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Clinical Coding Specialist
2 months ago
Health Jobs UK is seeking a highly skilled Clinical Coding Specialist to join our team. As a key member of our coding team, you will be responsible for ensuring the accuracy and quality of clinical coding data.
Key Responsibilities- Operate Independently: Refer complex cases to the Clinical Coding Assistant Manager for advice and guidance.
- Provide Expertise: Act as a coding expert and provide advice to junior team members on coding queries, ensuring adherence to national clinical guidelines.
- Conduct Audits: Undertake staff audits and ad hoc specialty audits to ensure compliance with coding standards.
- Assign Codes: Assign codes from the International Classification of Diseases (ICD10) and the Office of Populations and Censuses and Surveys (OPCS4) to ensure accurate coding.
- Prepare Reports: Participate in preparing audit reports for staff audits undertaken and present findings to the team.
- Present to Stakeholders: Participate in Departmental meetings and present the results of relevant reviews to stakeholders.
- Coordinate Engagement: Coordinate engagement between Coders, Clinicians, and Divisional Managers to ensure effective communication and collaboration.
- Plan Workload: Responsible for planning own workload to ensure that the objectives of the whole team are achieved.
- Maintain Professional Standards: Maintain a professional standard of behaviour with all Trust staff.
- Stay Up-to-Date: Take responsibility for keeping up to date with current issues and developments within the coding department.
- Improve Data Quality: Work with the Divisional Managers, Associate Managers, and Clinicians to improve and sustain accurate clinical data recording to support clinical coding to National Standards.
- Raise Issues: Raise clinical coding issues with the Coding Manager and undertake clinical coding reviews as required and agreed.
- Identify Key Areas: Identify key areas impacting on HRG assignment and tariff making recommendations to the Clinical Coding Assistant Manager accordingly.
- Work with Audit and Training Team: Work with the Audit and training team to identify key areas for clinical coding review.
- Validate Complex Data: Validate complex clinical data and procedures with Clinicians in order to assure depth of coding for accurate payment.
- Analyse Audit Reports: Analyse external audit reports and recommend to the Coding Manager and Divisions any corrective measures that need to be put in place to improve data quality and clinical coding outcomes.
- Support Auditors and Clinical Coding Assistant Manager: Support the Auditors & Clinical Coding Assistant Manager in obtaining clarification on new interventional procedures and clinical practice within the divisional specialties to ensure correct understanding for code assignment and support cascading this information.
- Liaise with Clinicians: Liaise with clinicians and their support staff concerning interpretation of case notes documentation affecting coding.
- Prioritise Workload: Prioritise Junior Clinical Coders workload and reallocate work to cover sickness or leave at short notice.
Health Jobs UK requires the following qualifications and skills for this role:
Qualifications- GCSEs (A-C) or equivalent
- Accredited Clinical Coding Qualification (NCCQ)
- Clinical Coding Audit Qualification
- Extensive specialist clinical coding experience across all specialties
- Experience of working with the HRG Grouper
- Planning, organising workload to meet deadlines
- Experience of undertaking presentations relating to clinical coding
- Experience of mentoring junior members of the coding team
- Transferring coding skills and knowledge to others
- Experience of working with clinicians and or/senior staff
- Knowledge of Information governance, data protection legislation, Caldicott and other relevant guidance.
- Firm grounding in medical terminology and anatomy and physiology
- Ability to work on own initiative and as part of a team
- Good understanding of Payment by Results framework
- Excellent knowledge and understanding of clinical coding rules and conventions.
- Excellent concentration skills, with attention to detail
- Flexible approach to work
- Knowledge of Snomed CT
- Ability to travel to various hospital locations by own car/assisted driver
