To review medical information from patient records and other electronic systems and to clinically code in accordance within the A&E environment.
A good knowledge consisting of human anatomy and physiology, medical diagnosis, and how patients are treated is required.
To undertake continued learning around all surgical and medical specialties.
The ability to use multiple electronic systems to gather and change clinical data is required.
Inputting of coded data onto the Patient Administration System (PAS) or HIS (Hospital Administration System) for A&E episodes is required.
Demonstrates knowledge of medical terminology.
Ensuring that coding is carried out in an accurate, timely, and complete manner to meet the Trust's 10-day deadline for statutory information requirements and financial flows.
To meet the throughput and deadlines allocated by the coding managers, operating mainly on own initiative but referring more complex analysis to more experienced coding staff or managers.
Assign codes from the International Classification of Diseases (ICD10), Office of Population Censuses and Surveys (OPCS4), and SNOMED applying National and International rules to agreed standards.
Inputting of coded data onto the Patient Administration System (PAS) for all Inpatient, Day Case, and Waiting List episodes.
To use a basic level of knowledge in medical terminology and anatomy & physiology when making judgments in translating information where clinical description does not map to an exact code, applying UK clinical coding classification conventions.
To use judgment based on knowledge acquired through National Standards and work-based training to translate cases where the information provided is not readily easy to code and to seek help from senior members of staff and liaise with clinical leads for these types of coding queries.
Working on own initiative within standard departmental procedures and managing day-to-day workloads, referring more complex issues to more senior colleagues.
Ensuring that coding is carried out in an accurate, timely, and complete manner to meet the Trust's 10-day deadline for statutory information requirements and financial flows.
To meet the throughput and deadlines allocated by the coding managers, operating mainly on own initiative but referring more complex analysis to more experienced coding staff or managers.
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