This post sits in the centralised coding team at Mersey and West Lancashire Teaching Hospitals NHS Trust, on a nine-month fixed-term basis. The work is abstracting diagnostic and procedural information from records across all specialties, coding it in ICD-10 and OPCS, and validating the data with clinicians. Coders may work on site, hybrid or fully remote, and the post is part-time. Fit depends on holding the Accredited Clinical Coding qualification.
What the job involves
- Abstract diagnostic and procedural information from patient records across all specialties
- Translate diagnoses and procedures into ICD-10 and OPCS codes and enter them on the Trust's PAS using encoding software, meeting Trust deadlines
- Validate clinically coded data with clinicians on a regular basis
- Advise on data recording practice so that coding reflects the inpatient care delivered
- Mentor and educate less experienced coders and act as the coding expert for junior team members
- Ensure accuracy and completeness of coding against national clinical coding requirements
- Refer more complex cases to the Clinical Coding Delivery Team Manager for advice
- Communicate complex coding issues and national coding standards to medical and non-medical staff
- Support the Clinical Coding Delivery Team Manager to engage Divisions and specialties on coding
- Highlight training and data quality issues to the Clinical Coding Trainer and Clinical Coding Auditor
- Use a range of knowledge resources to translate procedures where the coding process does not fully apply
- Plan own workload to help the team meet its objectives
Qualifications
- Accredited Clinical Coding qualification (ACC)
- Excellent standard of education
Experience
- Broad clinical coding experience across a minimum of 5 specialties
- Experience of working with clinicians and/or senior staff, including giving presentations on clinical coding
Skills & knowledge
- Knowledge of the National Tariff Payment System and of inpatient and outpatient coding processes
- Knowledge of data protection legislation, Caldicott and related guidance
- Knowledge of SNOMED CT
- Excellent medical terminology, anatomy and physiology knowledge
- Excellent IT skills, including Microsoft applications
- Excellent concentration and attention to detail
Other
- Flexible approach to work
- Ability to travel across the Trust's sites
- Effective interpersonal and communication skills for liaising with consultants, clinical and administrative staff
- Planning and organising workload to meet deadlines
- Ability to work on own initiative and as part of a team, and to produce required results
- Self-reliant and able to deal with a high degree of ambiguity
Nice to have
- Experience of the HRG Grouper
- Experience of clinical coding audits
- Degree-level education or equivalent experience
What’s offered
- R&R offered to ACC-qualified coders
- Choice of working on site full time, hybrid or fully remote
- Opportunity to progress professionally