Clinical Coder
2 weeks ago
We are recruiting **Accredited Clinical Coder** for our NHS clinet in **Kent**.
**Job Purpose**:
As an Accredited Clinical Coder, you will be required to analyse and abstract complex clinical information from patient records across all specialties using a wide range of source documentation, and translate clinical terminology into a coded format in accordance with National Clinical Coding Standards and Trust guidelines. Accurately coded clinical data is essential in ensuring our Foundation Trust is accurately reimbursed, and to ensure health problems and procedures undertaken are accurately reflected for statistical purposes. This role is a very important one to our NHS Foundation Trust and requires a committed and dedicated ethic that is in line with the departmental and Trust’s vision and values.
**Key Responsibilities**:
1. To analyse and abstract complex diagnostic and procedural information from patient records across all clinical specialties.
2. To translate diagnostic and procedural information using ICD-10 and OPCS classifications and enter coding onto the Trust’s PAS via encoding software.
3. To routinely access all electronic clinical systems available to ensure all relevant details are recorded for each patient spell.
4. To maintain high levels of concentration for long periods to ensure all discharged patient spells are coded by SUS submission deadlines.
5. To assist in resolving coding queries as raised by members of the Clinical Coding team, sharing expertise and assisting in the interpretation of complex information ensuring national standards are met.
7. To regularly liaise with clinical staff from all specialties and discuss and understand complex diagnoses and procedures where it is necessary in order to assign accurate coding.
8. To regularly communicate data quality issues with clinical systems teams to instigate correction of errors and highlight to management teams in order to improve data quality.
9. To regularly communicate issues with uncoded discharges via internal reporting processes in the agreed format
10.To maintain the levels of coding accuracy as defined by Data Security Toolkit Standard 1 Data Quality and achieve the performance metrics as defined internally by the Clinical Coding department.
11.To ensure all objectives set at annual appraisals are achieved consistently.
12.To regularly check and act on internal KPI reports.
13.To be aware of, and adhere to, all current National Clinical Coding Standards. It is the personal responsibility of all Accredited Clinical Coders that all changes to coding standards are implemented correctly as per implementation dates, and that all personal resources are updated appropriately.
14.To be aware of, and adhere to, all local Clinical Coding policies. It is the personal responsibility of all Accredited Clinical Coders that all local Clinical Coding policies are implemented correctly as per implementation dates, and that all personal resources are updated appropriately.
15.To implement policies for own work area and propose policy or service changes which impact on the Trust.
16.Ensure all queries raised by other Trust staff are resolved promptly and effectively, or where appropriate are referred to the Clinical Coding management team.
17.Attend alone or accompany where necessary the Clinical Coding management team to discuss coding issues with clinical staff maintaining good links to improve and ensure good quality coded data.
18.To write and send complex coding queries to external classifications services where necessary in order to resolve problems arising from coding complex clinical scenarios.
19.To actively participate and ensure availability when scheduled as part of the internal Clinical Coding Audit Programme.
20.To provide mentoring or training to less experienced coders as and when required, including training/guidance on interpretation of coding standards and correct/efficient use of various clinical systems.
21.To be prepared to provide cover and flexibility to meet the needs of the office on any given day, including the Clinical Coding management team.
22.To ensure 100% personal compliance with all mandatory training modules.
23.To use Microsoft Outlook and Microsoft Teams on a daily basis to ensure all communications are dealt with promptly.
24.To ensure personal timesheets are accurate and regularly updated via Employee Online/eRostering.
25.Work with those you support to develop a collaborative working partnership which positively contributes to their overall efficiency and role performance. 26.Ensure that where patient records are stored within the coding offices they are done so in a safe manner and that all patient records are tracked according to Trust policy.
27.Demonstrate effective organisational and time management skills with the ability to work independently and as part of a team, be highly motivated and lead by example to motivate others.
28.Participate in internal and external training programmes, worksho
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