Procedure Coder & Data Quality Co-ordinator (Private Care)

The Royal Marsden NHS Foundation Trust; 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

This Private Care Directorate role at The Royal Marsden NHS Foundation Trust makes sure chargeable private patient activity is recorded, coded and validated correctly so it can be billed. The work centres on reading operation notes, endoscopy and radiology reports, and pathology results, applying ICD-10, OPCS and CCSD standards, and clearing documentation queries with clinical and finance colleagues. What sets it apart is the need for prior private healthcare coding experience, including insurer liaison, plus strong Excel skills. A Clinical Coding Standards Course is also required.

What the job involves

• 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
• Follow confidentiality and information governance policies and procedures

What’s required

Qualifications

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

Experience

• Reviewing complex clinical information, resolving coding queries and spotting documentation gaps that affect accuracy
• Clinical coding across ICD-10, OPCS and CCSD classifications
• Awareness of data quality issues in healthcare settings
• Private healthcare coding, including liaison with insurance companies

Skills & knowledge

• Computer literacy and MS Office skills, including Excel pivot tables and lookups
• Expert knowledge of medical terminology, anatomical and physiological terms
• Excellent attention to detail
• Excellent verbal and written communication, including explaining complex information sensitively
• Proven ability to work to strict deadlines
• Commitment to self-development and in-depth knowledge of key UK healthcare policies and themes

Other

• Good interpersonal skills and ability to liaise with colleagues and multidisciplinary team members
• Works independently and within a team, plans and prioritises workload, solves problems proactively, and manages and motivates others
• Commitment to equality and diversity in the workplace and in service delivery

Nice to have

• Track record of continuous professional and management development
• Experience using validation, audit or reporting outputs to identify trends and improvement opportunities
• Knowledge of interpreting complex oncology surgical procedures under ICD-10, OPCS and CCSD rules
• Interest in continuous improvement, digital transformation or clinical documentation improvement

What’s offered

• A wide range of staff benefits
• Learning and development opportunities
• Clear career pathways
• Opportunities to work flexibly, with flexible working requests welcomed from point of hire