Job Description
Job summary
Our Clinical Coding Department is responsible for the accurate and timely recording of clinical data to support the Trusts clinical and business requirements and regional and national NHS statistics. In this role, you will undertake a training and development programme to become a clinical coder.
You will learn to screen electronic and paper patient records, discharge summaries and other clinical information to identify the diagnoses, conditions and procedures relevant to a patients episode of care.
We are particularly interested in candidates who can demonstrate:
- good literacy, numeracy and communication skills
- accuracy and close attention to detail
- a willingness to learn and develop
- the ability to extract relevant information
- teamworking alongside the confidence to work independently
- organisation, prioritisation and the ability to meet deadlines
- an understanding of confidentiality and appropriate handling of sensitive information
Previous Clinical Coding experience is not required, as full training and support will be provided. All our vacancies are based on the Pinderfields Hospital site, but team members may also work within our other hospital facilities, including Dewsbury Hospital.
Recruitment process
Shortlisted candidates will be invited to an assessment morning on 11 November (08:30-12:30). Successful candidates will then be invited to a structured interview on 12 November (08:00-13:00). Please keep both dates available. Details will be provided to shortlisted candidates.
Main duties of the job
- Review patient health records and extract information relevant to the full episode of care.
- Interpret clinical information and identify relevant diagnoses, conditions and procedures.
- Translate clinical information into ICD-10 and OPCS-4 codes using approved systems, standards and reference resources.
- Ensure coded data is accurate, complete and entered within national timescales.
- Liaise with clinical and administrative staff to obtain missing or unclear information and resolve documentation queries.
- Manage and prioritise workloads to meet coding deadlines, seeking support where required.
- Complete the national Clinical Coding Standards Course and participate in a structured training and development programme.
- Maintain and develop coding knowledge through ongoing learning, standards updates and professional development.
- Work towards the National Clinical Coding Qualification when eligible.
- Maintain confidentiality and professionalism when handling sensitive patient information.
Please refer to the attached job description and person specification for further details.
Job description
Essential person specification requirements
Qualifications:
- Minimum A level qualification or equivalent qualification or equivalent knowledge
Experience:
- Worked in a health care environment
- General office duties
- Experience of decision making by own initiative and liaising with colleagues
Knowledge and Awareness:
- Good knowledge of clinical/medical terminology
- Good knowledge and use of information / informatics systems
- Knowledge of the importance of confidentiality, the Data Protection Act 2018 and Caldicott principles
Please refer to the attached job description and person specification for further details.