Clinical Coding Audit Manager

University Hospitals of Leicester NHS Trust; Leicester Forest East; On-site; GBP 42,000 - 62,000; Full time

Job summary

University Hospitals of Leicester NHS Trust is seeking an experienced Clinical Coder to lead departmental audit and data validation programmes, delivering complex data analyses and clear feedback to colleagues.

The role requires NCCQ accreditation, NHS classifications expertise (ICD10/OPCS4) and the ability to influence coding practice with potential financial impact, while collaborating with the Coding leadership team to drive service improvements.

Qualifications

• NCCQ accredited coder with NHS Classifications Service audit course completion and audit report writing experience.
• Specialist knowledge of Anatomy & Physiology, Medical Terminology and ICD10 & OPCS4 classifications.
• 1st Degree level in a Healthcare related subject; management qualification or equivalent at postgraduate level.

Responsibilities

• Lead audit and data validation programmes with complex data analysis and provide clear feedback to colleagues.
• Provide expert insight on coding practice changes with potential financial impact.
• Challenge existing practices and ensure progressive, best-practice models are incorporated into service plans.
• Collaborate with Clinical Coding leadership to support efficient department functioning.

Skills

NCCQ Accredited Coder

Anatomy & Physiology

Medical Terminology

ICD10 & OPCS4 classifications

Audit report writing

Advanced IT skills

Education

1st Degree in Healthcare related subject

Management qualification or postgraduate equivalent

Tools

Encoder

Job description

Detailed job description and main responsibilities

• Lead the organisation and delivery of departmental audit and data validation programmes by carrying out clinical coding audits and data validation reports, requiring complex data analysis, providing clear feedback on findings to relevant colleagues.
• Provide expert insight and take a lead, working with the Clinical Coding Manager and Senior Clinical Coding Improvement Lead with regards to potentially large financial impacts of any decisions made in relation to changes in coding practice either nationally or locally.
• Challenge existing practices, ensuring that progressive solutions, which consider models of best practice, are incorporated into service plans.
• As a member of the Clinical Coding leadership team collaborate closely with other leading colleagues to support the efficient functioning of the Clinical Coding department.

Person specification

Equality, Diversity and Inclusion

Essential criteria

• Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.
• All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others

Training & Qualifications

Essential criteria

• NCCQ - Accredited Clinical Coder. Successful completion of the NHS Classifications Service audit course and exceeding the minimum requirements of audit report writing. Specialist knowledge of Anatomy & Physiology, Medical Terminology and ICD10 & OPCS4 classifications. 1st Degree level in a Healthcare related subject or equivalent gained through experience. Management qualification or equivalent experience to postgraduate level.

Desirable criteria

• A level or equivalent Biology or related science qualification. A medical qualification.

Experience

Essential criteria

• 3 years experience of coding multiple specialities within an NHS environment.
• Experience of using and knowledge of administration rights for an Encoder.
• Experience of undertaking clinical coding audits and audit report writing.

Communication and relationship skills

Essential criteria

• Excellent communication and interpersonal skills and ability to communicate to staff at all levels.
• Ability to effectively explain complex coding rules and guidelines to a professional audience. Ability to deliver presentations.

Analytical and Judgement skills

Essential criteria

• Ability to use own judgement to interpret & summarise relevant clinical terminology used for diagnostic & procedural information & assignment of relevant classification codes applying national rules & conventions.
• Must be able to recognise and act upon possible problems. Ability to inspire & enthuse others.

Skills

Essential criteria

• Advanced IT skills. Ability to understand and manipulate complex data. Support the delivery budgets for non-pay and support service. Responsible for the delivery of cost improvement projects within own remit.

Planning and organisation skills

Essential criteria

• Highly self-motivated. Ability to organise and implement audit programmes. Experience of report writing.

Other requirements specific to the role

Essential criteria

• Accuracy / attention to detail. Ability to learn quickly. Completer / finisher. Must be able to work on any site

Commitment to Trust Values and Behaviours

Essential criteria

• Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours.

Additional Information

UHL is an equal opportunities employer. We aim to employ a workforce that reflects the diverse communities we serve.

Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.

UHL is committed to helping colleagues balance the demands of both their work and personal needs through flexible working arrangements wherever reasonably practicable and subject to service needs.

The Trust will pay for the check initially and the money will then be deducted from your salary over a three month period commencing on your first month's payment.

The current price of a check is £38 for an enhanced and £18 for a standard check.

Disclosure and Barring Service Check

Please note if you are successful in obtaining this position and the post involves regulated activity you will be required to undertake a Disclosure & Barring Service check.

The Trust will pay for the check initially and the money will then be deducted from your salary over a three month period commencing on your first month's payment.

The current price of a check is £38 for an enhanced and £18 for a standard check.

COVID 19 Risk Assessment

Due to the current Covid pandemic we have introduced a staff risk assessment into our pre-employment process. This now forms part of the mandatory pre-employment checks that will be carried out if you receive a conditional offer.

The risk assessment is intended to ensure you are able to safely perform your duties in any of our work areas, and if you have been identified as being particularly vulnerable to coronavirus. Our main aim is to reduce risk and to ensure the safety of all new starters to the Trust as well as current staff, patients and visitors.

If it is identified that you are within a vulnerable category, we will endeavor to make reasonable adjustments to accommodate this through discussions with both Occupational Health and your recruiting manager.

Covid Vaccination Status

Covid-19 vaccination remains the best way to protect yourself, family, colleagues and our patients/service users from the Covid-19 virus. We therefore continue to encourage our current and potential colleagues to get vaccinated.

University Hospitals of Leicester NHS Trust holds the principles of equality, diversity and inclusion at the heart of everything it does and all that it stands for. We are committed to developing a workforce that is representative of the community we serve. We welcome applications from the diverse community of Leicester, Leicester and Rutland, to help deliver healthcare services that meets the needs of our diverse communities.