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Lead Clinical Coder
3 months ago
Job Overview
Are you a seasoned Clinical Coder with aspirations of achieving or already holding the National Clinical Coding Qualification?
Do you seek to advance your career in a nurturing and collaborative environment where teamwork is paramount and individual contributions are valued?
If this resonates with you, we at Dartford and Gravesham NHS Trust are eager to connect with you.
Our department is dedicated to providing coders with a robust training and development framework supported by strong leadership, comprehensive training programs, and continuous professional development for both coders and Associate Clinical Coders, enhancing existing competencies while acquiring new skills.
We promote a flexible approach to work arrangements to accommodate personal commitments and prioritize a healthy work/life balance. Our team operates on a hybrid model, incorporating both remote and occasional onsite work.
Key Responsibilities
The successful candidate will be tasked with extracting, analyzing, and accurately coding clinical data from patient records (both paper and electronic) across various specialties, utilizing ICD-10 and OPCS-4 classifications in alignment with National Standards and the Trust's Policies and Procedures. The role demands the production of consistent, precise, complete, and timely coded clinical data for use by the Trust's Finance Department and other stakeholders, all while adhering to increasingly stringent deadlines without compromising accuracy.
Our coding documentation comprises a blend of electronic and some paper records, with a strong emphasis on transitioning to a fully electronic patient record system.
Required Qualifications
- Possession of the National Clinical Coding Qualification (NCCQ) UK or actively pursuing it
- Experience with ICD-10 and OPCS-4 classifications (current version) in an acute healthcare setting
- Extensive understanding of medical terminology, anatomy, and physiology
- Proficiency in clinical coding across a diverse range of specialties
- A proactive, adaptable, and supportive approach to electronic workflows as the Trust advances its electronic patient record
- A strong commitment to teamwork
About Us
We are dedicated to fostering an inclusive and diverse workforce. Our goal is to employ individuals who reflect the communities we serve, cultivating an inclusive culture where everyone can achieve their full potential. Regardless of race, ethnicity, belief, generation, sexual orientation, gender identity, disability, or experience, we offer opportunities to work in an inclusive environment. We welcome applications from individuals of varied backgrounds, perspectives, and experiences to enhance our progress towards a diverse and exemplary workplace. We celebrate diverse thoughts, viewpoints, and ideas that enable us to tackle challenges and embrace new opportunities.
Commitment to Health and Safety
As an NHS Employee, you may interact with vulnerable service users. We strongly advocate for all staff to be vaccinated against COVID-19 and receive annual flu vaccinations to safeguard the health and safety of our workforce and patients. Your commitment is vital in prioritizing the safety and care of our patients, as well as protecting yourself and your colleagues.
Job Duties
- Ensure precise extraction of intricate clinical details related to diagnoses and procedures for each consultant episode from patient medical records
- Engage in and support the internal continuous audit process, achieving and maintaining a personal IG level 2 audit result
- Assist in supervising trainee and less experienced clinical coding staff, fostering a supportive learning atmosphere
- Interpret histology and radiology reports to guarantee the accuracy of the coding process
- Undertake the coding of extracted information, ensuring compliance with National Standards and local policies
- Accurately input clinical codes into the Trust's information system PAS/Medicode
- Identify insufficient or incorrect clinical data in source documentation and proactively raise queries for resolution with relevant departments
- Share personal coding experiences with colleagues and promote a learning environment within the workplace
- Organize daily workload efficiently to meet personal coding targets, including the allocated Consultant backlog list, supporting the coding team in achieving high standards of coding completeness and accuracy within agreed timelines
- Take responsibility for continuous self-development by pursuing the Auditor and/or Trainer qualification, if required by the Trust
- Participate in ongoing coding training and assessments to meet National Standards and Trust requirements, which may involve travel to other organizations outside core working hours
- Liaise with Clinicians and their support staff regarding the interpretation of case note documentation affecting coding
- Investigate and rectify coded clinical data rejected or queried by recipient information systems
- Communicate complex coding rules to clinical coding staff, medical, clinical, and administrative personnel, as well as external agencies
- Implement agreed local policy directives and assist in developing local coding policies impacting various service areas
- Undertake or participate in complex audits
- Work across all specialties
Education and Training Requirements
Essential Qualifications
- Accredited Clinical Coder qualification
- Coding Standards Course
- Recent Refresher workshop
- Evidence of ongoing professional development
Knowledge Requirements
Essential Knowledge
- Understanding of medical terminology, anatomical and physiological terms acquired through work-based training
- Proficient knowledge and use of information/informatics systems utilized within the NHS
- Knowledge and involvement in service development projects
Experience Requirements
Essential Experience
- Recent clinical coding experience in an Acute NHS Trust
- Experience working within the NHS
- Excellent command of English for all forms of personal, written, and electronic communication
- Proven ability to collaborate with multidisciplinary teams at all levels within NHS Acute Trusts
Desirable Experience
- Familiarity with Patient Centre PAS
- Experience with Medicode
