Job summary
We have a vacancy for an experienced Clinical Coder to join our highly professional team.
You will benefit from a detailed personalised training plan to ensure that you attain and maintain high standards of clinical coding quality. You will benefit from gaining skills and experience across a wide range of specialties.
We are a forward-thinking Clinical Coding Department who are dedicated to personal staff development, we can offer working from home (to be discussed at interview) and also offer family friendly, flexible working hours. As an experienced Clinical Coder, you must have clinical coding experience in a number of specialties.
You are required to demonstrate the current correct application of the rules and conventions of clinical coding, supplemented with a good understanding of medical terminology, clinical terms and anatomy and physiology.
Please note, interviews may include assessment tasks. Interviews will be held to be confirmed.
Main duties of the job
You should be enthusiastic about the challenges of a busy working and a constantly changing environment. You must possess the ability to remain calm under pressure and be able to work as part of a dynamic team. You should have a proven ability to prioritise, plan and organise work on a daily basis. The post holder will ensure patient activity data is fully and accurately coded within prescribed timescales, whilst adhering to national and local standards and to realistic productivity targets.
In return, the successful applicant can expect full support to enhance and develop their clinical coding skills. On-going training will be delivered by our training team at Whiston Hospital. You can also expect to benefit from a supportive team structure and will be given opportunities to develop your career with support from a friendly team of experienced, qualified and dedicated senior staff.
About us
The Secretary of State has approved the partnership between St Helens & Knowsley Teaching Hospitals and Southport & Ormskirk Hospitals.
From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.
The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.
The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.
Our Vision is to deliver 5 Star Patient Care:
- CAREthat is evidence based, high quality and compassionate
- SAFETY that is of the highest standards
- COMMUNICATION that is open, inclusive and respectful
- SYSTEMS that are efficient, patient centred and reliable
- PATHWAYS that are best practice and embedded, but also respect the individual needs of patients
Our achievements include:
- Trust rated Outstanding by CQC Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
- Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme
Job description
Job responsibilities
KEY DUTIES
- Ensure accuracy and completeness of clinical coding which underpins the Payment by Results framework and national clinical coding requirements.
- Abstraction of clinical information from the health record and translation of that medical terminology using ICD-10 (diagnostic codes) and OPCS 4 (procedure codes) into a form that can be tabulated, aggregated and sorted for statistical analysis and to support the Payment by Results agenda applying national rules and conventions to agreed standards.
- Demonstrate effective organisational and time management skills with the ability to work independently and as part of a team. Be highly motivated and lead by example to motivate other team members.
- Carry out clinical coding to the highest level of specificity using the three dimensions to coding accuracy thus giving complete and accurate data of a high quality that is consistently recorded.
- Routinely extract pathology/histology/radiology information and use for more accurate clinical coding in a timely fashion in accordance with the clinical coding deadlines.
- Work on own initiative in collecting information by whatever means required. This could include entering very specific areas of the Trust.Exercise diplomacy and confidentiality in pursuit of collecting this data.
- Participate in the training and mentorship of less experienced coders and advise Novice and Junior Clinical Coding Officers on coding issues.
- To work towards gaining experience in other clinical coding areas that fall outside the standard clinical coding processes such as Burns & Plastics, Obstetrics, Gynaecology and Oncology.
- To act as first line enquiry for requests for information either in person, by email or via the telephone.
- Promote and implement clinical coding policies and procedures and national guidelines
- Assist the Clinical Coding Manager to identify any complex issues in clinical information contained in the medical record and electronic systems that contradicts clinical coding guidelines.
- Assist Clinical Coding Manager to identify discrepancies in computer/hard copy information ensuring accurate data quality.
- Monitor data quality and clinical coding standards in line with local and national guidelines. Report any complex coding issues as directed for verification and/or send to the Clinical Coding Classification Service help desk. Share all responses with relevant staff.
- Remove or amend clinical codes to Finished Consultant Episodes (FCEs) as directed by the Clinical Coding Manager or Information Services Department. Re-input clinical codes as necessary.
- Communicate effectively with clinicians, managers, information, finance and other staff members to ensure high quality of coded data. Possess the ability to provide complex clinical coding advice and information to colleagues within the NHS.
- Liaise with clinicians, researchers and healthcare professionals on a regular basis to provide and help with information as required. Be able to explain the requirements of the classifications and how to implement them.
- Be prepared to attend multidisciplinary meetings when required to promote clinical coding, the rules and conventions that surround them and raise awareness of the importance of accurate data
- Promote a thorough knowledge and understanding of the rules and conventions that surround the Classifications of Diseases and Healthcare Related problems, tenth revision (ICD-10) and Office of Population Census and Surveys fourth revision (OPCS-4) to all levels of staff within the Trust.
- Further develop a team approach within the service leading by example in all areas of clinical coding
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- To take every reasonable opportunity to maintain and improve your professional knowledge and competence.
- To participate in personal objective setting and review, including the creation of a personal development plan.
- Maintain an excellent knowledge of Medical Terminology and Anatomy and Physiology.
- To attend regular relevant training/workshop sessions.
- Maintain a high level of competency in the recording of clinical codes and completion of assessments as and when required to measure accuracy and quality of the coded data.
- Keep up to date of the regular updates and amendments to ICD-10 and OPCS
ADMINISTRATIVE RESPONSIBILITIES
- To validate the hospital admission details on the PAS system against the information in the case notes. To report any details found to be incorrect to the Data Quality Team and to highlight areas of concern with information in the case notes
TEACHING & TRAINING RESPONSBILITIES
- To continue to update clinical coding skills attending mandatory clinical coding specialty workshops and refresher courses.
