Job summary
At BTHFT we believe that coded data is a critical component in shaping patient care and improving outcomes. The Clinical Coding team play a vital role, ensuring complex information from a wide range of clinical systems and services is coded as accurately as possible to produce accurate and useful data for users at all levels of the organisation, driving improved decision making about patient care.
An exciting opportunity has arisen for a Clinical Coder to join the Clinical Coding team at Bradford Teaching Hospitals NHS Foundation Trust. We are looking for highly motivated and dedicated candidates to join our Trust wide service.
The successful candidates will undertake a specialist role in driving the provision of high quality, timely and accurate coded information, with clear opportunities to progress and develop towards qualified coder status.
This role will require working with staff at a range of levels within the organisation such as; information staff, service users and leads, clinicians and clinical teams and other relevant stakeholders including heads of services/directors.
The successful candidates are required to be able to demonstrate Trust values, the responsibilities of the job description and person specification.
For further information (or to arrange an informal discussion about the post) please contact: Mr Nick Dodds - Nick.Dodds@bthft.nhs.uk
Main duties of the job
At BTHFT we believe that coded data is a critical component in shaping patient care and improving outcomes. The Clinical Coding team play a vital role, ensuring complex information from a wide range of clinical systems and services is coded as accurately as possible to produce accurate and useful data for users at all levels of the organisation, driving improved decision making about patient care.
An exciting opportunity has arisen for a Clinical Coder to join the Clinical Coding team at Bradford Teaching Hospitals NHS Foundation Trust. We are looking for highly motivated and dedicated candidates to join our Trust wide service.
The successful candidates will undertake a specialist role in driving the provision of high quality, timely and accurate coded information, with clear opportunities to progress and develop towards qualified coder status.
This role will require working with staff at a range of levels within the organisation such as; information staff, service users and leads, clinicians and clinical teams and other relevant stakeholders including heads of services/directors.
The successful candidates are required to be able to demonstrate Trust values, the responsibilities of the job description and person specification.
For further information (or to arrange an informal discussion about the post) please contact: Mr Nick Dodds - Nick.Dodds@bthft.nhs.uk
About us
Our People Charter outlines the behaviours we can expect from one another and what you can expect from Bradford Teaching Hospitals Foundation Trust:
- We value people
- We are one team
- We care
We're keen to meet people who share these values and are passionate about delivering the highest quality of care to our patients.
Job description
Job responsibilities
JOB DESCRIPTION
- JOB DETAILS
Job Title: Trainee Clinical Coder/Clinical Coder
Reports to: Clinical Coding Team Lead
Accountable to: Director of Informatics
Grade: 3 or 4 dependant upon experience
Unit/Department: Informatics
Location: Based at Bradford Royal Infirmary with hybrid working
- JOB PURPOSE
The jobholder will be responsible for delivering accurate and timely clinical coding data for all in patients and day case activity within appropriate timescales. Responsibilities include the extraction of relevant data from case notes and other sources and translating this information into codes conforming to National Standards to fulfil the Trust's internal and external information requirements. To undertake all training required and attend courses to extend knowledge and skills in applying coding standards to multiple specialties across the trust. To take part in data quality improvement measures within the department by participating in audit and other measures. Coded clinical data is essential for effective management, it is used to support service agreements, clinical governance reporting and benchmarking and has a direct impact on income.
- JOB DIMENSIONS
The department codes diagnostic and procedural activity for all in-patient and day case activity in the Trust - approx. 125,000 FCEs pa, utilizing an electronic patient record. Coders are expected to accurately code routine and complex medical information in detail using standards maintained nationally conforming to all pre-set deadlines. National standards are set within the classifications of ICD 10 and OPCS 4 and maintained by the Classifications Service.
This role requires an organised approach to the work load and the ability to work in a very busy environment where a high degree of accuracy with attention to detail and experience of working to tight deadlines is paramount.
