Job summary
As part of the EPR transformation, we are looking to recruit a self-motivated fast learner with demonstrable ability to analyse and accurately abstract clinical information from a variety of data sources.
There is a requirement for high quality data collection and reporting with implementation of EPR to accurately reflect clinical activity and outcomes. This in turn will ensure that our services are set up to support our patient case mix enabling us to provide the right care for our patients.
This is a full-time position (37.5 hours) based at Watford General Hospital, with opportunity for hybrid working and flexibility with working times to support our employees with a healthy work-life balance.
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Please note - we are unable to obtain a Certificate of Sponsorship (Work Permit) for this role.
Main duties of the job
Reporting to the Clinical Coding Team Lead, you will be responsible for ensuring accurate, timely, complete, and consistent clinical coding is carried out within strict timescales, using ICD-10 and OPCS-4 classifications, and adhering to the national coding standards and local clinical coding policies of the Trust.
You will be required to collect, collate, and code clinical information, covering a wide range of specialities. This may involve coding highly sensitive and emotionally distressing patient medical records.
About us
With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking If you have a disability or long-term health condition and should you require support or guidance please contact westherts.recruitment@nhs.net If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form. We reserve the right to close this advert early due to the volume of applicants. Please apply as soon as possible to avoid disappointment. If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.
Job description
Job responsibilities
Ensuring accurate, timely, complete, and consistent clinical coding is carried out within strict timescales, using ICD-10 and OPCS-4 classifications, and adhering to the national coding standards and local clinical coding policies of the Trust.
Collect, collate, and code clinical information covering a wide range of specialities. This may involve coding highly sensitive and emotionally distressing patient medical records.
Maintaining own productivity by ensuring high quality work is done by required timescales.
Liaise with the line manager when necessary to confirm appropriate diagnosis and procedure codes where national guidance is unclear.
Regularly liaise with and update the managers and senior colleagues regarding deficiencies and ambiguity in clinical documentation to facilitate discussions with the clinical teams and other departments to improve the clinical documentation provided for coding purposes.
Raise data quality issues (e.g., inaccurate admission and discharge dates) to the Coding Operations Lead and the Coding Team Lead for resolution.
Attend and participate in team meetings to ensure knowledge and learning points are received and communicated.
Job description
Job responsibilities
Ensuring accurate, timely, complete, and consistent clinical coding is carried out within strict timescales, using ICD-10 and OPCS-4 classifications, and adhering to the national coding standards and local clinical coding policies of the Trust.
Collect, collate, and code clinical information covering a wide range of specialities. This may involve coding highly sensitive and emotionally distressing patient medical records.
Maintaining own productivity by ensuring high quality work is done by required timescales.
Liaise with the line manager when necessary to confirm appropriate diagnosis and procedure codes where national guidance is unclear.
Regularly liaise with and update the managers and senior colleagues regarding deficiencies and ambiguity in clinical documentation to facilitate discussions with the clinical teams and other departments to improve the clinical documentation provided for coding purposes.
Raise data quality issues (e.g., inaccurate admission and discharge dates) to the Coding Operations Lead and the Coding Team Lead for resolution.
Attend and participate in team meetings to ensure knowledge and learning points are received and communicated.
Person Specification
Education and qualifications
Essential
- Educated to degree level in human sciences or other human sciences related academic qualification or equivalent specialist occupational experience.
Desirable
- European Computer Driving Licence (ECDL).
- Successful completion of the NHS Classifications Services Foundation Workshop.
Knowledge
Essential
- Knowledge of national coding classifications and conventions
- Knowledge of medical terminology, and anatomy and physiology.
- Knowledge of Microsoft applications e.g., excel, word etc. and keyboard typing skills.
- Knowledge of maintaining safety whilst using equipment
- Knowledge of the importance of confidentiality, Data Protection Act and Caldicott principles.
Desirable
- Knowledge of medical records processes.
- Knowledge of the information governance processes and data flows.
- Knowledge of Hospital Patient Administration System (PAS).
- Knowledge of clinical systems like SUNQUEST ICE, ICRIS etc.
- Knowledge of commissioning requirements including NTPS and HRGs.
Experience
Essential
- Experience working in a pressurised office environment adhering to policies and guidelines and meeting strict deadlines.
- Experience in following policies and guidelines.
Desirable
- Experience working with multidisciplinary teams within a health care environment.
Person Specification
Education and qualifications
Essential
- Educated to degree level in human sciences or other human sciences related academic qualification or equivalent specialist occupational experience.
Desirable
- European Computer Driving Licence (ECDL).
- Successful completion of the NHS Classifications Services Foundation Workshop.
Knowledge
Essential
- Knowledge of national coding classifications and conventions
- Knowledge of medical terminology, and anatomy and physiology.
- Knowledge of Microsoft applications e.g., excel, word etc. and keyboard typing skills.
- Knowledge of maintaining safety whilst using equipment
- Knowledge of the importance of confidentiality, Data Protection Act and Caldicott principles.
Desirable
- Knowledge of medical records processes.
- Knowledge of the information governance processes and data flows.
- Knowledge of Hospital Patient Administration System (PAS).
- Knowledge of clinical systems like SUNQUEST ICE, ICRIS etc.
- Knowledge of commissioning requirements including NTPS and HRGs.
Experience
Essential
- Experience working in a pressurised office environment adhering to policies and guidelines and meeting strict deadlines.
- Experience in following policies and guidelines.
Desirable
- Experience working with multidisciplinary teams within a health care 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
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).
