Detailed job description and main responsibilities
KEY JOB RESPONSIBILITIES
1. Abstract and analyse relevant clinical data from a variety of manual and computerised sources, including digitised casenotes, laboratory reports and discharge summaries. Access clinical data on wards and patient areas where necessary and work independently with minimal supervision.
2. Ensure that complex clinical data regarding diagnoses and surgical procedures on patient episodes is coded using national (OPCS-4) and international (ICD-10) classifications, adhering to all national standards and conventions.
3. Input coded clinical information into the Trust's patient information system in conjunction with a clinical encoder ensuring accuracy, completeness and timeliness at all times.
4. Validate admission and discharge details to maintain accuracy of data and identify missing and incorrect activity.
5. Liaise closely with the data quality team to ensure correct episode data on the patient hospital system.
6. Identify and register new cancers for inclusion in the national Cancer Register.
7. Work within deadlines while maintaining a high quality of accuracy and completeness of clinical coding.
8. Effectively manage assigned workload.
9. Continue professional education and undertake personal professional development to refresh clinical coding skills. Keep up to date on changes to code assignment, coding methodology and local policy amendments to ensure coding reflects the activity of the trust.
10. Consult with clinicians for clarification on new interventional procedures and clinical practice to ensure correct understanding for code assignment.
11. Provide coding advice to medical, clinical and administration staff to ensure consistency.
12. Set up work schedules to facilitate the flow of casenotes while creating good working relationships with staff in other departments.
13. Liaise with medical secretaries, ward personnel, departmental staff and patient records clerks to locate, retrieve and return casenotes.
14. Mentor less experienced coders and provide trainee coders with specialized knowledge across all specialties.
15. Participate in the ongoing development of the coding team by communicating specialist knowledge in the form of in-house presentations and training workshops.
16. Participate in in-house audits to promote the accuracy and consistency of clinical coding and the representation of activity and case-mix within the Trust.
17. Maintain confidentiality of all coded and other patient information.
Please refer to the job description and person specification attached to the advert for the full details of the vacancy.
Please ensure you have experience of coding in an acute secondary NHS provider.
Flexible (including part-time hours) and remote working will be supported.
Person specification
Training and Qualifications
Essential criteria
* NCCQ - Accredited Clinical Coder
* At least 5 GCSEs or equivalent educational qualifications
* Minimum of 1 year's experience as a Clinical Coder with documented evidence of formal training and competency achievement gained or formal refresher training
Experience
Essential criteria
* Experience in Clinical Coding working in an NHS hospital setting.
* Ability to code accurately and to national coding guidelines with little or no supervision
Other skills
Essential criteria
* Excellent communication and interpersonal skills
* Ability to use own judgement to interpret & summarise relevant clinical terminology
* Organisation/prioritisation of own day-to-day work requirements
* Ability to work remotely
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world-class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.
Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.
Salary: The quoted salary will be on a pro-rata basis for part-time workers.
Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.
At Risk of redundancy: NHS employees within the East Midlands who are 'at risk' of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.
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