- ORGANISATIONAL CHART
- KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
See Person Specification
- PRIMARY DUTIES & AREAS OF RESPONSIBILITY
- Extract relevant clinical information from the Electronic Patient Record (EPR), translate and assign accurate diagnostic, intervention and procedure codes using ICD10 and OPCS-4 classifications
- Adhere to national standards and local policies and take responsibility for updating these as and when required
- Be aware and open to translating information of a distressing nature
- Undertake all necessary training, including the Clinical Coding Refresher Course
- Work towards achieving the National Clinical Coding Qualification (NCCQ) and attaining Accredited Clinical Coder (ACC) status
- Raise coding related queries with other members of the Coding Team as and when required, including Senior Team, to ensure correct resolution
- Participate in yearly appraisals with the Clinical Coding Manager
- Highlight issues in information sources and advising on appropriate ways in which these can be resolved.
- To promote the role of the Clinical Coding Department in a positive manner both internally to the Foundation Trust and to external stakeholders.
- To ensure that new developments are communicated to members of the coding team and management when appropriate.
- To code a highly complex and specialist caseload in accordance with classification and national rules.
- Assist in the development and implementation of local coding policies.
- Assist in the implementation of changes to the coding service as directed by local and national policy and procedure.
- Working with the Clinical Coding Senior Team to ensure efficiency, national standards of clinical coding and best practice operate within the department.
- To provide accurately coded clinical information within established deadlines, making recommendations to improve service delivery.
- Participate in data quality and coding audit programmes involving communication with clinicians and full participation in the audit process.
- To attend seminars and training courses both internal and external to the Trust.
- Undertake other tasks as required.
- COMMUNICATION & WORKING RELATIONSHIPS
The post-holder will be expected to communicate with a wide range of staff groups throughout the Trust on a daily basis. This may involve complex or technical issues and will require motivation, combined with negotiation, communication and training skills. Communication and knowledge sharing with staff within the Business Intelligence function and other teams within Informatics will be essential.
Significant liaison and communication with information users outwith Informatics, both within and outwith the Trust, will be required on a regular basis.
Key Working Relationships:
- Operational Lead Business Intelligence
- Clinical Coding Senior Team
- Business Intelligence Manager and BI analysts
- Divisional managers and analysts
- Data Quality
- Informatics function; I.T., Data Warehouse etc.
- Operational and clinical staff at all levels across divisions
- Finance function
- SPECIAL WORKING CONDITIONS
Bradford Royal Infirmary with hybrid working
- JOB DESCRIPTION AGREEMENT
Jobholders Signature:_______________________________________ Date:_______________
Head of Departments Signature:______________________________ Date:_______________
Head of Departments Job Title:___________________________________________________
Job description
Job responsibilities
JOB DESCRIPTION
- JOB DETAILS
Job Title: Trainee Clinical Coder/Clinical Coder
Reports to: Clinical Coding Team Lead
Accountable to: Director of Informatics
Grade: 3 or 4 dependant upon experience
Unit/Department: Informatics
Location: Based at Bradford Royal Infirmary with hybrid working
- JOB PURPOSE
The jobholder will be responsible for delivering accurate and timely clinical coding data for all in patients and day case activity within appropriate timescales. Responsibilities include the extraction of relevant data from case notes and other sources and translating this information into codes conforming to National Standards to fulfil the Trust's internal and external information requirements. To undertake all training required and attend courses to extend knowledge and skills in applying coding standards to multiple specialties across the trust. To take part in data quality improvement measures within the department by participating in audit and other measures. Coded clinical data is essential for effective management, it is used to support service agreements, clinical governance reporting and benchmarking and has a direct impact on income.
- JOB DIMENSIONS
The department codes diagnostic and procedural activity for all in-patient and day case activity in the Trust - approx. 125,000 FCEs pa, utilizing an electronic patient record. Coders are expected to accurately code routine and complex medical information in detail using standards maintained nationally conforming to all pre-set deadlines. National standards are set within the classifications of ICD 10 and OPCS 4 and maintained by the Classifications Service.
This role requires an organised approach to the work load and the ability to work in a very busy environment where a high degree of accuracy with attention to detail and experience of working to tight deadlines is paramount.
- ORGANISATIONAL CHART
- KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
See Person Specification
- PRIMARY DUTIES & AREAS OF RESPONSIBILITY
- Extract relevant clinical information from the Electronic Patient Record (EPR), translate and assign accurate diagnostic, intervention and procedure codes using ICD10 and OPCS-4 classifications
- Adhere to national standards and local policies and take responsibility for updating these as and when required
- Be aware and open to translating information of a distressing nature
- Undertake all necessary training, including the Clinical Coding Refresher Course
- Work towards achieving the National Clinical Coding Qualification (NCCQ) and attaining Accredited Clinical Coder (ACC) status
- Raise coding related queries with other members of the Coding Team as and when required, including Senior Team, to ensure correct resolution
- Participate in yearly appraisals with the Clinical Coding Manager
- Highlight issues in information sources and advising on appropriate ways in which these can be resolved.
