Senior Clinical Coder
3 months ago
Job summary
Are you an experienced Clinical Coder either working towards or having achieved the National Clinical Coding Qualification?
Following investment in the team, we are seeking experienced Clinical Coders to join our growing department. Do you have a strong desire to develop your career within a supportive and friendly environment with a team working toward team excellence and where each individual's efforts are recognised?
If so then we at The Dartford and Gravesham Clinical Coding Service would love to hear from you
As a department we can offer coders a comprehensive training and development structure through strong leadership, training and audit programme, and cpd for coders and ACC coders, developing existing skills and learning new ones. A Recruitment and Retention Premium is offered to Accredited Clinical Coders.
The department offers a flexible approach to varied working patterns to suit individual personal commitments and believes fully in a healthy work/life balance. We have a hybrid working pattern with remote and some onsite working expected.
We are located in an easily accessible location that is well served by road and rail links from Kent and London.
Previous applicants need not apply
Main duties of the job
The post holder will be required to abstract, analyse and accurately code clinical information from patient records (paper and electronic) across all specialities using ICD-10 and OPCS-4 Classifications in accordance with National Standards and the Trust's Policy and Procedures guidelines. The role requires the successful candidate to produce consistent, accurate, complete and timely coded clinical data, for use by the Trust's Finance Department among others and to meet increasingly demanding deadlines whilst maintaining accurate coding at all times.
Our source documentation for coding is a mix of electronic and some paper documents, with an emphasis on moving towards a fully electronic patient record.
Applicants are required to:
Possess the National Clinical Coding Qualification (NCCQ) UK or be working towards it Have experience of using ICD-10 and OPCS-4 classifications (current version) in an acute hospital setting Have extensive knowledge of medical terminology, anatomy and physiologyBe experienced in clinical coding for a wide range of specialties Be proactive, flexible and supportive towards an electronic way of working as the Trust develops its electronic patient record Have a strong team working ethos
About us
We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. We have signed the Armed Forces Covenant Pledge and have a commitment to the Armed Forces Community.
If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. We strongly encourage that all our staff are vaccinated against COVID-19 and are vaccinated annually against Flu, in order to protect the health and safety of our staff and patients. Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues.
Job description
Job responsibilities
To ensure accurate extraction of complex clinical details relating to diagnoses and operative procedures for each consultant episode from patient medical records
To engage and support the internal continuous audit process ensuring that a personal IG level 2 audit result is achieved and maintain
To assist in the daily supervision of trainee and less experienced clinical coding staff providing mentorship and cultivating a supportive learning environment
To interpret histology and radiology reports to ensure accuracy of the coding process
To undertake the coding of extracted information ensuring adherence to National Standards and local policies
To accurately enter the clinical codes onto the Trust information system PAS/Medicode
To identify insufficient/incorrect clinical data in source documentation and using own initiative to raise the query for resolution with other relevant departments
To share and assist other colleagues with personal coding experience and promote a learning environment at workplace
To organise daily workload efficiently so that personal coding targets are met, including allocated Consultant backlog list, supporting the coding team in achieving high standards of coding completeness and accuracy at agreed timescales
To take responsibility for self-development on a continuous basis by studying for the Auditor and/or Trainer qualification, if required by the Trust.
To participate in ongoing coding training and testing to meet National Standards and Trust requirements. This may require travelling to other organisations outside core working hours
To liaise with Clinicians and their support staff concerning interpretation of case note documentation affecting coding
To investigate and correct coded clinical data rejected or queried by recipient information systems
To 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 which impact on the various service areas
Undertake/Participate in complex audits
To work across all specialities
Person Specification
Education and Training
Essential
Accredited Clinical Coder qualification Coding Standards Course Recent Refresher workshop Evidence of ongoing professional development
Knowledge
Essential
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
Essential
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 communications 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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