Job summary
The Mid Yorkshire Hospital Trust Clinical Coding
Department is looking to recruit an experienced Band 4-5 (dependent on
experience) Clinical Coder to join our well-established team.
All our vacancies are based on the Pinderfields
Hospital site, but team members have the opportunity to work within our other
hospital facilities, including on the Dewsbury Hospital site. As a member of
our team, you will work as part of a well-structured team, who are fully
committed to your personal development. The team also has the support of a
Coding Auditor, Trainee Trainers, and Divisional Leads.
Working hours can be considered around commitments/availability and the needs of the service.
The Trust offers a flexible approach to varied
working patterns to suit staff needs. The Clinical Coding Department
encompasses this approach through an agile working rota which offers staff the
flexibility to work from home based on personal circumstances and service need.
Applications will be considered from candidates who
have a range of experience. Those who have completed their Clinical Coding
Standards Course and / or a Clinical Coding Standards Refresher Course and who
are working towards becoming a qualified coder with the National Clinical
Coding Qualification UK (ACC). Also, if you have significant clinical coding
experience and hold National Clinical Coding Qualification UK (ACC) we'd love
to hear from you!
Main duties of the job
The Clinical Coding Team is responsible for the
extraction and translation of inpatient information using the ICD-10 and OPCS-4
Coding Classifications. This information is essential for the effective
management of the Trust and crucial to the National Tariff Payment System that
underpins Trust income. Coded data is also important for clinical audit,
governance and research.
As part of the role, you will be expected to
interact with clinicians, operational staff and have responsibility for your
own work load whilst maintaining accurate clinical coding quality.
Our Trust recognises the vital contribution of our
coding team to our overall Trust performance and regards our team as pivotal to
our future performance
About us
We provide care and support to over half a million
people in Wakefield and Kirklees in their homes, in community settings and
across our three hospital sites at Pontefract, Dewsbury and Pinderfields (in
Wakefield).
Always striving for excellence, we are at the
forefront of innovation and research and we invest in teaching and the
development of our workforce.
We live by our values of caring, improving, being
respectful and maintaining high standards. We listen and learn because we aim
to make Mid Yorkshire the best place to work and the best place to receive
care.
We have a clear vision, and you could be part of
this! If you share our values and you want to make a difference to the lives of
our patients and their families and carers, we would love to hear from you.
Job description
Job responsibilities
Higher Level Clinical Coding Officer (Band 4)
- Screen medical records, discharge
summaries, histopathology results and other data sources to extract
clinical information relevant to a patients episode of care.
- Through effective data extraction
analyse complex clinical information; apply independent judgement in the
interpretation, transposition and sequencing of clinical data adhering to
national rules and conventions.
- Code all patient episodes using
clinical terms computerised encoding system supported by International
Classification of Diseases (ICD 10) and Office of the Population of
Censuses and Surveys (OPCS 4) coding manuals.
- Exercise initiative in selecting
appropriate clinical terms to accurately reflect the individual patient
record.
- Ensure data is entered accurately into
the Patient Administration System (PAS) within national defined timescales.
- Regularly required to access and read
patient case notes where the content can be distressing.
- Develop and maintain skills to use the
PAS system and adhere to local coding protocols/procedures.
- Check patient details held on the
system are correct e.g. consultant, date of admission and discharge.
- Routinely run outstanding episode
reports from the Patient Administration System and action by searching for
missing source documentation.
- See attached Job Description for full list of Key Responsibilities
Senior Clinical Coder (Band 5)
- Screen medical
records, discharge summaries, histopathology results and other data sources to
extract clinical information relevant to a patients episode of care.
- Through effective
data extraction analyse complex clinical information; apply independent
judgement in the interpretation, transposition and sequencing of clinical data
adhering to national rules and conventions.
- Code all patient
episodes using clinical terms computerised encoding system supported by International
Classification of Diseases (ICD 10) and Office of the Population of Censuses
and Surveys (OPCS 4) coding manuals.
- Exercise
initiative in selecting appropriate clinical terms to accurately reflect the
individual patient record.
- Ensure data is entered
accurately into the Patient Administration System (PAS) within national defined
timescales.
- Regularly
required to access and read patient case notes where the content can be
distressing.
- Develop and
maintain skills to use the PAS system and adhere to local coding
protocols/procedures.
- Check patient
details held on the system are correct e.g. consultant, date of admission and
discharge reporting any incorrect details to the Data Quality Team.
- Routinely run
outstanding episode reports from the Patient Administration System and action
by searching for missing source documentation.
-
Code complex specialties including mortality coding
- See attached Job Description for full list of Key Responsibilities
Job description
Job responsibilities
Higher Level Clinical Coding Officer (Band 4)
- Screen medical records, discharge
summaries, histopathology results and other data sources to extract
clinical information relevant to a patients episode of care.
- Through effective data extraction
analyse complex clinical information; apply independent judgement in the
interpretation, transposition and sequencing of clinical data adhering to
national rules and conventions.
- Code all patient episodes using
clinical terms computerised encoding system supported by International
Classification of Diseases (ICD 10) and Office of the Population of
Censuses and Surveys (OPCS 4) coding manuals.
