Senior Clinical Coder

Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patients health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting. Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients. Ensure strict adherence to procedures established for clinical coding as laid out by the classifications in use and take into account changes made to the classification should the need arise. Participate in regular training sessions in order to develop and enhance coding speciality skills. Update national classification books and manuals in line with national standards released by the NHS Classification Service. For example Coding Clinics Demonstrate a high level of skills in the use of International Classification of Diseases, volume 10 (ICD-10) and the Classification of Interventions and Procedures, (OPCS-4). Identify and report errors found on the Patient Administration System e.g. incorrect consultant designation. Work with specialty divisions to support and maintain a professional and flexible coding service. Ability to code specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training. Attend multi-disciplinary meetings for assigned specialities/wards. Provide specialist advice to clinical and non-clinical staff with regards to clinical coding. To ensure that working processes are followed in own area of work and ensure and initiate service review when these processes are no longer effective providing suggestions for development when required and implementing agreed revisions. Provide cover for absence of clinical coding staff, as required ensuring continuity of service provision Ensure that health records tracking is maintained if required This job description covers the major tasks to be carried out and the level of responsibilities to which the post holder will work. These may be revised and changed from time to time. Discussions will take place with the post holder. Job description Job responsibilities Responsible for the abstraction, analysis and interpretation of complex and highly complex clinical information found within patients health records, use judgment and knowledge in assigning the correct codes when the information provided is conflicting. Translate and assign the most accurate clinical codes for diagnosis, co-morbidities and procedures undertaken for all discharged and transferred patients. Ensure strict adherence to procedures established for clinical coding as laid out by the classifications in use and take into account changes made to the classification should the need arise. Participate in regular training sessions in order to develop and enhance coding speciality skills. Update national classification books and manuals in line with national standards released by the NHS Classification Service. For example Coding Clinics Demonstrate a high level of skills in the use of International Classification of Diseases, volume 10 (ICD-10) and the Classification of Interventions and Procedures, (OPCS-4). Identify and report errors found on the Patient Administration System e.g. incorrect consultant designation. Work with specialty divisions to support and maintain a professional and flexible coding service. Ability to code specialties at a high level of accuracy and to rotate as and when required, with appropriate support and training. Attend multi-disciplinary meetings for assigned specialities/wards. Provide specialist advice to clinical and non-clinical staff with regards to clinical coding. To ensure that working processes are followed in own area of work and ensure and initiate service review when these processes are no longer effective providing suggestions for development when required and implementing agreed revisions. Provide cover for absence of clinical coding staff, as required ensuring continuity of service provision Ensure that health records tracking is maintained if required This job description covers the major tasks to be carried out and the level of responsibilities to which the post holder will work. These may be revised and changed from time to time. Discussions will take place with the post holder.