Job overview
Specialist ACC (Band 6) : £49,948 - £59,065 pa inclusive of 10% RRP
Clinical Coder (Band 5): £40,150 - £48,804 pa inclusive of 10% RRP
Interviews will be held face to face on 01 July 2026 at The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, SM2 5PT.
We are recruiting either a Specialist ACC (Band 6) or an experienced Clinical Coder (Band 5) working towards ACC qualification. Band 5 coders will receive full internal and external training support, while Band 6 ACCs will benefit from ongoing training and regular feedback to enhance their skills. After induction and training, the successful candidate may work from home for up to 40% of their contracted hours.
This role offers a vast amount of experience in diagnostic coding of very rare cancer types as well as complex surgical procedures and pioneering treatments in various specialties and has developed automated coding in key areas, meaning that clinical coders are able to focus on more complex cases.
You will be enthusiastic, self-motivated and enjoy working with colleagues at all levels. You will be responsible for accurate day-to-day diagnosis and procedure coding using ICD10 and OPCS4 classifications, ensuring deadlines are met and coded data meets our high standards.
Main duties of the job
Band 5: The post holder will serve as the Clinical Coder responsible for day-to-day coding of admitted patient activity in assigned clinical units / specialties in order to meet strict deadlines. Responsibilities will include ensuring that clinical coding is accurate, complete and timely, and that the clinical coding conforms to national standards. This role will require great attention to detail and a logical thought process as well as vast amount of knowledge of anatomy, physiology and medical terminology.
Band 6: The post holder will serve as the Specialist Accredited Clinical Coder responsible for day-to-day coding and management of un-coded activity in assigned clinical units / specialties in order to meet strict deadlines. They will be required to assist the Clinical Coding Service Manager in clinical coding audits, quality assurance and supervision of less experienced coding staff. Responsibilities will include ensuring that clinical coding is accurate, complete and timely, and that the clinical coding conforms to national standards. This role will require great attention to detail and a logical thought process as well as vast amount of knowledge of anatomy, physiology and medical terminology.
Detailed job description and main responsibilities
Band 5:
• To abstract relevant clinical information from EPR, translate them into ICD10 and OPCS4 classification codes and input them in a timely manner as per National Standards and local policies using the Trust’s encoder.
• To achieve accurate, timely, and consistent clinical coding within set standards and targets.
• To be responsible for monitoring and checking quality of coded data within the assigned clinical units / specialties.
Band 6:
• To abstract relevant clinical information from EPR, translate them into ICD10 and OPCS4 classification codes and input them in a timely manner as per National Standards and local policies using the Trust’s encoder.
• To lead and be fully responsible for the coding function within the assigned clinical units / specialties.
• To assist the Clinical Coding Service Manager to develop, maintain and manage a skilled efficient coding team in order to provide high quality clinical coding service within the Trust.
Person specification
Education and Training
Essential criteria
1. Demonstrable clinical coding experience using ICD10 and OPCS4 classifications (Band 5)
2. Clinical Coding Standards Course attendance (Band 5)
3. Accredited Clinical Coder (ACC) qualification with demonstrable coding experience (before or after qualification) (Band 6)
4. Degree level or equivalent (Band 5 and 6)
Desirable criteria
5. Approved Clinical Coding Auditor (Band 6)
6. Approved Clinical Coding Trainer (Band 6)
Knowledge - Band 5 and 6
Essential criteria
7. Computer skills including Word, Excel and Outlook
8. In depth knowledge of national and international clinical coding rules, conventions, and standards
9. Excellent knowledge of medical terminology, anatomy and physiology
10. Good knowledge and use of information / informatics systems
Experience - Band 5 and 6
Essential criteria
11. Proven clinical coding experience in all specialties
12. Experience of working within the NHS
13. Excellent command of English for all personal, written and electronic forms of communications
14. Experience of decision-making by own initiative and liaison with colleagues
Desirable criteria
15. Experience of coding neoplasms (Band 6)
16. Understanding of other terminology/ coding/classification schemes (e.g. SNOMED CT) and how they relate to clinical coding quality (Band 6)
17. Experience of coding neoplasms (Band 5)
Personal Attributes
Essential criteria
18. Ability to work autonomously, to plan and prioritise own workload.
19. The ability to abstract and analyse complex patient records and use judgement to translate complex cases
20. Persuasive skills for dealing with senior managers and clinicians
21. Willingness to learn
22. Ability to work to tight deadlines.
The Royal Marsden values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from Black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.
As a Disability Confident Employer, we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.
Due to the high volumes of applications we receive, we reserve the right to close any adverts before the published closing date once we have received a sufficient number of applications. We advise you to submit your application as early as possible to prevent disappointment. Please ensure your information is accurate to avoid errors with processing your application
Flu Vaccination – What We Expect of our Staff
At The Royal Marsden we have an immune compromised patient population who we must protect as much as we can against the flu virus. Each year, seasonal flu affects thousands of people in the UK. Occurring mainly in winter, it is an infectious respiratory disease capable of producing symptoms ranging from those similar to a common cold, through to very severe or even fatal disease.
The wellbeing of our staff and patients is of the upmost importance to us, and it is the expectation of The Royal Marsden that all patient-facing staff have an annual flu vaccination, provided free of charge by the Trust.
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