Senior Clinical Coder

2 months ago


Severalls Industrial Park, United Kingdom Meridian Business Support Full time

Are you experienced in clinical coding and looking for full time work across North Essex and East Suffolk?
Meridian we are currently looking for full time, permanent **Senior Clinical Coders** to cover across various NHS sites. hours are monay to friday 9-5, 37.5 hours a wek. Pay rate is negotiable based on experience.
**JOB SUMMARY**
The post-holder is responsible for assigning correct clinical codes to diagnoses and Operative Procedures against nationally agreed standards, in order to produce reliable clinical information for commissioning, reimbursement (based on HRG assignment), audit,research and performance indicator production.
To work with clinicians on a regular basis to help validate their coding in order to produce more accurate coding to facilitate the Payment by Results process.
**SPECIFIC RESPONSIBILITIES**:

- To convert diagnoses and operative procedures assigned to patients by medical staff into a coded format using the International Statistical Classification of Diseases (ICD10) and the Office of Population, Censuses and Surveys Classification of SurgicalOperations and Procedures (OPCS4), in order to provide high quality coded clinical data relating to diagnoses, operative procedures and derived HRGs.
- To collect the necessary medical information via hospital personnel, information systems and case notes for coding to be completed within agreed time limits (currently within 3 days of patient discharge) and to identify and contribute to the solution ofproblems or situations that obstruct the timely coding of patient records.
- To abstract and analyse complex clinical records to determine appropriate clinical coding. This will involve using own knowledge and judgement to translate complex cases.
- To act as lead contact with designated specialities and communicate complex issues with medical and non medical on coding queries relating to diagnoses and operative procedures in order to ensure accuracy and consistency of information
- To attend clinical and management meetings to discuss complex coding rules and guidelines and answer questions with regard to coding, thus raising awareness of the importance of clinical coding.
- To attend Theatre sessions to discuss and agree procedure coding with Surgeons and to input the resulting coded information on to the relevant electronic system.
- To identify and implement new procedures to ensure that all clinical data is fully documented by clinicians and is captured during the clinical coding process.
- To develop, in conjunction with the senior team, coding standards, and maintain on-going monitoring and audit procedures to ensure that coding is
- timely, complete, accurate and of a consistent high quality to meet the needs of the Trust.
- To attend seminars and training courses in order to receive and interpret clinical coding updates and effectively communicate these to all necessary staff.
- To ensure compliance with relevant legislation and Trust policy in areas of Health and Safety, Confidentiality and Data Protection.
- To undertake any other duties as may be agreed.
For a full job description please request from.



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