This trainee clinical coding post sits in the clinical coding service at North Tees and Hartlepool NHS Foundation Trust, coding inpatient and day-case episodes from all specialties. The work turns patient records into ICD10 and OPCS4 codes accurately and on time, and involves checking unclear entries with clinical teams. Training is office-based and runs through the NHS England Clinical Coding Standards Course, with home or remote working listed as an option. Post-holders may be asked to work across sites in University Hospitals Tees.
What the job involves
- Abstract clinical information from case notes and electronic systems into ICD10 and OPCS4 codes, accurately and on time
- Liaise with wards and departments to view source documents, collect discharge summaries and chase outstanding data
- Verify recorded data with clinicians regularly and help them understand the coding process
- Resolve coding queries, escalating to the Manager or Deputy Manager where needed
- Complete office-based coding training and the NHS England Clinical Coding Standards Course to reach proficiency
- Plan and prioritise own workload to meet performance and quality targets
- Attend coding and data-quality meetings and take part in departmental discussions
- Highlight administrative coding discrepancies, such as clinician or method of admission
- Contribute to improving accuracy and completeness of admitted-care coding
- Keep up to date with national coding guidance and widen knowledge across clinical specialties
- Cover colleagues' workload during periods of absence
- Apply statutory and local rules on disclosure and safe keeping of information, including Data Protection and Caldicott
What's required
Qualifications
- GCSE level or equivalent, including Maths and English
Experience
- Understanding of a health record or previous health records experience
- Experience of administrative processes
- Ability to work as part of a team
Skills & knowledge
- Understanding of uses of clinical coded data in the NHS
- Understanding of confidentiality, data security and Caldicott
- Ability to organise own workload and work to Trust deadlines
- Excellent attention to detail
- Excellent interpersonal and communication skills, written and verbal
Other
- Flexible approach to work and ability to prioritise workload
- Friendly and able to interact with colleagues
- Professional appearance
Nice to have
- Basic computer course, such as ECDL
- Certificate in Anatomy and Physiology
- Medical terminology qualification
- Previous experience using Patient Administration Systems
- Previous experience using encoders
- Knowledge of medical terminology, anatomy and physiology
- Keen to learn and enthusiastic to progress
What's offered
- Health and wellbeing initiatives
- Staff benefits
- Opportunities for personal and professional development
- Home or remote working
- Flexible working
- Compressed hours