Senior Clinical Coder

The post holder will have achieved the national qualification of Accredited Clinical Coder and will continue to contribute towards their own working plan and training on specialty workshops and refresher courses. The post holder is expected to support the Clinical Coding Team to meet high standards of accuracy, timeliness, and completeness of the Trusts Clinical Coded data. They will support the senior coding team in the development of the service in accordance with local requirements whilst adhering strictly to national directives.
Analyse highly complex clinical terms from EPR and other clinical source systems using judgement where details may be complex or conflicting.
Provide consistently recorded data to well defined national standards. The Clinical Coding Department uses the ICD10 and OPCS classifications to record all diagnoses and procedures for inpatient and day case admissions.
Check data quality and record necessary amendments.
To liaise with various staff throughout the trust to facilitate timely, complete and accurate clinical source documentation for coding.
To have a proactive and positive approach in working with consultants and clinicians to ensure that information is sufficient for requirements in providing high quality coded data
Support the Senior Clinical Coding team to ensure continuous improvement in the quality of clinical data used for clinical governance, commissioning, and health needs analysis.
Provide complex specialist coding advice for financial and audit purposes
Manage own workload, without direct supervision, to ensure all relevant inpatient episodes are coded within the agreed deadlines to enable a complete financial assessment to be made.
Keep up to date with any changes to clinical coding standards and attend training.
Use Trusts clinical systems to maintain coding accuracy and facilitate completion of all coding within the timescales specified to meet the Trusts Contractual targets.
We employ more than 6,500 staff who deliver compassionate care from our two main hospitals, Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, health centres and in patients’ homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children’s and young people’s services; end of life care and outpatient and diagnostic imaging services.
We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.
We continue to modernise and invest in our health services to build on our strong reputation. Foundation trusts are public leaders in improving quality in health services. They are part of the NHS - yet decisions about what they do and how they do it are driven by independent boards. Boards listen to their Council of Governors and respond to the needs of their members - patients, staff and the local community.
Foundation trusts provide what the health service wants, yet are also free to invest quickly in the changes to the local community needs, in striving to be the best, and in putting their patients first.
Job responsibilities
To abstract and analyse highly complex clinical terms from the Electronic PR and other clinical source systems using judgement where details may be complex or conflicting and provide consistently coded data to well defined national standards using ICD10 and OPCS classifications to record all diagnoses and procedures for inpatient and day case admissions.
Support the Senior Clinical Coding Team to deliver the agreed clinical coding service to meet the needs of Calderdale and Huddersfield NHS Foundation Trust. Works with clinical and operational staff to ensure information provided in clinical systems is of a high quality and enabling continuous improvement in the quality of clinical data used for clinical governance, commissioning, and health needs analysis
See job description for further details
Person Specification
Qualifications/Training
Essential
Accredited Clinical Coder (ACC) Qualification (and attendance at Coding Refresher if ACC qualification more than 3 years ago)
Educated to degree level or equivalent experience in the specialist field of Clinical Coding
GCSE English, Maths and Science or equivalent A to C
AMSPA or equivalent in Medical Terminology
IT literate including use of internet for research
Commitment to continuing professional development
Willingness to complete the Clinical Coding Mandatory Standards Refresher Training Course and other Clinical Coding as required
Willingness to attend CHFT in-house training
Desirable
Working towards Clinical Coding Audit/Trainer qualification
Microsoft Office qualification or equivalent
Knowledge, Experience and Expertise
Essential
Experience of working in a Patient Services environment
Experience of Medica