Band 4 - Clinical Coder, Clinical Coding Department

Job overview

As part of the EPR transformation, we are looking to recruit a self-motivated fast learner with demonstrable ability to analyse and accurately abstract clinical information from a variety of data sources.

There is a requirement for high quality data collection and reporting with implementation of EPR to accurately reflect clinical activity and outcomes. This in turn will ensure that our services are set up to support our patient case mix enabling us to provide the right care for our patients.

This is a full-time position (37.5 hours) based at Watford General Hospital, with opportunity for hybrid working and flexibility with working times to support our employees with a healthy work-life balance.

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Please note - we are unable to obtain a Certificate of Sponsorship (Work Permit) for this role.

Main duties of the job

Reporting to the Clinical Coding Team Lead, you will be responsible for ensuring accurate, timely, complete, and consistent clinical coding is carried out within strict timescales, using ICD-10 and OPCS-4 classifications, and adhering to the national coding standards and local clinical coding policies of the Trust.

You will be required to collect, collate, and code clinical information, covering a wide range of specialities. This may involve coding highly sensitive and emotionally distressing patient medical records.

Detailed job description and main responsibilities

Ensuring accurate, timely, complete, and consistent clinical coding is carried out within strict timescales, using ICD-10 and OPCS-4 classifications, and adhering to the national coding standards and local clinical coding policies of the Trust.

Collect, collate, and code clinical information covering a wide range of specialities. This may involve coding highly sensitive and emotionally distressing patient medical records.

Maintaining own productivity by ensuring high quality work is done by required timescales.

Liaise with the line manager when necessary to confirm appropriate diagnosis and procedure codes where national guidance is unclear.

Regularly liaise with and update the managers and senior colleagues regarding deficiencies and ambiguity in clinical documentation to facilitate discussions with the clinical teams and other departments to improve the clinical documentation provided for coding purposes.

Raise data quality issues (e.g., inaccurate admission and discharge dates) to the Coding Operations Lead and the Coding Team Lead for resolution.

Attend and participate in team meetings to ensure knowledge and learning points are received and communicated.