Overview
The Clinical Coding Department is responsible for the accurate and timely recording of clinical data to support the Trust’s clinical and business requirements and for regional and National Health Service statistics. The post holder will be required to work as a member of a team to provide an efficient clinical coding service working to established systems and procedures.
Kerry Reynolds, Clinical Coding Divisional Lead, would be very pleased to discuss your application further or any questions you may have. You may contact Kerry via telephone 01924 543935 / 07860686933 or email kerry.reynolds5@nhs.net.
The Trust recognises the vital contribution of our coding team to overall performance and regards our team as pivotal to future performance. Vacancies are based on the Pinderfields Hospital site, with potential work at other facilities including Dewsbury Hospital. The Trust offers a flexible approach to working patterns, including an agile rota and home-working possibilities depending on service need.
Working hours can be considered around commitments/availability and service needs.
All applications are welcomed from all sections of the community. The Trust is committed to equal opportunities and diversity.
Main duties
* Screen medical records, discharge summaries, histopathology results and other data sources to extract clinical information relevant to a patient’s episode of care.
* Through effective data extraction analyse complex clinical information; apply independent judgement in the interpretation, transposition and sequencing of clinical data adhering to national rules and conventions.
* Code all patient episodes using the M360 Solventum encoding system supported by ICD-10 and OPCS-4 coding classifications.
* Exercise initiative in selecting appropriate clinical terms to accurately reflect the individual patient record.
* Ensure data is entered accurately into the Patient Administration System (PAS) within nationally defined timescales.
* Regularly access and read patient case notes where the content can be distressing.
* Develop and maintain skills to use the PAS system and adhere to local coding protocols/procedures.
* Check patient details on the system are correct (e.g., consultant, date of admission and discharge) and report inaccuracies to the Data Quality Team.
* Routinely run outstanding episode reports from PAS and action by searching for missing source documentation.
* Code complex specialties including mortality coding.
* Maintain and update knowledge in line with national coding standards changes.
* Be professionally responsible for the coding team and be a point of contact for coding queries.
* Provide cross-site cover for the Clinical Coding Team during periods of absence.
* Participate in the audit of the accuracy and depth of coding.
* Undertake delegated responsibilities and other duties as requested by supervisor/manager.
Communication
* Prioritise and plan the daily and weekly work pattern for the Coding Team, reporting any issues to the Clinical Coding Divisional Leads.
* Supervise the Clinical Coding Team in the absence of the Divisional Leads and deputise as required for urgent issues.
* Demonstrate organisational and time management skills; work independently and as part of a team; motivate others.
* Communicate and liaise effectively with clinicians, nursing staff, other professionals and departments regarding routine or complex issues across all specialties.
* Actively seek source documentation and identify inadequate documentation, communicating with relevant health care professionals to rectify this.
* Manage and resolve coding queries liaising with senior clinicians on a regular basis.
* Attend and contribute to multi-disciplinary team meetings with coding advice; participate in knowledge-sharing sessions across sites as required.
* Attend seminars and road shows for staff and participate in clinical coding awareness sessions.
Training And Education
* Responsible for the training and coaching of the Clinical Coding Team.
* Participate in orientation, training and mentorship for less experienced coding officers, providing advice and support.
* Remove or amend clinical codes to Finished Consultant Episodes (FCEs) as directed by the Divisional Leads or Clinical Coding Auditor; re-input codes as necessary.
* Maintain coding skills by attending a refresher course every 3 years and attending specialty workshops as appropriate.
* Keep up to date with current issues and developments within the coding department; participate in creating an environment conducive to knowledge acquisition.
* Maintain and improve professional knowledge and competence continually.
Qualifications
* Essential: Minimum A level qualification or equivalent knowledge.
* Undertaken the Clinical Coding Standards Course and up-to-date with Clinical Coding Refresher Courses.
* National Clinical Coding Qualification; successful completion of a coder audit.
Experience
* Principles of Clinical Coding.
* Significant knowledge of anatomy and physiology and medical terminology.
* Significant knowledge of clinical coding requirements and standards.
Knowledge And Awareness
* Confidentiality, Data Protection Act and Caldicott Principles.
* Thorough knowledge of Patient Administration Systems.
* Understanding of how acute hospital services function in relation to patient experience.
* Awareness of personal limitations.
Be part of MY team
We are an acute trust caring for over one million people in Wakefield and Kirklees. Our team values diversity and inclusion; we welcome applicants from all backgrounds, including LGBTQ+ and minority groups. We offer flexible working and support work-life balance.
Application Guidance
We understand that more applicants are using AI tools to help with applications. While useful, these tools cannot fully capture your skills, knowledge and experience. Personalise your application; disclose any AI use on the application form as part of the screening process.
Our Benefits
* Access to the NHS pension plan
* Generous holiday allowance of 27 days plus bank holidays, increasing with years of service
* Exceptional employee health and wellbeing services
* Onsite nurseries and childcare salary sacrifice scheme
* Cycle to work scheme
* Home electronics scheme
* Car lease salary sacrifice scheme
* Working carers support and advice, carers network and carers passport
* Flexible working options and family and carer-friendly policies
* Established staff networks, including LGBTQ+ and Race Equality
* Career progression, training and support
Skilled worker sponsorship
You can find out more about skilled worker and health and care visas on our site.
#J-18808-Ljbffr