- To promote the role of the Clinical Coding Department in a positive manner both internally to the Foundation Trust and to external stakeholders.
- To ensure that new developments are communicated to members of the coding team and management when appropriate.
- To code a highly complex and specialist caseload in accordance with classification and national rules.
- Assist in the development and implementation of local coding policies.
- Assist in the implementation of changes to the coding service as directed by local and national policy and procedure.
- Working with the Clinical Coding Senior Team to ensure efficiency, national standards of clinical coding and best practice operate within the department.
- To provide accurately coded clinical information within established deadlines, making recommendations to improve service delivery.
- Participate in data quality and coding audit programmes involving communication with clinicians and full participation in the audit process.
- To attend seminars and training courses both internal and external to the Trust.
- Undertake other tasks as required.
- COMMUNICATION & WORKING RELATIONSHIPS
The post-holder will be expected to communicate with a wide range of staff groups throughout the Trust on a daily basis. This may involve complex or technical issues and will require motivation, combined with negotiation, communication and training skills. Communication and knowledge sharing with staff within the Business Intelligence function and other teams within Informatics will be essential.
Significant liaison and communication with information users outwith Informatics, both within and outwith the Trust, will be required on a regular basis.
Key Working Relationships:
- Operational Lead Business Intelligence
- Clinical Coding Senior Team
- Business Intelligence Manager and BI analysts
- Divisional managers and analysts
- Data Quality
- Informatics function; I.T., Data Warehouse etc.
- Operational and clinical staff at all levels across divisions
- Finance function
- SPECIAL WORKING CONDITIONS
Bradford Royal Infirmary with hybrid working
- JOB DESCRIPTION AGREEMENT
Jobholders Signature:_______________________________________ Date:_______________
Head of Departments Signature:______________________________ Date:_______________
Head of Departments Job Title:___________________________________________________
Person Specification
Experience
Desirable
- Previous experience within the NHS or an acute hospital setting
Skills
Essential
- Excellent communication skills both written and verbal, have the ability to communicate at all levels.
- Ability to prioritise and work under pressure
- Able to manage regular workload
- Able to relate to staff at all levels in an organisation and to build strong working relationships.
- High level of self motivation & ability to work without close supervision.
- Work flexibly to meet varying deadlines and targets.
Desirable
- Excellent attention to detail and keyboard skills
Knowledge
Essential
- Understanding of Information Governance and Confidentiality
Desirable
- A thorough understanding of the clinical coding classifications currently in use (ICD10 and OPCS4).
- Detailed knowledge of medical terminology, anatomical and physiological terms.
- Understanding of importance of Data Quality in Clinical Coding.
Qualifications
Essential
- Educated to GSCE level or equivalent, including Maths and English.
Desirable
- Willingness to work towards National Clinical Coding Qualification (NCCQ)
- Completed Clinical Coding Standards Course (Band 4 only)
Person Specification
Experience
Desirable
- Previous experience within the NHS or an acute hospital setting
Skills
Essential
- Excellent communication skills both written and verbal, have the ability to communicate at all levels.
- Ability to prioritise and work under pressure
- Able to manage regular workload
- Able to relate to staff at all levels in an organisation and to build strong working relationships.
- High level of self motivation & ability to work without close supervision.
- Work flexibly to meet varying deadlines and targets.
Desirable
- Excellent attention to detail and keyboard skills
Knowledge
Essential
- Understanding of Information Governance and Confidentiality
Desirable
- A thorough understanding of the clinical coding classifications currently in use (ICD10 and OPCS4).
- Detailed knowledge of medical terminology, anatomical and physiological terms.
- Understanding of importance of Data Quality in Clinical Coding.
Qualifications
Essential
- Educated to GSCE level or equivalent, including Maths and English.
Desirable
- Willingness to work towards National Clinical Coding Qualification (NCCQ)
- Completed Clinical Coding Standards Course (Band 4 only)
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.
