Senior Clinical Coder

1 week ago

Dartford, Kent, United Kingdom Dartford and Gravesham NHS Trust Full time
About the Role

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.
Person Specification

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.

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