Job summary
- Main area
- Clinical Coding Auditor
- Grade
- NHS AfC: Band 6
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 409-5555274-I
- Employer
- Mersey and West Lancashire Teaching Hospitals NHS Trust
- Employer type
- NHS
- Site
- Knowsley Community College
- Town
- Huyton
- Salary
- £37,338 - £44,962 Per Annum
- Salary period
- Yearly
- Closing
- 15/06/2025 23:59
Employer heading
Clinical Coding Auditor
NHS AfC: Band 6
After applying via NHS Jobs, your submitted application will be imported into our preferred Third-party recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and furthermore, as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. By applying for this post you are agreeing to "name of trust" transferring the information contained in this application to its preferred applicant management system. If you are appointed to a post information will also be transferred into the national NHS Electronic Staff Records system.
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.
To work closely with the Clinical Coding Audit and Training Team and other Clinical Coding Specialists to support the improvement in clinical documentation and accurate clinically coded data. To advise on data recording practises to ensure clinical coding accurately reflects the Patient care delivered. Undertake internal clinical coding validation audits highlighting training and data quality issues to the Clinical Coding Manager.
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
Act as a support to the Assistant manager to facilitate contact with designated directorate or specialties and communicate complex coding issues and National coding standards to medical and non-medical staff to ensure accuracy and consistency of information.
To abstract, analyse, translate and data enter complex medical care records into diagnostic and procedural codes in an accurate and timely manner adhering to the Trusts monthly deadlines.
Act as a mentor and assist in the education of less experienced coders. Ensure accuracy and completeness of the clinical coding to national clinical coding requirements. To work with clinicians on a regular basis to validate clinically coded data.
Working for our organisation
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Our Services
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
Achievements:
• Rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme
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.
- To work with the Clinical Coding Manager to ensure all coding timescales are met and ensure that Junior Clinical Coders meet their targets.
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- To maintain own high standards of clinical coding accuracy and productivity.
- To participate in ongoing clinical coding training to meet national standards and Trust Requirements.
- Ensure own coding skills are kept up to date.
- Participate in creating an environment conducive to the acquisition of further knowledge and skills.
- To take every reasonable opportunity to maintain and improve your professional knowledge and competence.
- To take responsibility for developing and pursuing his/her own professional development skills in accordance with an agreed PDP.
ADMINISTRATIVE RESPONSIBILITIES
· To validate the hospital activity details on the PAS system against the information in the case notes. To report any details found to be incorrect to the Data Quality Team and to highlight areas of concern with information in the case notes.
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
Employer certification / accreditation badges
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
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