Overview
The role involves extracting relevant information from patient records, discussing queries with clinicians or other clinical coding team members and translating diagnoses, procedures and interventions into clinical codes using national classifications (ICD10 & OPCS4), adhering to all national standards and conventions. The information Clinical Coders produce is used to report on patient outcomes, improve patient care and ensure the Trust is appropriately paid for the treatments provided to patients admitted to hospital.
Responsibilities
* Assign clinical codes using the Patient Administration System (PAS) and a clinical coding Encoder.
* Work to deadlines and set timeframes.
* Collaborate with a variety of staff including Clinicians, Commissioning, Performance and Business Intelligence, Data Quality, Medical Records, Ward Clerks and other areas within the Trust.
Requirements & Qualifications
* An interest in anatomy & physiology and medical terminology.
* A desire to learn and gain a professional qualification.
* Excellent analytical skills and a high level of attention to detail.
* Adaptable, resilient, methodical, able to work within deadlines and timescales.
* Good verbal and written communication skills and interpersonal skills.
* A personal commitment to continued professional development.
* Successful candidates will attend a 25-day National Clinical Coding Standards course and progress through an in-house training programme, including an internal assessment before sitting an accredited clinical coding exam which can accelerate progression towards band 4 once requirements are signed off.
Training & Career Pathway
At the start of the training pathway you will attend a national clinical coding standards course to establish the basics in coding. As experience builds, you will undertake our in-house training and an internal assessment before taking the accredited clinical coding exam, with progression towards band 4 upon completion of all job description requirements.
About the Trust
The Royal Cornwall Hospitals NHS Trust (RCHT) is the main provider of acute and specialist care services in Cornwall and the Isles of Scilly, serving around 500,000 people (with numbers increasing during peak tourist seasons). The Trust employs approximately 6,700 staff and has a budget of about £580 million. It is a teaching hospital in partnership with the University of Exeter Medical School, University of Plymouth School of Nursing and Midwifery, and Peninsula Dental School. The Knowledge Spa on the Royal Cornwall Hospital site provides ongoing education for health professionals in clinical and non-clinical roles. The Trust is committed to advancing clinical services, facilities and specialist care, as well as pursuing research and innovation. It is a research-active organisation and part of the South West Clinical School in Cornwall, promoting clinical academic opportunities for nurses, midwives and allied health professionals interested in research and evidence-based activities.
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