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Clinical Coder
1 week ago
KEY JOB RESPONSIBILITIES Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised casenotes, laboratory reports and discharge summaries.
Accessing clinical data on wards and patient areas where necessary and working independently with mínimal supervision.Ensure that complex clinical data regarding diagnoses and surgical procedures on patient episodes is coded using national (OPCS-4) and international (ICD-10) or any other classifications that may be implemented in the future adhering to all national standards and conventions.
Input coded clinical information into the Trusts patient information system in conjunction with a clinical encoder ensuring accuracy, completeness and timeliness at all times.
Validate admission and discharge details to maintain accuracy of data and for the identification of missing and incorrect activity Liaise closely with the data quality team to ensure correct episode data on patient hospital system Identify and register new cancers for inclusion in the national Cancer Register Work within deadlines whilst maintaining a high quality of accuracy and completeness of clinical coding Effectively manage assigned workload.
Keep up to date on changes to code assignment, coding methodology and local policy amendments to ensure coding reflects the activity of the trust.
Consult with clinicians for clarification on new interventional procedures and clinical practice to ensure correct understanding for code assignment Provide coding advice to medical, clinical and administration staff to ensure consistency Set up work schedules to facilitate the flow of casenotes whilst creating good working relationships with staff in other departments.
Liaise with medical secretaries, ward personnel, departmental staff and patient records clerks to locate, retrieve and return casenotes. Mentor less experienced coders and provide trainee coders with specialized knowledge across all specialties.Participate in the on-going development of the coding team by communicating specialist knowledge in the form of in-house presentations and training workshops Participate in in-house audits to promote the accuracy and consistency of clinical coding and the representation of activity and case-mix within the Trust.
Maintain confidentiality of all coded and other patient information.
Please refer to the job description and person specification attached to the advert for the full details of the vacancy.
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Nottingham, United Kingdom Nottingham University Hospitals NHS Trusts Full timeKEY JOB RESPONSIBILITIES Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised casenotes, laboratory reports and discharge summaries. Accessing clinical data on wards and patient areas where necessary and working independently with mínimal supervision. Ensure that complex clinical data regarding...
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