This is a training post in the Clinical Coding Department of the Mid Yorkshire Teaching NHS Trust, which records clinical data for the trust and for national NHS statistics. The work centres on reading patient records and assigning ICD-10 and OPCS-4 codes accurately and within national deadlines. It is a trainee role with no prior coding experience needed, leading to the National Clinical Coding Qualification, and staff may also work at other trust hospitals. Shortlisted candidates are invited to an assessment morning on 11 November.
What the job involves
- Screen electronic and paper patient records to identify diagnoses, conditions and procedures for the full episode of care
- Review patient health records and extract information relevant to the full episode of care
- Interpret clinical information and identify relevant diagnoses, conditions and procedures
- Translate clinical information into ICD-10 and OPCS-4 codes using approved systems, standards and reference resources
- Ensure coded data is accurate, complete and entered within national timescales
- Liaise with clinical and administrative staff to obtain missing or unclear information and resolve documentation queries
- Manage and prioritise workloads to meet coding deadlines, seeking support where required
- Complete the national Clinical Coding Standards Course and take part in a structured training and development programme
- Maintain and develop coding knowledge through ongoing learning, standards updates and professional development
- Work towards the National Clinical Coding Qualification when eligible
- Maintain confidentiality and professionalism when handling sensitive patient information
Qualifications
- Minimum A level or equivalent qualification, or equivalent knowledge
Experience
- Experience working in a healthcare environment
- General office experience
- Experience of making decisions on own initiative and liaising with colleagues
Skills & knowledge
- Good knowledge of clinical and medical terminology
- Good knowledge and use of information and informatics systems
- Knowledge of confidentiality, the Data Protection Act 2018 and Caldicott principles
- Good literacy, numeracy and communication skills
- Accuracy and close attention to detail
- Ability to extract relevant information from records
Other
- Teamwork alongside the confidence to work independently
- Organisation, prioritisation and meeting deadlines
- Willingness to learn and develop
What’s offered
- NHS pension plan
- Generous holiday allowance
- Employee health and wellbeing services
- Onsite nursery
- Childcare vouchers
- Home electronics scheme
- Working carers support
- Structured training and development programme with full support