Job summary
We are looking to recruit an experienced Clinical Coder to join the Informatics team to support the Data Quality team. This is an exciting opportunity to work with Berkshire Healthcare NHS Foundation Trust.
The post holder will be expected to take responsibility for specific service areas liaising with the consultants and their teams to resolve any coding issues, queries, problems, omissions, or inaccuracies. The post holder will be expected to manage their own workload including in times of pressure such as month end.
The post holder will be working to agreed timescales and both national and local data quality standards as set by the Trust. Responsible for coding clinical notes and discharge summaries, etc. they will ensure that all relevant information is abstracted, coded, and captured using the appropriate classification and coding methodologies, to enable the team to fulfil its contracting, epidemiological and statutory obligations for diagnostic (ICD-10) data capture. You will be working closely with clinicians, nursing, operational staff, and the data quality team to improve the standards and comprehensiveness of coding, and to pre-empt by resolving issues impacting data quality.
Main duties of the job
- To ensure that coded information is entered onto Rio (the clinical system), in accordance with agreed standards. To use all other information systems available to find additional information and to ensure investigation results are coded to reflect accurate patient diagnosis.
- To work on own initiative, manage own workload, prioritise tasks and meet deadlines. Take total professional responsibility for the codes allocated to the patient record.
- To respond to service demands across Trust hospital sites by supporting the coding of activity and providing cover for staff absences.
- To investigate where a discharge summary is incomplete, to be responsible for extracting the co-morbidities and other relevant supplementary information from complex medical notes including retrieving histological details to ensure specificity and completeness of the clinically coded
About us
Berkshire Healthcare NHS Foundation Trust isa specialist mental health and community health services trust. Rated 'outstanding' by the CQC, we're committed to providing the best possible care to people across Berkshire.
We value diversity and are proud to be a Stonewall Top 100 Employer. We work hard to create an inclusive environment where you'll be supported by friendly and professional colleagues to flourish.
Our values at Berkshire Healthcare:
- Caring for and about you is our top priority
- Committed to providing good quality, safe services
- Working Together with you to develop innovative solutions
We welcome people who share these values to come and work for us.
Benefits of working for us include:
- Flexible working options to support work-life balance.
- 27 days' annual leave rising with service + opportunity to buy and sell
- Generous NHS pension scheme
- Excellent learning and career development opportunities
- 'Cycle to Work' and car leasing scheme
- Access to a range of wellbeing tools and services
- Discounts at hundreds of popular retailers and restaurants
- Staff networks for race, diversity, disabilities and armed forces community to support equality
- Generous maternity, paternity, adoption and special leave.
- Free parking across Trust sites
Job description
Job responsibilities
The3/4 must haves for you to be considered for this role:
- Minimum of 1 years clinical coding experience, covering a wide range of clinical coding specialities using ICD-10 coding classifications and standards
- Evidence of attending the national clinical coding standards course providedby an NHS approved trainer.
- Ability to concentrate for long periods and be able to analyse complex sets of case notes.
- Excellent knowledge and understanding of anatomy, physiology, medical terminology, clinical terms, and procedures.
If youre someone who shares our passion for excellence and care, join us and lets be outstanding together.
We welcome a conversation about flexibility and any other questions you may have. Please dont hesitate to call: Aneela Mushtaq on 07825202263 or email: aneela.mushtaq@berkshire.nhs.uk wholl be delighted to help.
We are committed to equal opportunities and welcome applications from all sections of the community, regardless of any protected characteristics. Reasonable adjustments will be made for disabled applicants where required.
Job description
Job responsibilities
The3/4 must haves for you to be considered for this role:
- Minimum of 1 years clinical coding experience, covering a wide range of clinical coding specialities using ICD-10 coding classifications and standards
- Evidence of attending the national clinical coding standards course providedby an NHS approved trainer.
- Ability to concentrate for long periods and be able to analyse complex sets of case notes.
- Excellent knowledge and understanding of anatomy, physiology, medical terminology, clinical terms, and procedures.
If youre someone who shares our passion for excellence and care, join us and lets be outstanding together.
We welcome a conversation about flexibility and any other questions you may have. Please dont hesitate to call: Aneela Mushtaq on 07825202263 or email: aneela.mushtaq@berkshire.nhs.uk wholl be delighted to help.
We are committed to equal opportunities and welcome applications from all sections of the community, regardless of any protected characteristics. Reasonable adjustments will be made for disabled applicants where required.
Person Specification
Education/Qualifications/Training
Essential
- Evidence of attending a clinical coding refresher course every three years.
- Educated with A levels or completed a Foundation Course or has equivalent work experience.
- Attended the clinical coding standards course.
Desirable
- Gained qualification of Accredited Clinical Coder (ACC) by passing the National Clinical Coding Qualification (UK).
Previous Experience
Essential
- Minimum of 1 year's clinical coding experience, covering a wide range of clinical coding specialities using ICD-10 coding classifications and standards
- Minimum of 1 year's proven ability analysing and interpreting medical terminology and complex data in case notes
Desirable
Knowledge, Skills, and Abilities
Essential
- Demonstrate computer proficiency and with Microsoft products (i.e. Microsoft Office)
- Able to time keep effectively, balancing workloads and priorities.
- Ability to focus in stressful situations and work effectively under pressure.
- Ability to concentrate for long periods and be able to analyse complex sets of case notes.
- Excellent knowledge and understanding of anatomy, physiology, medical terminology, clinical terms, and procedures.
- Knowledge of NHS policies relevant to Clinical Coding, Data Confidentiality, Information Governance, Data Security and Human Resources policies.
Desirable
- Able to demonstrate good written and communication skills and abilities.
- Advanced level proficiency skills in the use of Excel, Word
- Able to demonstrate good customer presentation skills and abilities.
Additional Requirements
Essential
- Excellent interpersonal skills, able to communicate with staff from across the Trust and systems.
- Self-motivated team player, willing to work with others to achieve the best outcomes.
Desirable
- Ability to travel to multiple sites.
Person Specification
Education/Qualifications/Training
Essential
- Evidence of attending a clinical coding refresher course every three years.
- Educated with A levels or completed a Foundation Course or has equivalent work experience.
- Attended the clinical coding standards course.
Desirable
- Gained qualification of Accredited Clinical Coder (ACC) by passing the National Clinical Coding Qualification (UK).
Previous Experience
Essential
- Minimum of 1 year's clinical coding experience, covering a wide range of clinical coding specialities using ICD-10 coding classifications and standards
- Minimum of 1 year's proven ability analysing and interpreting medical terminology and complex data in case notes
Desirable
Knowledge, Skills, and Abilities
Essential
- Demonstrate computer proficiency and with Microsoft products (i.e. Microsoft Office)
- Able to time keep effectively, balancing workloads and priorities.
- Ability to focus in stressful situations and work effectively under pressure.
- Ability to concentrate for long periods and be able to analyse complex sets of case notes.
- Excellent knowledge and understanding of anatomy, physiology, medical terminology, clinical terms, and procedures.
- Knowledge of NHS policies relevant to Clinical Coding, Data Confidentiality, Information Governance, Data Security and Human Resources policies.
Desirable
- Able to demonstrate good written and communication skills and abilities.
- Advanced level proficiency skills in the use of Excel, Word
- Able to demonstrate good customer presentation skills and abilities.
Additional Requirements
Essential
- Excellent interpersonal skills, able to communicate with staff from across the Trust and systems.
- Self-motivated team player, willing to work with others to achieve the best outcomes.
Desirable
- Ability to travel to multiple sites.
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).