Clinical Document Coder
Position: Clinical Document Coder
Type: Part-Time (20 - 30 hours per week)
Location: Burnley
Job Summary
Not-for-profit community interest company dedicated to providing high-quality services to our GP practice members and a portfolio of patient services. Our clinical services are led by experienced clinical leads working collaboratively with Federation managers.
Main Duties of the Job
* Extract and analyze clinical information from manual and computerized patient health records to assign appropriate clinical codes.
* Ensure accuracy in clinical coding, impacting revenue generation and funding for the Practice.
* Provide cover for coding staff absences as needed, ensuring continuity in data coding.
* Work independently on routine coding tasks once trained, seeking guidance from a supervisor when necessary.
* Communicate effectively with the coding team, doctors, nursing staff, and others regarding coding issues.
* Resolve coding queries by consulting with your line manager and other medical staff.
* Manage your workload to ensure accuracy and completeness in meeting targets, and communicate any challenges to your Line Manager.
* Assist with any ad hoc administrative duties as required.
Job Responsibilities
This job description serves as a guide for the duties expected of the post holder and may evolve as the department develops and resources change. Adaptability is essential.
Confidentiality & Information Governance:
* Maintain confidentiality regarding patient, service user, staff, and contractor information.
* Ensure compliance with the Data Protection Act 2018.
Health & Safety at Work:
* Take reasonable care of your health and safety and that of others.
* Report any incidents or accidents immediately using the ELA Incident reporting system.
Quality:
* Maintain high standards of quality within the practice.
* Reflect on personal and team performance and suggest improvements.
Communication:
* Communicate effectively with colleagues, patients, and others associated with the role.
* Be responsive to the needs for alternative communication methods.
Person Specification
Qualifications:
* Essential: Good general education or equivalent standard
* Desirable: Medical Terminology qualifications
Experience:
* Essential:
o Proficient IT skills
o Ability to accurately analyze and extract relevant information
o Strong attention to detail
o Ability to work under pressure and prioritize workload
o Effective oral and written communication skills
o Ability to work both independently and as part of a team
o Willingness to receive and absorb training
o Flexible approach to work
* Desirable:
o Knowledge of EMIS Web or System One
o Familiarity with clinical terminology and read code hierarchy
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