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Auditor Accounts Specialist
2 months ago
We are seeking a highly skilled Clinical Coding Auditor to join our audit and training team on a full-time permanent basis. This is a hybrid role consisting of working from home and working on site.
Suitable candidates will hold the Approved Clinical Coding Auditor Qualification and will have a hardworking and flexible attitude towards professional tasks at hand.
Main Responsibilities- Undertake audits of clinically coded data in line with the NHS Digital's audit methodology and code of conduct.
- Support the Clinical Coding Manager.
- Operate on own initiative referring more complex cases to the Clinical Coding Assistant Manager for advice.
- Act in the capacity of coding expert and provide advice to junior team members on coding queries ensuring adherence to national clinical guidelines.
- Undertake staff audits and ad hoc specialty audits.
- Assign codes from the International Classification of Diseases (ICD10) and the Office of Populations and Censuses and Surveys (OPCS4).
- Participate in preparing audit reports for staff audits undertaken.
- Participate in Departmental meetings and present the results of relevant reviews.
- Demonstrate good presentation skills to colleagues, the multi-disciplinary team and Clinicians.
- Coordinate engagement between Coders, Clinicians and Divisional Managers.
- Responsible for planning own workload to ensure that the objectives of the whole team are achieved.
- Maintain a professional standard of behaviour with all Trust staff.
- Take responsibility for keeping up to date with current issues and developments within the coding department.
- 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 clinical coding issues with the Coding Manager.
- Undertake clinical coding reviews as required and agreed.
- Identify key areas impacting on HRG assignment and tariff making recommendations to the Clinical Coding Assistant Manager accordingly.
- Work with the Audit and training team to identify key areas for clinical coding review.
- Plan meetings with Senior Clinicians as and when necessary to undertake review of clinical information where queries have been raised.
- To validate complex clinical data and procedures with Clinicians in order to assure depth of coding for accurate payment.
- 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 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.
- To liaise with clinicians and their support staff concerning interpretation of case notes documentation affecting coding.
- To prioritise Junior Clinical Coders workload and reallocate work to cover sickness or leave at short notice.
- 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.
- Effective inter-personal skills.
- Possess motivation and persuasion skills.
- 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.
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
