Description

Job Opportunity: Clinical Coder

Location: Horder Healthcare Role Type: Clinical Coder Hours: 22.5 hours per week Salary: Up to £30,517.50 (FTE)

The purpose of this role is to provide an efficient, effective, accurate, reliable and responsive clinical coding service for Horder Healthcare (HH).

To provide data on Horder Healthcare’s clinical activities, based on clinical coding, by abstracting information from a variety of documents and translating into diagnostic (ICD10) and procedure coding (relevant version of OPCS).

To work within Horder Healthcare’s clinical coding team, collaboratively leading on all coding matters, providing advice and guidance as required, and ensuring the Centre remains abreast of new developments and best practice.

Key Accountabilities:

To abstract complex information from case notes, discharge summaries and other sources and translate it using ICD10 and OPCS 4 Classifications, in accordance with national rules and standards.

Assign the most accurate clinical codes for diagnoses, co-morbidities and procedures, adhering to and applying national clinical coding rules and conventions

To ensure current coding practice is followed and appropriate medical knowledge is continually updated through self-directed learning and liaison with fellow coders.

To ensure the timely and accurate coding of all diagnoses and procedures and input into the patient management systems.

Meet monthly deadlines for completion of coding as required by the Finance Department and be proactive in ensuring suitable contingency arrangements are in place if necessary.

In conjunction with the IT Network and Database Administrator, ensure iPM is maintained and up to date as new ICD and OPCS tables are issued, making interim minor adjustments as required.

To develop HHs coding practises and processes as required.

To have a very good understanding of HRGs and their links to accurate coding.

To participate and assist in internal and external coding audits.

To ensure the provision of high-quality information as required by HH in a timely manner and maintain an awareness of the role of accurate coding in the provision of high quality data.

To create and maintain good communication links with Consultants and clinical teams to ensure quality and depth of clinical coding is achieved.

To be able to communicate complex coding rules to medical and administrative staff in writing, via telephone, e-mail, or in person.

To ensure clinical coding policies and guidelines are revised and updated liaising with appropriate parties.

To implement local clinical coding policies in conjunction with the Consultants and other clinical staff and ensure they are reviewed regularly and kept up to date.

To liaise with nursing and administrative staff highlighting their role within the coding process and the requirement for accurate and comprehensive documentation in the medical record.

To attend training courses both internal and external to maintain competency, enhance skills and extend knowledge as required.

To comply with national standards for clinical coding and to follow standards of service, policies and procedures as laid down by NHS Digital.

Highlight possible improvements to coding processes and initiate improvements to increase revenue due to coding processes.

Participate with and projects to improve processes and business continuity planning for HH

To deliver clinical coding training to support staff understanding and awareness of the importance of accurate documentation within medical records to support accurate coding

Work collaboratively with finance colleagues to support accuracy in HRG’s and identifying any discrepancies. Working with finance to manage any queries from NHS providers

Must Haves:

• Knowledge of ICD10 and OPCS4.
• Knowledge of Anatomy, Physiology and Medical Terminology
• Experience of working within a clinical setting Works well under pressure
• Flexible approach
• Presentable Confidential
• Good communication skills
• Act on own initiative

Nice to Haves:

• Good organisational and problem-solving skills
• Good presentation skills
• Previous Coding Experience Successful completion of the Clinical Coding Foundation Course (CCSC), and you’ll have been on a Refresher if this is more than 3 years old