Job summary
Employer heading
Clinical Coding Auditor
NHS AfC: Band 6
Job overview
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.
Working for our organisation
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:
- CARE that 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 (2023) for our Nursing & AHP Preceptorship Programme
Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.
Detailed job description and main 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 criteria
- GCSEs (A-C) or equivalent
- Accredited Clinical Coding Qualification (NCCQ)
- Clinical Coding Audit Qualification
Knowledge
Essential criteria
- 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 criteria
- Knowledge of Information governance, data protection legislation, Caldicott and other relevant guidance.
Skills
Essential criteria
- 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 criteria
- Excellent concentration skills, with attention to detail
- Flexible approach to work
Desirable criteria
- Knowledge of Snomed CT
- Ability to travel to various hospital locations by own car/assisted driver
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Marc Holme
- Job title
- Clinical Coding Manager
- Email address
- [email protected]
- Telephone number
- 07414 030 309
List jobs with Mersey and West Lancashire Teaching Hospitals NHS Trust in Administrative Services or all sectors