Clinical Coding Specialist Divisional Lead

3 days ago

Harlow, United Kingdom The Princess Alexandra Hospital NHS Trust Full time

We are looking for a motivated and enthusiastic Accredited Clinical Coder to join our Team.

To provide an efficient and high quality clinical coding service to support the business needs of the Trust, including Clinical Governance, Information Governance and finance by ensuring accurate translation and input of medical terminology.

To act as an expert specialist Clinical Coder, guided by occupational policies, assisting coders with complex coding queries, providing expert advice to other departments on coding issues.

You will be responsible for ensuring that coding deadlines are met, and working with senior staff within the department for ensuring that staff are adhering to national and local coding standards, polices and guidelines.

Ensuring that the mandatory and coding training of staff within the team is up to date, and that performance is at the expected level linking into the annual appraisal process.

Plan service provision within your clinical areas to ensure that the service provided is of the highest standard and that all deadlines are met.

To analyse and extract diagnostic and procedural information from patient case notes and information systems and assign the appropriate code, in accordance with local and national coding practices in an accurate and timely fashion

Role to include Day to day supervision of Clinical Coding team, monitoring performance and ensuring targets are met within the specified timescale.

Supporting the Assistant Coding Manager in all aspects to ensure smooth running of the department.

Mentoring junior coders for accuracy and consistency of Coding. To be Aware of Data Protection Act; maintain Patient Confidentiality at all times, and it relation to clinical coding

To Extract, analyse, and translate complex clinical information from patient cases notes allocating accurate diagnosis & operational procedure codes. Code finished consultant episodes on all sites of the Trust.

To Communicate complex coding rules. Liaise with Clinicians/Information/Finance and other departments/agencies.

Work with Divisions, to promote Clinical Coding and the level of clinical information that is required to support the high quality of coding.

Support in the Resolution coding queries from across the Trust

The Princess Alexandra Hospital NHS Trust (PAHT) provides a full range of general acute, outpatient and diagnostic services at The Princess Alexandra Hospital in Harlow, the Herts and Essex Hospital in Bishop’s Stortford, and St Margaret’s Hospital in Epping.

We employ 3,500 staff and serve a local population of around 350,000 people living in west Essex and east Hertfordshire, centred on the M11 corridor and the towns of Harlow, Bishop’s Stortford and Epping. Our extended catchment area incorporates a population of up to 500,000 and includes the areas of Hoddesdon, Cheshunt and Broxbourne in Hertfordshire.

Our Values

The Princess Alexandra Promise to our patients as identified by our 3 values which will contribute to improving our patient experiences:
Patient at heart
- Always holding the patient and their wellbeing at the centre of our thoughts and efforts

Everyday excellence
- Sharing and celebrating our successes, being honest when we get it wrong, giving us the ability to learn from both

Creative collaboration
- Knowing strength comes from diversity, we combine our experiences, skills and talents, working together to find new and better ways to care

The Trust believes in investing in all our staff and rewarding high standards of care whilst building for excellence and in return we expect our staff to uphold the Trust values to the highest level.

To identify Uncoded activity be reviewing the daily discharges list / Uncoded lists

To visit ward and non-clinical areas to extract the necessary clinical details from case notes to inform the clinical coding process.

Using other source documentation and systems to identify, analyse, extract and interpret complex information relating to the patients stay

Using coding tools (Coding Manual, ICD and OPCS classification books, coding clinics and Classification Service resolutions) identify the codes to be applied to each Finished Consultant Episode

At all times adhering to national standards and local coding policies exercise judgement and initiative in selecting the appropriate clinical codes to ensure that the coding accurately reflects the individual patient episode.

To access a variety of information systems, e.g. pathology, radiology, and other clinical systems in use in the Trust, to obtain other information to inform the coding process and to ensure the completeness and accuracy of coding by checking results.

To use own discretion and judgement to analyse often complex information available using coding rules and conventions to translate this information into the appropriate codes as set out by national guidance (OPCS 4 Office ICD-10) or any classification that may be implemented in the future.

To enter coded clini

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