The West Suffolk NHS Foundation Trust is seeking to recruit accomplished Accredited Clinical Coders to join their Clinical Coding team.
The Trust is looking for committed and experienced Clinical Coders with excellent communication skills and expertise in the role as an Accredited Clinical Coder.
The department offers comprehensive training for all coders, helping to develop existing skills and learn new ones.
The department has an established internal Clinical Coding Audit Program.
R&R is established dependent on increment level.
Hybrid working can be discussed at interview.
Main duties of the job
The post holder will have responsibility for the coding of all specialty-based patient admissions by abstracting clinical data from electronic patient records and translating it into diagnostic (ICD10) and procedure (OPCS4) coding classifications.
Applicants will be eager to work with good organisational skills, be able to work well under pressure, and prioritize their own workload.
A first-class knowledge of medical terminology and anatomy and physiology is essential, along with the ability to demonstrate competence in the use of ICD10 and OPCS4 classifications. The application of clinical coding standards across specialties is a prerequisite. Coders should have completed the National Clinical Coding Refresher Course within the past two years.
Job responsibilities
Job summary
* To accurately extract relevant clinical information from the Patient Health Care Record and assign appropriate codes following established National Coding Guidelines.
* To interface with clinicians, healthcare workers, and other relevant personnel to ensure coding accuracy and integrity are maintained at the highest level.
* To mentor and support all junior staff.
Communication and Team Working
* To seek guidance from Trust clinicians to address coding issues and discrepancies related to their specific specialties.
* Assign correlation of data from electronic patient records to 3M Medicode software for data, service improvement, and HRG gathering.
* To promote among clinicians, healthcare workers, and any other associated outside agency awareness of the Clinical Coding role and its uses within the trust to raise the stature of Clinical Coding as the essence of professionalism.
* Facilitate improved communication within the department and between other departments, clinicians, managers, ward staff, and other personnel.
* To interface with other Trusts, offices, and personnel in seeking ways, means, and ideas to improve the coding office processes.
Planning and Organising
* To assist the Team Manager in maintaining departmental performance regarding quality and quantity by upholding agreed standards.
* To assist the Team Manager in work allocation, supervision, and planning tasks to all members of staff.
* Monitor own performance against previously agreed objectives.
* To support the team in ensuring monthly targets are met.
* Organise own day-to-day work tasks, completing priority coding foremost.
* Operate own workload day-to-day.
Managing People and Resources
* To take personal responsibility to ensure the correct usage of all resources provided to perform assigned tasks.
* Assist the Team Manager in monitoring the performance of junior members of staff.
* To identify and participate in any cost improvement measures as required.
Training and Teaching
* To seek and attend in-house training, workshops, formal training, open discussions, and briefing from various expert sources to maintain coding proficiency.
* To seek knowledge and experience levels required to maintain national Accredited Clinical Coder (ACC) status.
* To be responsible for attaining and maintaining proficiency levels necessary to sustain coding data accuracy and integrity.
* Mentor junior members of staff in specialty coding.
* Assist the Team Manager in the training and development of junior members of staff as required.
* To maintain IT knowledge and 3M knowledge.
* To maintain medical terminology and coding conventions and to increase skill in long-term development.
Policy, Service, Research Development
* Participate in audit and monitoring of standards.
* To participate in the development of an evidenced-based and patient-focused service.
* To be responsible for increasing their own professional research knowledge by promoting a questioning and analytical approach to coding.
* Adhere to local coding office Policies and Procedures, conforming to National Standards as established by the Clinical Coding Team Manager.
* Ensure correct procedures are adhered to relating to telephone calls into the department and take appropriate action as necessary.
* To work within an overall framework of Clinical Governance.
* To support the Team Manager in the implementation of Trust Policies such as Risk Assessment and Incident Reporting management.
* Comply with patient confidentiality and GDPR at all times.
* Implement agreed Local Policies and Clinical Coding Guidelines, updating training materials when changes require.
Administration
* To attend discussions, meetings, and functions that have a direct bearing on the clinical coding process, as required, ensuring coding processes are not compromised.
* Develop knowledge of the correct procedures and use of the Individual Performance Review (IPR) system.
* To uphold the highest levels of efficiency relating to the correct usage of the eCare, 3M Medicode, ICE, Evolve, and any other data storage systems required to maintain standards.
* Frequent prolonged effort for workload on a computer.
* Frequent indirect exposure to emotional circumstances.
* Constant requirement for prolonged concentration and sitting for long periods at workstation.
Health, Safety and Security
* Use and encourage others to be familiar with the personal security systems within the workplace, according to practice guidelines.
* To initiate the emergency alarm when required if assistance is needed for staff and patient safety.
* Identify the risks involved in work activities and undertake them in a way that minimizes risks.
* Work in line with Health and Safety policies and procedures within the workplace.
* Use the trust incident reporting system to report any issues that may affect the working environment.
Personal Development/Clinical & Professional
* To at all times strive to use correctly the following guidelines: International Statistical Classification of Diseases and Related Health Problems (ICD-10) and Office of Population Censuses and Surveys (OPCS-4) within the Trust.
* Maintain National Standards established by the NHS Digital National Clinical Coding Standard Reference books.
* To support the Trust in complying with National Standards, for example, CNST, Controls Assurance, and National Clinical Coding Standards.
* Judgement for all complex training factors in presentation and feedback scenarios.
* To process and codify patients' medical records and any other relevant documentation.
Person Specification
Education & Qualification
* Accredited Clinical Coder (ACC).
* Good general education (Degree level or equivalent).
* Certificate in Medical Terminology.
* Clinical Coding Standards Course.
Experience & Knowledge
* Minimum 2 years NHS experience.
* Refresher course in the past 3 years.
* Experience in Team environment.
* Clerical experience.
* Awareness of patient confidentiality and GDPR.
* Working knowledge of an electronic patient record system.
* Working knowledge of Medicode encoder/other encoder.
* Wide specialty coding.
* Working with the public.
Skills & Abilities
* Good interpersonal and communication skills.
* Ability to work calmly in a busy environment.
* Evidence of supporting junior staff.
* Polite and efficient manner.
* Ability to analyze.
* Able to maintain levels of high concentration.
Personal Qualities
* Supportive of others and is a team player.
* Motivated.
* Flexible approach to working hours/duties.
* Has an eye for attention to detail.
* Analytical.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and as such, it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
West Suffolk Hospital NHS Foundation Trust
£29,970 to £36,483 a year. All hours of work per week considered.
Contract
Permanent
Working pattern
Reference number
179-6766062-C-A
Job locations
West Suffolk Hospital NHS Foundation Trust
#J-18808-Ljbffr