- Exercise initiative in selecting
appropriate clinical terms to accurately reflect the individual patient
record.
- Ensure data is entered accurately into
the Patient Administration System (PAS) within national defined timescales.
- Regularly required to access and read
patient case notes where the content can be distressing.
- Develop and maintain skills to use the
PAS system and adhere to local coding protocols/procedures.
- Check patient details held on the
system are correct e.g. consultant, date of admission and discharge.
- Routinely run outstanding episode
reports from the Patient Administration System and action by searching for
missing source documentation.
- See attached Job Description for full list of Key Responsibilities
Senior Clinical Coder (Band 5)
- Screen medical
records, discharge summaries, histopathology results and other data sources to
extract clinical information relevant to a patients episode of care.
- Through effective
data extraction analyse complex clinical information; apply independent
judgement in the interpretation, transposition and sequencing of clinical data
adhering to national rules and conventions.
- Code all patient
episodes using clinical terms computerised encoding system supported by International
Classification of Diseases (ICD 10) and Office of the Population of Censuses
and Surveys (OPCS 4) coding manuals.
- Exercise
initiative in selecting appropriate clinical terms to accurately reflect the
individual patient record.
- Ensure data is entered
accurately into the Patient Administration System (PAS) within national defined
timescales.
- Regularly
required to access and read patient case notes where the content can be
distressing.
- Develop and
maintain skills to use the PAS system and adhere to local coding
protocols/procedures.
- Check patient
details held on the system are correct e.g. consultant, date of admission and
discharge reporting any incorrect details to the Data Quality Team.
- Routinely run
outstanding episode reports from the Patient Administration System and action
by searching for missing source documentation.
-
Code complex specialties including mortality coding
- See attached Job Description for full list of Key Responsibilities
Person Specification
Personal Attributes
Essential
- Band 4 Coder will be able to work on own initiative to prioritise and plan workloads.
- Effective and supportive Team player.
- A flexible approach to working hours.
- Ability to maintain and develop own skills and knowledge.
- Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and admin staff. Ability to relate appropriately with external agencies, e.g. Coroners office.
- Monitors own targets/performance.
- Band 5 Coder will be able to work on own initiative to prioritise and plan workloads.
- Effective and supportive Team player.
- Ability to maintain and develop own skills and knowledge
- Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and admin staff. Ability to relate appropriately with external agencies, e.g. Coroners office
- Monitors own targets/performance
- Attention to detail and accuracy
- Willingness to learn new skills
Experience
Essential
- Band 4 Coder: Significant experience of clinical coding and working in a health care organisation
- Good knowledge of anatomy and physiology
- Knowledge of clinical coding requirements and standards
- Band 5 Coder: Experience of Clinical Coding and working in a health care organisation.
- The principles of Clinical Coding
- Significant knowledge of anatomy and physiology and medical terminology
- Significant knowledge of clinical coding requirements and standards
Desirable
- Band 4 Coder: Day to day supervision of staff
Qualifications
Essential
- A Band 4 Coder will be as above, plus expected to have completed a Clinical Coding Refresher Course, as well as passing an in-house competency audit.
- A Band 5 Coder will be as above and also expected to have their National Clinical Coding Qualification.
Desirable
- Band 4 Coder: IT proficiency. Academic qualifications in science/healthcare.
- Band 5 Coder: IT proficiency. Academic qualifications in science/healthcare.
Person Specification
Personal Attributes
Essential
- Band 4 Coder will be able to work on own initiative to prioritise and plan workloads.
- Effective and supportive Team player.
- A flexible approach to working hours.
- Ability to maintain and develop own skills and knowledge.
- Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and admin staff. Ability to relate appropriately with external agencies, e.g. Coroners office.
- Monitors own targets/performance.
- Band 5 Coder will be able to work on own initiative to prioritise and plan workloads.
- Effective and supportive Team player.
- Ability to maintain and develop own skills and knowledge
- Ability to relate appropriately to various professional groups within the Trust to include clinicians, medical, management and admin staff. Ability to relate appropriately with external agencies, e.g. Coroners office
- Monitors own targets/performance
- Attention to detail and accuracy
- Willingness to learn new skills
Experience
Essential
- Band 4 Coder: Significant experience of clinical coding and working in a health care organisation
- Good knowledge of anatomy and physiology
- Knowledge of clinical coding requirements and standards
- Band 5 Coder: Experience of Clinical Coding and working in a health care organisation.
- The principles of Clinical Coding
- Significant knowledge of anatomy and physiology and medical terminology
- Significant knowledge of clinical coding requirements and standards
Desirable
- Band 4 Coder: Day to day supervision of staff
Qualifications
Essential
- A Band 4 Coder will be as above, plus expected to have completed a Clinical Coding Refresher Course, as well as passing an in-house competency audit.
- A Band 5 Coder will be as above and also expected to have their National Clinical Coding Qualification.
Desirable
- Band 4 Coder: IT proficiency. Academic qualifications in science/healthcare.
- Band 5 Coder: IT proficiency. Academic qualifications in science/healthcare.
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).
