Clinical Coding Qualified Auditor

Infoplus Technologies UK Ltd; England; Presencial; GBP 45 000 - 65 000; Tempo integral

Resumo da oferta

Infoplus Technologies UK Ltd is seeking an experienced Clinical Coding Qualified Auditor to ensure accuracy, quality, and compliance through independent coding audits and quality reviews. The role requires expertise in ICD-10, OPCS-4, clinical documentation review, and coding quality assurance.

The successful candidate will lead audits, review inpatient records, identify documentation gaps, and collaborate with clinicians to resolve ambiguities, while providing guidance and training to the

Qualificações

• ACC coder with NCCQ or equivalent certification and 3+ years of post-accreditation coding experience.
• Strong knowledge of ICD-10, OPCS-4 and coding standards.
• Experience performing coding audits and quality checks.
• Able to mentor coding team members.

Responsabilidades

• Conduct coding audits and re-code complex inpatient cases to assess coding accuracy and compliance.
• Review clinical records and assign accurate ICD-10 and OPCS-4 codes where required.
• Identify coding errors, trends, and documentation gaps, providing recommendations for improvement.
• Collaborate with clinicians to clarify diagnoses, procedures, and ambiguous documentation.
• Prepare coding quality reports and support internal and external audit activities.
• Provide technical guidance, mentoring, and quality feedback to coding team members.
• Support training programs and promote adherence to coding standards and best practices.

Conhecimentos

ICD-10

OPCS-4

Audit methodologies

Clinical documentation

Mentoring

EHR systems

Formação académica

NCCQ ACC or equivalent

Clinical Coding Standards Refresh Certification

Descrição da oferta de emprego

Role Overview

We are seeking an experienced Clinical Coding Qualified Auditor responsible for ensuring the accuracy, quality, and compliance of clinical coding through independent coding audits, quality reviews, and continuous improvement initiatives. The role requires expertise in ICD-10, OPCS-4, clinical documentation review, and coding quality assurance.

Key Responsibilities

• Conduct coding audits and re-code complex inpatient cases to assess coding accuracy and compliance.
• Review clinical records and assign accurate ICD-10 and OPCS-4 codes where required.
• Identify coding errors, trends, and documentation gaps, providing recommendations for improvement.
• Collaborate with clinicians to clarify diagnoses, procedures, and ambiguous documentation.
• Prepare coding quality reports and support internal and external audit activities.
• Provide technical guidance, mentoring, and quality feedback to coding team members.
• Support training programs and promote adherence to coding standards and best practices.

Essential Qualifications

• NCCQ Accredited Clinical Coder (ACC) or equivalent clinical coding certification.
• Minimum 3+ years of post-accreditation clinical coding experience.
• Strong knowledge of ICD-10, OPCS-4, clinical coding standards, and audit methodologies.
• Clinical Coding Standards Refresher Certification completed within the last 3 years.

Essential Experience & Skills

• Experience coding inpatient episodes across multiple specialties.
• Experience performing coding audits, quality checks, or coding validation activities.
• Strong understanding of medical terminology, anatomy & physiology, and clinical documentation.
• Experience using Electronic Health Records (EHR), Patient Administration Systems (PAS) and other clinical systems.
• Strong analytical, reporting, stakeholder management, and mentoring skills.

Preferred

• Approved Clinical Coding Auditor certification (or willingness to obtain).
• Experience leading coding quality improvement initiatives and supporting external audits.