- Abstract and code all inpatient/day case episodes using ICD-10 and OPCS-4, applying national and international rules and conventions to agreed standards.
- To ensure that clinical data is entered onto the Trust's information system for every episode of inpatient care within an agreed timeframe from discharge.
- To ensure adherence to national procedures and guidelines for clinical coding.
- To ensure adherence to local procedures for clinical coding relating to individual specialties/consultants.
- To be able to work under pressure to meet local/national deadlines.
- To liaise with medical staff on queries relating to clinical information and case notes.
- To liaise with clinical coding porter, medical secretaries, medical records personnel and ward personnel regarding access to case notes.
- To attend all nationally and locally required training for the use of ICD10 and OPCS4 coding standards.
- To raise any coding issues requiring resolution either locally or through NHS Digital with the Team Manager or Professional Lead
- To identify and address any concerns around data quality relating to the recording of inpatient episodes on the hospital computer system
- To attend Trust meetings as required
- To work closely with clinicians and managers to resolve any issues in the clinical coding process
- To assist the clinical coding auditor / trainer with regard to internal audit and processes.
- Act as mentor to junior coders
- To perform any other relevant duties as required .
- NHS Accredited Clinical Coder qualification
- Educated to 5 GCSE's at grade C or above
- A level Biology or equivalent work experience
- Willing to attend all necessary training sessions and clinical coding workshops
- Good understanding of the rules of clinical coding
- To have attended training in all acute specialty areas of ICD10 and OPCS coding
- Knowledge and skills equivalent to the accredited clinical coder standards
- A detailed understanding of medical terminology, anatomy and physiology
- Experience in the use of microsoft office products, especially excel
- Recent employment in a Clinical Coding Role
- 2 Years in relevant work experience including experience with clinical terminology and ICD10 and OCPS4 or equivalent demonstratable experience
- Use of 3M encoder or other relevant coding support software
- Use of Millenium patient administration system
- A good understanding of the relevance of clinical coding in the context of HRG's and Payment by results
- Values and respects others, treats everyone as an individual, is non-judgemental
- Motivated to be genuinely kind and caring
- Helps and co-operates with colleagues
- pro-active and takes responsibility
- Willing to learn, open to change
- Motivated to make a difference in whatever way they can
- Takes pride in themselves, their appearance, their role and where they work
- Able to prioritise and manage own workload to meet deadlines successfully
- Ability to work on their own initiative
- Experience of working as part of a team to achieve a successful outcome
- Able to build relationships with staff from both professional and administrative backgrounds
- Good interpersonal skills and professional manner
- Attention to detail
- Excellent communication skills
- Ability to mentor and support junior members of staff
- Ability to analyse sensitive information
- Required to handle medical records
- Will be required to visit clinical areas
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Senior Clinical Coder - Bath, United Kingdom - Royal United Hospitals Bath NHS Foundation Trust
Description
Job summary
A new opportunity has arisen for a motivated and enthusiastic ACC accredited clinical coder to join our well-established and expanding team here in Bath.
The successful candidate will be expected to work independently, using their initiative to ensure accurate and timely submission of coded data is achieved. They will be empowered to share their expertise whilst mentoring others and will be well supported by their colleagues as well as our in-house training and audit team.
We are seeking a coder who applies a questioning approach in their pursuit of data quality whilst efficiently and tenaciously adhering to national clinical coding standards. The successful applicant will be equally committed to meeting productivity targets and deadlines and will be motivated by success in these areas.
The hospital is transitioning from a hybrid to a fully electronic patient record and the successful applicant will not only be adept at using healthcare/IT systems but will be keen to explore what further opportunities and improvements digitisation can provide.
The trust supports a positive work/life balance and our team work flexibly; the option to work on site, remotely or hybrid will be available to the successful candidate.
Main duties of the job
About us
At the RUH we're proud to put people at the heart of what we do, working together as one team to make a difference for our patients, each other, and our community. No matter what your role is, we value everyone's contribution in supporting the exceptional, person-centered care we pride ourselves on.
We are committed to creating a compassionate and inclusive environment. This can be seen in our growing community of staff networks - celebrating successes and creating opportunities to listen and learn. We value our differences, champion kindness and civility, and truly believe that diversity makes us stronger.
A culture of learning, developing and innovating is the thread that runs throughout our whole organisation. We want to support you to thrive, taking your career to its full potential.
We value staff wellbeing, with a well-established programme of support. We believe in a holistic approach spanning all aspects of living a healthy life, including physical, emotional, spiritual and financial wellbeing. We've even got a pool
We are committed to supporting you and hope you want to join our team. In the meantime, find out more about living and working the beautiful historic city of Bath, learn about our extensive package of staff benefits, and read about how we're providing healthcare fit for the future with the landmark Dyson Cancer Centre and our passion for research.
Job descriptionJob responsibilities
Please find attached to the vacancy a detailed person specification and job description for further information about this role.
Person SpecificationTraining and Qualifications
Essential
Desirable
Knowledge and Experience
Essential
Desirable
Values
Essential
Specific Skills
Essential
Physical skills and emotional effort
Essential
Requirements due to working environment
Essential
