Band 4 Clinical Coder
Working Hours: Monday to Friday, 9am to 5pm.
Pay: £19,217 to £22,458 per annum
The post holder will be responsible for extracting clinical information from various documents and translating the medical terminology used into national and international codes.
The requirement is to produce consistent, accurate, complete and timely coded clinical data.
This will facilitate managers and clinicians in the monitoring, planning of provision of high quality patient care. It will also ensure that the necessary funding is available to the Trust through Payment by Results.
To provide support to Team Managers to ensure the smooth running of the team and achievement of monthly coding deadlines.
Knowledge, Training & Experience
The applicant should be trained in the use of the International Classification of Diseases
10th revision 5th Edition and the OPCS Classification of Interventions and Procedures (V4.7).
They need an excellent working knowledge of anatomy and physiology and medical terminology.
All Coders appointed to the role must have already successfully passed the National Clinical Coding Qualification (NCCQ), thus confirming that they have acquired the necessary knowledge and skills to be an experienced clinical coder.
All Coders will have already undertaken an initial HSCIC Clinical Coding Standards Course and will be expected to undertake a Clinical Coding Standards Refresher course at least every three years to ensure skills are maintained in all areas
To up-date their knowledge they will also be expected to attend Coding Workshops on a variety of medical specialities as required by the department.
The post holder will have a minimum of 5 GCSE’s A*- C, including Maths, English and science subjects.
Ideally, they will hold the ECDL (European computer driving licence) qualification, and NVQ business administration level 2 award, or relevant experience in a coding role.
Main Duties & Responsibilities
To ensure that coded clinical data is entered accurately and appropriately into the Trust’s computer system for every relevant patient care episode, within the required deadlines.
Liaise with appropriate staff with any queries arising; this could be Clinicians, Ward staff or other administrative staff dependant on the query.
Document coding problems for submission in the first instance to the Team Manager, who may then liaise with the Deputy Head of Coding or the Trainer/Auditor. If they cannot be resolved they will be submitted to the National Classifications Service Helpdesk.
Attend all national and local training sessions and relevant workshops and seminars as indicated by the Deputy Head of Coding, both on or off site.
To support and work within other teams in the department as requested by their Team Manager or department management.
Maintain confidentiality at all times.
The post holder will be expected to consistently achieve individual and overall department KPIs (key performance indicators), as set by the department, including achieving coding a minimum of 30 spells per day.
Ensure adherence to national procedures and guidelines for clinical coding and also to implement any local procedures as agreed between members of the Coding Management Team and individual Consultants& healthcare professionals
Ensure the classifications, both ICD-10 and OPCS 4 are updated/annotated with any changes to national standards/local policies, including following issue of new books in a timely manner, this may require some work in your own time.
Locate case notes to ensure adherence to the coding time standards required by the Trust.
Returning case notes to the relevant person following coding, in line with Patient Records policies and procedures.
Ensure that 'incomplete coding’ due to outstanding histology results, is checked and completed on a regular basis, in conjunction with their Team Manager, to ensure accurate and completed clinical coding in a timely manner, as required.
Organise own workloads as necessary, within framework denoted by the Team Manager or Deputy Head of Coding to meet the Trust deadlines
Must make own decisions regularly within the Coding rules and Conventions, but refer more difficult cases to Team Manager for guidance.
To assist/mentor more junior coders during their initial training period, as required.
Correct any erroneous data quality that will impact the ability to accurately code the episode of care and Trust income.
Record in a standardised manner in the PAS system if a patient has received a Venous Thromboembolism (VTE) assessment.
Undertake any other duties as required within the department, as requested by the Team Manager or Deputy Head of Clinical Coding.