Clinical Coding Auditor - Huyton, United Kingdom - Mersey and West Lancashire Teaching Hospitals NHS Trust

Mersey and West Lancashire Teaching Hospitals NHS Trust Huyton, United Kingdom

1 week ago

Permanent

Description

Job summary

We currently have an exciting opportunity for a highly skilled Clinical Coding Auditor to join our audit and training team on a full-time permanent basis. This is a hybrid role consisting of working from home and working on site.

Suitable candidates will hold the Approved Clinical Coding Auditor Qualification and will have a hardworking and flexible attitude towards professional tasks at hand.

Interview date: TBC

Main duties of the job

As Clinical Coding Auditor your responsibilities including, but are not limited to:

Undertaking audits of clinically coded data in line with the NHS Digital's audit methodology and code of conduct.

Supporting the Clinical Coding Manager.

About us

The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.

From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.

The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.

The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:

CAREthat is evidence based, high quality and compassionate

SAFETY that is of the highest standards

COMMUNICATION that is open, inclusive and respectful

SYSTEMS that are efficient, patient centred and reliable

PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:

Trust rated Outstanding by CQC Inspection August 2018

Top 100 places to work in the NHS (NHS Employers & Health Service Journal)

Awarded National Preceptorship Accreditation for our Nursing & AHP Preceptorship Programme

Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.

Job description

Job responsibilities

KEY DUTIES

To operate on own initiative referring more complex cases to the Clinical Coding Assistant Manager for advice

To act in the capacity of coding expert and provides advice to junior team members on coding queries ensuring adherence to national clinical guidelines

Undertake staff audits and ad hoc specialty audits

Assign codes from the International Classification of Diseases (ICD10) and the Office of Populations and Censuses and Surveys (OPCS4)

Participate in preparing audit reports for staff audits undertaken

Participate in Departmental meetings and present the results of relevant reviews

Demonstrate good presentation skills to colleagues, the multi-disciplinary team and Clinicians

Coordinate engagement between Coders, Clinicians and Divisional Managers

Responsible for planning own workload to ensure that the objectives of the whole team are achieved

Maintain a professional standard of behaviour with all Trust staff

Take responsibility for keeping up to date with current issues and developments within the coding department.

Work with the Divisional Managers, Associate Managers and Clinicians to improve and sustain accurate clinical data recording to support clinical coding to National Standards

Raise clinical coding issues with the Coding Manager

Undertake clinical coding reviews as required and agreed

Identify key areas impacting on HRG assignment and tariff making recommendations to the Clinical Coding Assistant Manager accordingly

Work with the Audit and training team to identify key areas for clinical coding review

Plan meetings with Senior Clinicians as and when necessary to undertake review of clinical information where queries have been raised

To validate complex clinical data and procedures with Clinicians in order to assure depth of coding for accurate payment

Analyse external audit reports and recommend to the Coding Manager and Divisions any corrective measures that need to be put in place to improve data quality and clinical coding outcomes

Support the Auditors & Clinical Coding Assistant Manager in obtaining clarification on new interventional procedures and clinical practice within the divisional specialties to ensure correct understanding for code assignment and support cascading this information

To liaise with clinicians and their support staff concerning interpretation of case notes documentation affecting coding

To prioritise Junior Clinical Coders workload and reallocate work to cover sickness or leave at short notice.

Person Specification

Qualifications

Essential

GCSEs (A-C) or equivalent

Accredited Clinical Coding Qualification (NCCQ)

Clinical Coding Audit Qualification

Knowledge

Essential

Extensive specialist clinical coding experience across all specialties

Experience of working with the HRG Grouper

Planning, organising workload to meet deadlines

Experience of undertaking presentations relating to clinical coding

Experience of mentoring junior members of the coding team

Transferring coding skills and knowledge to others

Experience of working with clinicians and or/senior staff

Desirable

Knowledge of Information governance, data protection legislation, Caldicott and other relevant guidance.

Skills

Essential

Firm grounding in medical terminology and anatomy and physiology

Ability to work on own initiative and as part of a team

Good understanding of Payment by Results framework

Excellent knowledge and understanding of clinical coding rules and conventions.

Effective inter-personal skills.

Possess motivation and persuasion skills

Excellent PC skills.

Other

Essential

Excellent concentration skills, with attention to detail

Flexible approach to work

Desirable

Knowledge of Snomed CT

Ability to travel to various hospital locations by own car/assisted driver

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