Senior Clinical Coder

Mid Yorkshire Teaching NHS Trust -
Wakefield

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Job details

Full-time
£32,073 - £39,043 a year
7 hours ago

Benefits

Cycle to work scheme
Company pension
Work from home
Car scheme

Qualifications

Anatomy knowledge
Physiology knowledge
Organisational skills
Medical terminology
Time management

Full job description

Contact information

Kerry Reynolds, Clinical Coding Divisional Lead would be very pleased to discuss your application further or any questions you may have. You may contact Kerry via telephone number 01924 543935 / 07860686933 or email [email protected]

About the role

The Clinical Coding Department is responsible for the accurate and timely recording of clinical data to support the Trust’s clinical and business requirements and for regional and National Health Service statistics. This is an exciting time to join the team as the Trust progresses its digital expansion and continues its Electronic Patient Record (EPR) journey, which will transform how clinical information is captured and accessed. This development will modernise working practices within the Clinical Coding team, improving access to real-time clinical information, enhancing data quality, and supporting more efficient and accurate coding processes across all specialties.

Our Trust recognises the vital contribution of our coding team to our overall Trust performance and regards our team as pivotal to our future performance.

The post holder will be required to work as a member of a team to provide an efficient clinical coding service working to established systems and procedures.

To screen medical records, discharge summaries and other data sources to extract clinical information relevant to a patient’s episode of care.

Through effective data extraction analyse complex clinical information; apply independent judgement in the interpretation, translation and sequencing of clinical data adhering to national rules and conventions.

All our vacancies are based on the Pinderfields Hospital site, but team members could work within our other hospital facilities, including on the Dewsbury Hospital site.

The Trust offers a flexible approach to varied working patterns to suit staff needs. The Clinical Coding Department encompasses this approach through an agile working rota which offers staff the flexibility to work from home based on personal circumstances and service need.

The Trust is committed to its staff and their development and to equal opportunities and diversity. Applications are welcomed from all sections of the community.

Working hours can be considered around commitments/availability and the needs of the service.

If you have significant clinical coding experience using the ICD10 and OPCS-4 classifications and have attained the National Clinical Coding Qualification UK (ACC), enjoy communicating effectively with a broad range of key stakeholders, whilst managing your time effectively to work accurately and meet competing deadlines, then this is the post for you.

Applications will also be considered from candidates who have completed their Clinical Coding Standards Course and Clinical Coding Standards Refresher Course, who are working towards becoming a qualified.

Please refer to the attached job description and person specification for further details.

Main duties

Screen medical records, discharge summaries, histopathology results and other data sources to extract clinical information relevant to a patient’s episode of care.
Through effective data extraction analyse complex clinical information; apply independent judgement in the interpretation, transposition and sequencing of clinical data adhering to national rules and conventions.
Code all patient episodes using the M360 Solventum encoding system supported by International Classification of Diseases (ICD 10) and Office of the Population of Censuses and Surveys (OPCS 4) coding classifications.
Exercise initiative in selecting appropriate clinical terms to accurately reflect the individual patient record.
Ensure data is entered accurately into the Patient Administration System (PAS) within national defined timescales.
Regularly required to access and read patient case notes where the content can be distressing.
Develop and maintain skills to use the PAS system and adhere to local coding protocols/procedures.
Check patient details held on the system are correct e.g. consultant, date of admission and discharge reporting any incorrect details to the Data Quality Team.

Communication:

Prioritise and plan the daily and weekly work pattern for the Coding Team reporting any issues/concerns to the Clinical Coding Divisional Leads.
Supervise the Clinical Coding Team(s) on a daily basis in the absence of the Clinical Coding Divisional Leads.
Ability to deputise in the absence of the Divisional Lead to cover urgent issues.
Demonstrate effective organisational and time management skills with the ability to work independently and as part of a team. Be highly motivated and lead by example to motivate other team members.
Communicate and liaise effectively with clinicians, nursing staff, other professionals and departments, both internal and external, concerning routine or complex issues / anomalies across all specialties whilst maintaining good relationships.
Actively seek source documentation i.e. discharge summary/case notes not routinely received by visiting wards, departments etc.
Identify inadequate source documentation and communicate with relevant health care professionals to rectify this.
Manage and resolve coding queries liaising with senior clinicians on a regular basis.

Training and Education:

Responsible for the training and coaching of the Clinical Coding Team.
Participate in the orientation, training and mentorship for less experienced coding officers providing advice and support.
Remove or amend clinical codes to Finished Consultant Episodes (FCEs) as directed by the Clinical Coding Divisional Leads or Clinical Coding Auditor. Re-input clinical codes as necessary.
Maintain coding skills by attending a refresher course every 3 years and specialty workshops where appropriate.
Take responsibility for keeping up to date with current issues and developments within the coding department.
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.

Please refer to the attached job description and person specification for further details.

Essential person specification requirements

Qualifications:

Minimum A level qualification or equivalent qualification or equivalent knowledge.
Undertaken the Clinical Coding Standards Course.
Up to date with Clinical Coding Refresher Courses.
National Clinical Coding Qualification.
Successful completion of a coder audit.

Experience:

The principles of Clinical Coding.
Significant knowledge of anatomy and physiology and medical terminology.
Significant knowledge of clinical coding requirements and standards.

Knowledge and Awareness:

Knowledge of the importance of confidentiality, the Data Protection Act and Caldicott Principles.
Thorough knowledge of Patient Administration Systems.
Understanding of how acute hospital services function in relation to patient experience.
Awareness of own limitations.

Please refer to the attached job description and person specification for further details.

Be part of MY team

We are an acute trust caring for over one million people in Wakefield and Kirklees. Our 10,000 staff work in patients’ homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritise our people and values so we can deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work.

We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns so we can increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ+ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust.

If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day.

Application guidance:
We understand that more applicants are using AI technology to help with their applications. While these tools can be useful, they cannot fully capture your skills, knowledge, and experience. It’s important that you personalise your application. Relying solely on AI is not recommended, as it may reduce your chances of success. Our screening process is thorough, so if you have used AI, please make sure to disclose this on your application form.

Our benefits

Access to the NHS pension plan
Generous holiday allowance of 27 days plus bank holidays, increasing with 5 and 10 years of service
Exceptional employee health and wellbeing services
Extensive benefits and support, including:
Onsite nurseries and childcare salary sacrifice scheme
Cycle to work scheme
Home electronics scheme
Car lease salary sacrifice scheme
Working carers support and advice, carers network and carers passport
Flexible working options and family and carer-friendly policies
Established staff networks, including LGBTQ+ and Race Equality
Career progression, training and support

Skilled worker sponsorship

You can find out more about skilled worker and health and care visas on our careers site.

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