Overview
To abstract highly complex clinical information from Trust Millenium EPR, BadgerNet system and translate into accurate and complete ICD-10 and OPCS codes, adhering constantly to national coding standards and mandatory monthly timescales. To critically examine and make independent judgement on whether coding should be carried out where diagnosis and procedural information is not transferable to exact codes or whether a more detailed investigation is required for accurate coding. Identify clinical documentation and data quality issues related to coding through analysis, investigation or validation. Provide support for less experienced coding staff to assist with their coding queries and questions as they arise. Achieve Data Security & Protection Toolkit mandatory coding accuracy marks in clinical coding audits. To provide advice to Clinicians on issues relating to clinical coding e.g. documentation of co-morbidities and diagnosis versus signs & symptoms.
Sustained and high level of concentration is needed on daily basis to extract highly complex information from Millenium EPR, BadgerNet system, and accurately translate into classification codes whilst adhering to NHS mandated rules and standards. Constant use of VDU equipment via two display screens, and laptop, accessing simultaneously multiple Trust systems and inputting data, some of which is repetitive.
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