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Senior Clinical Coder
2 months ago
We are seeking an experienced Clinical Coder to join our team at the Dartford and Gravesham NHS Trust. As a Clinical Coder, you will play a crucial role in ensuring the accuracy and completeness of clinical data for our patients.
Key Responsibilities- Abstract, analyze, and accurately code clinical information from patient records using ICD-10 and OPCS-4 Classifications.
- Produce consistent, accurate, complete, and timely coded clinical data for use by the Trust's Finance Department and other stakeholders.
- Engage and support the internal continuous audit process to ensure a high level of accuracy and compliance with National Standards and local policies.
- Assist in the daily supervision of trainee and less experienced clinical coding staff, providing mentorship and cultivating a supportive learning environment.
- Interpret histology and radiology reports to ensure accuracy of the coding process.
- Undertake the coding of extracted information, ensuring adherence to National Standards and local policies.
- Accurately enter clinical codes onto the Trust's information system, PAS/Medicode.
- Identify insufficient or incorrect clinical data in source documentation and raise queries for resolution with other relevant departments.
- Share and assist colleagues with personal coding experience, promoting a learning environment at the workplace.
- Organize daily workload efficiently to meet personal coding targets, including allocated Consultant backlog list, supporting the coding team in achieving high standards of coding completeness and accuracy at agreed timescales.
- Take responsibility for self-development on a continuous basis by studying for the Auditor and/or Trainer qualification, if required by the Trust.
- Participate in ongoing coding training and testing to meet National Standards and Trust requirements.
- Liaise with Clinicians and their support staff concerning interpretation of case note documentation affecting coding.
- Investigate and correct coded clinical data rejected or queried by recipient information systems.
- Communicate complex coding rules to clinical coding staff, medical, clinical, and administrative staff, and external agencies.
- Implement agreed local policy directives and assist in the development of local coding policies that impact on various service areas.
- Undertake/participate in complex audits.
- Work across all specialties.
Education and Training
- Accredited Clinical Coder qualification.
- Coding Standards Course.
- Recent Refresher workshop.
- Evidence of ongoing professional development.
Knowledge
- Knowledge of medical terminology, anatomical, and physiological terms acquired through work-based training.
- Good knowledge and use of information/informatics systems used within the NHS.
- Knowledge and participation in service development projects.
Experience
- Recent clinical coding experience in an Acute NHS Trust.
- Experience of working within the NHS.
- Excellent command of English for all personal, written, and electronic forms of communication.
- Proven ability to liaise with multidisciplinary teams at all levels of NHS Acute Trusts structure.
Desirable
- Use of Patient Centre PAS.
- Medicode.