Job description
Job responsibilities
KEY DUTIES
- Ensure accuracy and completeness of clinical coding which underpins the Payment by Results framework and national clinical coding requirements.
- Abstraction of clinical information from the health record and translation of that medical terminology using ICD-10 (diagnostic codes) and OPCS 4 (procedure codes) into a form that can be tabulated, aggregated and sorted for statistical analysis and to support the Payment by Results agenda applying national rules and conventions to agreed standards.
- Demonstrate effective organisational and time management skills with the ability to work independently and as part of a team. Be highly motivated and lead by example to motivate other team members.
- Carry out clinical coding to the highest level of specificity using the three dimensions to coding accuracy thus giving complete and accurate data of a high quality that is consistently recorded.
- Routinely extract pathology/histology/radiology information and use for more accurate clinical coding in a timely fashion in accordance with the clinical coding deadlines.
- Work on own initiative in collecting information by whatever means required. This could include entering very specific areas of the Trust.Exercise diplomacy and confidentiality in pursuit of collecting this data.
- Participate in the training and mentorship of less experienced coders and advise Novice and Junior Clinical Coding Officers on coding issues.
- To work towards gaining experience in other clinical coding areas that fall outside the standard clinical coding processes such as Burns & Plastics, Obstetrics, Gynaecology and Oncology.
- To act as first line enquiry for requests for information either in person, by email or via the telephone.
- Promote and implement clinical coding policies and procedures and national guidelines
- Assist the Clinical Coding Manager to identify any complex issues in clinical information contained in the medical record and electronic systems that contradicts clinical coding guidelines.
- Assist Clinical Coding Manager to identify discrepancies in computer/hard copy information ensuring accurate data quality.
- Monitor data quality and clinical coding standards in line with local and national guidelines. Report any complex coding issues as directed for verification and/or send to the Clinical Coding Classification Service help desk. Share all responses with relevant staff.
- Remove or amend clinical codes to Finished Consultant Episodes (FCEs) as directed by the Clinical Coding Manager or Information Services Department. Re-input clinical codes as necessary.
- Communicate effectively with clinicians, managers, information, finance and other staff members to ensure high quality of coded data. Possess the ability to provide complex clinical coding advice and information to colleagues within the NHS.
- Liaise with clinicians, researchers and healthcare professionals on a regular basis to provide and help with information as required. Be able to explain the requirements of the classifications and how to implement them.
- Be prepared to attend multidisciplinary meetings when required to promote clinical coding, the rules and conventions that surround them and raise awareness of the importance of accurate data
- Promote a thorough knowledge and understanding of the rules and conventions that surround the Classifications of Diseases and Healthcare Related problems, tenth revision (ICD-10) and Office of Population Census and Surveys fourth revision (OPCS-4) to all levels of staff within the Trust.
- Further develop a team approach within the service leading by example in all areas of clinical coding
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- To take every reasonable opportunity to maintain and improve your professional knowledge and competence.
- To participate in personal objective setting and review, including the creation of a personal development plan.
- Maintain an excellent knowledge of Medical Terminology and Anatomy and Physiology.
- To attend regular relevant training/workshop sessions.
- Maintain a high level of competency in the recording of clinical codes and completion of assessments as and when required to measure accuracy and quality of the coded data.
- Keep up to date of the regular updates and amendments to ICD-10 and OPCS
ADMINISTRATIVE RESPONSIBILITIES
- To validate the hospital admission details on the PAS system against the information in the case notes. To report any details found to be incorrect to the Data Quality Team and to highlight areas of concern with information in the case notes
TEACHING & TRAINING RESPONSBILITIES
- To continue to update clinical coding skills attending mandatory clinical coding specialty workshops and refresher courses.
Person Specification
Qualifications
Essential
- GCSEs (A-C) or equivalent qualification and/ or equivalent experience
- Clinical Coding Standards Course (UK) or equivalent qualification
- Accredited Clinical Coding Qualification (NCCQ) or equivalent qualification
Knowledge
Essential
- Experience of working in an office environment
- Planning, organising workload to meet deadlines
- Transferring coding skills and knowledge to others
- Experience in coding a number of specialties gained using ICD-10 Diagnostic and OPCS Procedure classifications
Desirable
- Experience of working with clinicians and/or senior clinical staff
- Experience of mentoring junior members of the clinical coding team
Skills
Essential
- Firm grounding in medical terminology and anatomy & physiology
- Knowledge of Payment by Results Framework
- Ability to work on own initiative and as part of a team
- Excellent knowledge and understanding of clinical coding rules and conventions
- Effective interpersonal skills
- Excellent concentration skills with attention to detail
Desirable
- Knowledge of data protection legislation, Caldicott and other relevant guidance
- Knowledge of SNOMET CT
Person Specification
Qualifications
Essential
- GCSEs (A-C) or equivalent qualification and/ or equivalent experience
- Clinical Coding Standards Course (UK) or equivalent qualification
- Accredited Clinical Coding Qualification (NCCQ) or equivalent qualification
Knowledge
Essential
- Experience of working in an office environment
- Planning, organising workload to meet deadlines
- Transferring coding skills and knowledge to others
- Experience in coding a number of specialties gained using ICD-10 Diagnostic and OPCS Procedure classifications
Desirable
- Experience of working with clinicians and/or senior clinical staff
- Experience of mentoring junior members of the clinical coding team
Skills
Essential
- Firm grounding in medical terminology and anatomy & physiology
- Knowledge of Payment by Results Framework
- Ability to work on own initiative and as part of a team
- Excellent knowledge and understanding of clinical coding rules and conventions
- Effective interpersonal skills
- Excellent concentration skills with attention to detail
Desirable
- Knowledge of data protection legislation, Caldicott and other relevant guidance
- Knowledge of SNOMET CT
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.
