Clinical Coding has a crucial role in the management of the hospital for contractual/billing purposes, due to the implementation of Payment by Results and is a source of healthcare data for the Department of Health (DOH) and World Health Organisation (WHO).
The post holder is responsible for providing high quality and timely coded clinical data. This requires the application of all coding rules and conventions pertaining to ICD-10 (International Classification of Diseases, Version 10) and OPCS-4 (Classification of Interventions and Procedures), incorporating national standards as set down in the Clinical Coding Instruction Manual ICD-10, OPCS-4 and Coding Clinics.
To be competent in coding all specialties across the organisation.
The post holder must have taken the National Clinical Coding Qualification and hold accredited clinical coder status.
Main duties of the job
The Royal Wolverhampton NHS Trust is looking for Accredited Clinical Coders who are self-motivated and enthusiastic with excellent communication skills. You will need to have significant coding experience and sound knowledge in the use of patient information and coding systems used within the NHS and can deliver a high standard of coding completeness and accuracy in a timely manner.
The Trust has a flexible and remote working policy which is available upon request. In addition to this, upon completion of local induction and on-the-job training, the successful candidate will be offered the option of working from home if desired.
You will need to:
* Exhibit excellent logical and analytical skills.
* Demonstrate sound judgement in translating often complex patient records.
* Have good knowledge of medical terminology, anatomy, and physiology.
* Have experience of clinical coding a wide range of specialties in an acute setting.
Job responsibilities
Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patients health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting.
Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients.
Ensure strict adherence to procedures established for clinical coding as laid out by the classifications in use and take into account changes made to the classification should the need arise.
Participate in regular training sessions in order to develop and enhance coding speciality skills.
Update national classification books and manuals in line with national standards released by the NHS Classification Service, for example Coding Clinics.
Undertake bi-monthly audits of completed work with a Lead Auditor to monitor and provide feedback on accuracy and completeness of coding, compliance with national standards, and the quality of information that is recorded in the health records to ensure that the Trust’s correct percentage targets are routinely attained.
Demonstrate a high level of skill in the use of International Classification of Diseases, volume 10 (ICD-10) and the Classification of Interventions and Procedures (OPCS-4).
Supervise and mentor trainee Clinical Coders in conjunction with the Coding Managers and/or Training Manager to bring them up to the required level of competence, including the monitoring of incomplete episodes reports.
Be a senior coder undertaking coding of deceased patients.
Identify and report errors found on the Patient Administration System, e.g. incorrect consultant designation.
Work with specialty divisions to support and maintain a professional and flexible coding service.
Have the ability to code all specialties at a high level of accuracy and rotate as and when required, with appropriate support and training.
Provide specialist advice to clinical and non-clinical staff with regards to clinical coding.
Ensure that working processes are followed in own area of work and initiate service review when these processes are no longer effective, providing suggestions for development when required and implementing agreed revisions.
Provide cover for absence of clinical coding staff, as required ensuring continuity of service provision.
Person Specification
Qualifications
* Holds Accredited Clinical Coding National Qualification.
* Expert knowledge in Medical Terminology and Anatomy and Physiology.
* Good educational background or equivalent gained through training, qualification, and experience in related field.
Experience
* Proven and in-depth knowledge, experience and understanding of ICD-10 & OPCS-4 coding classifications and standards in the NHS UK environment.
* Substantive experience of full-time work as a clinical coder in an acute hospital covering a wide range of specialties.
* Competent in the use of clinical coding computer-based systems.
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.
Contract
Permanent
Working pattern
Full-time, Part-time, Flexible working, Home or remote working.
We are supportive working environment committed to creating flexible working arrangements that suit your needs and as such will consider all requests from applicants who wish to work flexibly.
£32,073 to £39,043 a year. An additional 15% recruitment & retention premium applies.
#J-18808-Ljbffr