B5 Senior Clinical Coder

Epsom and St Helier University Hospitals NHS Trust; Carshalton; On-site; GBP 30,000 - 40,000; Full time

Job summary

A leading healthcare provider is seeking a Clinical Coder to join their team. The role involves translating patient information into codes for billing and planning. Candidates should have substantial clinical coding expertise and a degree or equivalent qualification. The position requires attention to detail, the ability to work under pressure, and effective communication skills.

Qualifications

• At least 2 years experience of coding in a hospital setting.
• Knowledge of medical terminology, anatomy, and physiology.

Responsibilities

• Abstract and analyze complex clinical information from patient records.
• Translate data into ICD-10 and OPCS-4 codes.
• Enter coded information into the Patient Administration System.

Skills

Attention to Detail

Communication

Education

Degree or equivalent qualification

Tools

MS Office

Job description

Job summary

About Us:

The Clinical Coding Department at Epsom and St Helier University Hospitals is a vital part of our healthcare system. We are responsible for accurately translating patient information into codes that are used for billing, research, and planning purposes. Our work directly impacts the Trust's ability to recover income and plan services effectively.

Our Team:

Our team is comprised of skilled and dedicated professionals who are committed to delivering high-quality work within demanding time frames. We work closely with clinicians, medical secretaries, and other staff to ensure that all relevant information is captured and coded accurately.

Main duties of the job

Overview of responsibilities:
To abstract and analyse complex clinical information from patient records and translate this into a coded format in line with National Standards.To have a high level of knowledge of Medical Terminology and Anatomy and Physiology.

To enter the final encoded data onto the appropriate computer systems to meet essential Trust requirements for statutory information and financial flows.

The post holder will work as part of a team of experienced trained and trainee staff and the job will involve rotation between duties working on all specialties across all the five teams.

Deal with enquiries from all parts of the hospital.

Locate source documents; read histology, cytology, and radiology reports and analyse complex medical information from the EPR.

Ensure that patient records are processed in the correct manner and tracked to appropriate destinations using the computer tracking system.

Act as mentor and assist in the education of less experienced coders.

To be aware of wider information and patient administration service systems.

About us

St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Job description

Job responsibilities

Abstract pertinent information from patient case notes and other relevant sources, detailing primary diagnoses, co-morbidities, operations, investigations, and treatments for each care period provided to patients. Utilize knowledge and experience to translate this data into ICD-10 and OPCS-4 codes, ensuring accuracy and adherence to coding conventions. Enter the coded information promptly and accurately into the hospital's Patient Administration System, following established guidelines for International Classification of Diseases and OPCS procedure books.

Job description
Job responsibilities

Abstract pertinent information from patient case notes and other relevant sources, detailing primary diagnoses, co-morbidities, operations, investigations, and treatments for each care period provided to patients. Utilize knowledge and experience to translate this data into ICD-10 and OPCS-4 codes, ensuring accuracy and adherence to coding conventions. Enter the coded information promptly and accurately into the hospital's Patient Administration System, following established guidelines for International Classification of Diseases and OPCS procedure books.

Person Specification

Qualifications

Essential

• At least 2 years experience of coding in a hospital setting and actively working towards achieving ACC certification.
• Degree or equivalent qualification.

Desirable

• ECDL

Experience

Essential

• Substantial Clinical Coding expertise across multiple specialties and levels of complexity, to be proven either by an acceptable portfolio of evidence or sitting an internal examination
• Knowledge of medical terminology, anatomy, and physiology and other aspects of clinical coding practice (independent research, self-teaching etc)
• Good experience of MS Office suite, including ability to use Excel spreadsheets.

Desirable

• Worked with Cerner/PowerChart and Medicode

Knowledge

Essential

• Ability to analyse and abstract complex medical records.
• Keen attention to detail with a diligent approach to work.
• Ability to work independently as well as demonstrable teamwork.
• Ability to organise and prioritise personal workload.
• Ability to focus and meet personal coding targets.
• Ability to work under pressure and meet deadlines and coding accuracy standards.
• Ability to communicate with staff at all levels.

Person Specification
Qualifications

Essential

• At least 2 years experience of coding in a hospital setting and actively working towards achieving ACC certification.
• Degree or equivalent qualification.

Desirable

• ECDL

Experience

Essential

• Substantial Clinical Coding expertise across multiple specialties and levels of complexity, to be proven either by an acceptable portfolio of evidence or sitting an internal examination
• Knowledge of medical terminology, anatomy, and physiology and other aspects of clinical coding practice (independent research, self-teaching etc)
• Good experience of MS Office suite, including ability to use Excel spreadsheets.

Desirable

• Worked with Cerner/PowerChart and Medicode

Knowledge

Essential

• Ability to analyse and abstract complex medical records.
• Keen attention to detail with a diligent approach to work.
• Ability to work independently as well as demonstrable teamwork.
• Ability to organise and prioritise personal workload.
• Ability to focus and meet personal coding targets.
• Ability to work under pressure and meet deadlines and coding accuracy standards.
• Ability to communicate with staff at all levels.

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.

Employer details

Employer name

Epsom and St Helier University Hospitals NHS Trust
Address

Cross-site

Either Epsom or St Helier hospital

Either Epsom or Carshalton

SM5 1AA

Employer's website