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Clinical Coding Auditor
3 months ago
Job Purpose:
The post holder will take the lead role for internal Clinical Coding audit, to ensure the Trust meets national standards for Clinical Coding and adheres to the Clinical Coding audit policy.
In conjunction with the Clinical Coding Manager will develop and implement an ongoing programme of Clinical Coding audits and training throughout the Trust to continuously improve data quality and secure Trust income under Payment by Results.
Will act as Lead Clinical Coder and will assist all coders with complex coding queries and provide expert advice in other departments on coding issues.
Will be responsible for the monitoring and ensuring the completion of the Trusts Clinical Coding backlog The post holder will deputise for the Clinical Coding Manager.
Responsibilities:
Main duties 1.
To carry out internal audit work on the Trusts Clinical Coding in accordance to Clinical Coding audit policy and procedures.
Adhering to national standards in Clinical Coding using the International Classification of Diseases ICD-10 volumes 1-3 and operative procedures in accordance to the Office of Population Census OPCS-4.
2.
Prepare and present both coding and clinical audit reports, ensure close working and engagement for the clinical coding data validation process 3.
To ensure continual improvement of clinical coded information within the Trust through systemic audit and quality assurance procedures, in compliance with national standards, classification rules and conventions.
4. Any training issues identified in audit to be addressed promptly 5.
To liaise with Clinicians and Directorates as a coding specialist and to communicate complex coding rules to medical, clinical and administrative staff in order to establish the accurate diagnosis and procedure codes for each speciality.
To plan and organise both short and long term strategic objectives for clinical coding to enable the Trust respond successfully to changing internal and external demands 7.
To facilitate and support the Clinical Coding team so as to input onto the hospital patient administration system is accurate and complete coded information within the designated timescales in order to support the information requirements and commissioning of the Trust 8.
To be responsible for managing and responding to all coding queries raised by coders and Trust staff. 9.To conduct regular meetings with Clinical coding Manager, Data Quality Manager to develop and implement action plans arising from internal and external reviews, audits, validation exercises, Data Set Change Notices (DSCNs) and other related activities/requirements.
10.
To assist with yearly external audit which is an essential requirement of the NHS Connecting for Health Data Quality Framework.
Compliance Daily Operations/Planning To record data in manual and computerised systems in accordance with agreed policies and procedures To adhere to Trust policies regarding confidentiality and information security To carry out any other duties commensurate with the grade of this job.
If the post holder has any doubts as to his or her competence during the course of his/her duties then s/he should immediately speak to their line manager or supervisorCodes of conduct:
All employees of the Trust who are required to be registered with a professional body, to enable them to practise within their profession, are required to comply with their code of conduct and requirements of their professional registration.
Staffs that are not required to be registered with a professional body are required to comply with the Trusts codes of conduct.
Confidentiality:
The post holder must maintain confidentiality, security and integrity of information relating to patients, staff and other Health Service business.
Records Management:
All employees of the Trust are legally responsible for all records that they gather, create or use as part of their work within the Trust (including patient, financial, personnel and administrative), whether paper or computer based.
All such records are considered public records and all employees have a legal duty of confidence to service users.Employees should consult their manager if they have any doubt as to the correct management of records with which they work.
Health and Safety:
Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act and the Manual Handling Operations Regulations and all relevant Trust Health and Safety Policies and Guidance.
This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the TrustInfection Control:
Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable He
