Private Care Coding & Data Quality Specialist - Flexible

The Methodist Church in Britain; Carshalton; On-site; GBP 30,000 - 40,000; Full time

Benefits offered by this job

Staff benefits

Learning and development opportunities

Clear career pathways

Flexible working options

Job summary

The Royal Marsden NHS Foundation Trust is seeking an experienced Private Care Coding Specialist to ensure accurate coding, mapping and validation of chargeable private care activity. You will read operation notes, endoscopy and radiology reports, applying ICD-10, OPCS and CCSD standards while liaising with insurers and clinical staff.

Key responsibilities include data quality improvement, collaboration with finance for invoicing, and ongoing professional development to maintain coding expertise

Qualifications

• Academic achievements to A level or equivalent.
• Clinical Coding Standards Course.
• Degree or appropriate professional qualification, or equivalent.

Responsibilities

• Ensure all Private Care activity is coded, mapped and validated accurately against CCSD schedules, coding standards, insurer requirements and sponsor contracts.
• Extract clinical information from operation notes, endoscopy and interventional radiology reports, histopathology results and consultant guidance.
• Review complex clinical information, resolve coding queries and identify documentation gaps.
• Investigate data quality issues and help improve coding processes.
• Support accurate charging of private procedures, diagnostics and consumables through coding and data quality processes.
• Work with Commercial Finance and billing teams so invoices are raised accurately and within agreed timescales.
• Record all chargeable private patient activity accurately, on time and against Private Care Directorate targets.
• Establish and maintain working relationships with clinicians, patients, insurers and embassies across the Division, Trust and external stakeholders.
• Maintain knowledge of medical terminology, anatomy, physiology, CCSD standards and Private Care developments.
• Undertake training and continuing professional development to maintain and enhance coding skills.
• Support the development and promotion of the Trust's mission, values, aims and objectives.

Skills

Excel pivot tables

Excel lookups

MS Office

Medical terminology

Verbal communication

Written communication

Deadline driven

Education

A level or equivalent

Clinical Coding Standards Course

Degree or professional qualification

Job description

The Royal Marsden NHS Foundation Trust is seeking an experienced Private Care Coding Specialist to ensure accurate coding, mapping and validation of chargeable private care activity. You will read operation notes, endoscopy and radiology reports, applying ICD-10, OPCS and CCSD standards while liaising with insurers and clinical staff.

Key responsibilities include data quality improvement, collaboration with finance for invoicing, and ongoing professional development to maintain coding expertise