Procedure Coder & Data Quality Co-ordinator (Private Care)

Job overview

We are recruiting Procedure Coder and Data Quality Co-ordinator to help ensure private patient activity is recorded, coded and validated accurately. The post holder will review clinical information, apply ICD-10, OPCS and CCSD coding standards, resolve documentation queries and work with clinical, operational and finance colleagues to support accurate, timely billing. Also, investigate data quality issues and help improve coding processes.

Main duties of the job

Procedure Coder and Data Quality Co-ordinator will have clinical coding experience, including private healthcare coding and liaison with insurers, and be confident interpreting complex clinical records. Strong attention to detail, communication and Excel skills are essential. We welcome applicants who can show how their skills and experience meet person specification.

The post holder will be expected to adopt a professional and caring attitude, working alongside colleagues with a polite and courteous manner in all aspects of communication. The post holder will work effectively within a team and with colleagues across the Trust to ensure that all chargeable private patient activity is recorded accurately, on time and in line with the targets set by the Private Care Directorate. adhering to confidentiality and information governance policies and procedures.

Detailed job description and main responsibilities

For further information please refer to the job description and personal specification Strategic Direction

• Support the development and promotion of the Trust's mission, values, aims and objectives.
• Establish and maintain effective working relationships and communication across the Division, the wider Trust, and with external stakeholders including clinicians, patients, insurers and embassies.

Operational Performance Management

• Ensure all Private Care activity is coded, mapped and validated accurately in accordance with CCSD schedules, coding standards, insurer requirements and sponsor contracts.
• Extract clinical information from a range of sources including operation notes, endoscopy reports, interventional radiology reports, histopathology results and consultant guidance.

Financial and Resource Management

• Support the accurate charging of Private Care procedures, diagnostics and consumables through robust coding and data quality processes.
• Work closely with Commercial Finance and billing teams to ensure invoices are raised accurately and within agreed timescales.

Personal

Maintain professional knowledge and expertise in medical terminology, anatomy, physiology, CCSD coding standards and developments affecting Private Care services. • Undertake training and continuing professional development to maintain and enhance coding knowledge and skills.