Clinical Coders

Cardiff and Vale University Health Board; Dartford; Hybrid; GBP 28,000 - 36,000; Full time

Benefits offered by this job

Recruitment and Retention Premium

Hybrid working pattern

Job summary

Cardiff and Vale University Health Board is seeking an experienced Clinical Coder to abstract, analyse and code clinical information from patient records across specialties using ICD-10 and OPCS-4.

You will produce accurate, timely coded data for the Trust and its Finance Department, support trainee coders, and participate in audits as the team moves towards fully electronic records.

Qualifications

• Possess or be working toward NCCQ UK qualification.
• Experience with ICD-10 and OPCS-4 in an acute hospital setting.
• Strong knowledge of medical terminology and anatomy/physiology.
• Experience coding a wide range of specialties.
• Proactive and flexible with electronic working as the Trust digitalises records.
• Team-oriented with supervisory/leadership experience.

Responsibilities

• Abstract, analyse and code clinical information using ICD-10 and OPCS-4 from records.
• Produce accurate, complete and timely coded data for finance and reporting.
• Supervise trainee coders and provide mentorship.
• Interpret histology and radiology reports to ensure coding accuracy.
• Enter codes into PAS/Medicode and raise data queries when data is insufficient.
• Organise daily workload to meet personal and department targets; support backlog reduction.
• Engage in audits and contribute to local coding policy development.

Skills

Team leadership

Medical terminology

NHS informatics

Electronic health records

Coding rules & conventions

Communication with clinicians

Education

National Clinical Coding Qualification (NCCQ)

Accredited Clinical Coder qualification

Coding Standards Course

Recent Refresher workshop

Ongoing professional development

Tools

Patient Centre PAS

Telepath

Job description

The post holder will be required to abstract, analyse and accurately code clinical information from patient records (paper and electronic) across all specialities using ICD-10 and OPCS-4 Classifications in accordance with National Standards and the Trust's Policy and Procedures guidelines. The role requires the successful candidate to produce consistent, accurate, complete and timely coded clinical data, for use by the Trust's Finance Department among others and to meet increasingly demanding deadlines whilst maintaining accurate coding at all times. Our source documentation for coding is a mix of electronic and some paper documents, with an emphasis on moving towards a fully electronic patient record., To ensure accurate extraction of complex clinical details relating to diagnoses and operative procedures for each consultant episode from patient medical records To engage and support the internal continuous audit process ensuring that a personal IG level 2 audit result is achieved and maintain To assist in the daily supervision of trainee and less experienced clinical coding staff providing mentorship and cultivating a supportive learning environment To interpret histology and radiology reports to ensure accuracy of the coding process To undertake the coding of extracted information ensuring adherence to National Standards and local policies To accurately enter the clinical codes onto the Trust information system PAS/Medicode To identify insufficient/incorrect clinical data in source documentation and using own initiative to raise the query for resolution with other relevant departments To share and assist other colleagues with personal coding experience and promote a learning environment at workplace To organise daily workload efficiently so that personal coding targets are met, including allocated Consultant backlog list, supporting the coding team in achieving high standards of coding completeness and accuracy at agreed timescales To take responsibility for self-development on a continuous basis by studying for the Auditor and/or Trainer qualification, if required by the Trust. To participate in ongoing coding training and testing to meet National Standards and Trust requirements. This may require travelling to other organisations outside core working hours To liaise with Clinicians and their support staff concerning interpretation of case note documentation affecting coding To investigate and correct coded clinical data rejected or queried by recipient information systems To communicate complex coding rules to clinical coding staff, medical, clinical and administrative staff and external agencies. Implement agreed local policy directives and assist in the development of local coding policies which impact on the various service areas Undertake/Participate in complex audits

This role is not eligible for visa sponsorship. Applicants must already hold the right to work in the UK independently, with a visa or immigration status that allows them to fulfil the full duration and type of contract offered. The Trust is unable to provide visa sponsorship for this position. Are you an experienced Clinical Coder either working towards or having achieved the National Clinical Coding Qualification? Following investment in the team, we are seeking experienced Clinical Coders to join our growing department. Do you have a strong desire to develop your career within a supportive and friendly environment with a team working toward team excellence and where each individual's efforts are recognised?, Possess the National Clinical Coding Qualification (NCCQ) UK or be working towards it Have experience of using ICD-10 and OPCS-4 classifications (current version) in an acute hospital setting Have extensive knowledge of medical terminology, anatomy and physiologyBe experienced in clinical coding for a wide range of specialties Be proactive, flexible and supportive towards an electronic way of working as the Trust develops its electronic patient record Have a strong team working ethos,

• Accredited Clinical Coder qualification
• Coding Standards Course
• Recent Refresher workshop
• Evidence of ongoing professional development, Knowledge of medical terminology, anatomical and physiological terms: acquired through work-based training.
• Good knowledge and use of information / informatics systems used within the NHS.
• oKnowledge of computer use, coding procedures & conventions, Use of Patient Centre PAS
• Use of supportive systems such as Telepath

• Supervisory/leading team experience We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. We have signed the Armed Forces Covenant Pledge and have a commitment to the Armed Forces Community. As a department we can offer coders a comprehensive training and development structure through strong leadership, training and audit programme, and cpd for coders and ACC coders, developing existing skills and learning new ones.

• A Recruitment and Retention Premium is offered to Accredited Clinical Coders. The department offers a flexible approach to varied working patterns to suit individual personal commitments and believes fully in a healthy work/life balance. We have a hybrid working pattern with remote and some onsite working expected.