essential
- Experience of communicating with staff at all levels
Analytical and Judgement skills
Essential
- Excellent analytical skills. Excellent judgemental skills.
Planning and organisation skills
Essential
- Ability to prioritise and manage own work load, to meet Trust and nationally required deadlines.
Other requirements specific to the role
Essential
- Accuracy / attention to detail. Ability to learn quickly. Completer / finisher. Must be able to work on any site.
Physical skills
Essential
- Ability to work with prolonged concentration. Exposure to patient case notes.
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
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.
