NHS
Clinical Coding Auditor
This job is now closed
Job Description
- Req#: C9365-24-0714?language=en&page=834&sort=publicationDateDesc
- Managing systems that support the validation process.
- Undertaking individual (team) audits.
- Undertaking adhoc speciality audits.
- encourage clinical and Divisional engagement in audit process and findings.
- Review of data quality surrounding clinical coding
- Provide feedback and support to the the team and clinical staff around the coding process, utilising the tools available.
- Responsible for disseminating new national standards and developing local policies as required.
- Work closely with colleagues in information and commissioning to pinpoint areas for audit, to support financial recover of the Trust.
- Best services for local people
- Best experience of care and best outcomes for our patients
- Best use of resources
- Best people
- ACC qualified with the Clinical Coding Auditor accreditation or working towards.
- Report writing qualification or working towards.
- Use of IT applications
- Leadership, management or coaching courses from any NHS approved training bodies
- Educated to Degree level or with relevant acute NHS experience
- Educated to Masters level or with relevant acute NHS experience
- Clinical Coding experience covering all specialities
- Experience of working in an Acute Hospital setting
- Ability to prioritise work and set deadlines.
- Experience in implementing changes in Clinical Coding work practices.
- ACC qualified with the Clinical Coding Auditor accreditation or working towards.
- Report writing qualification or working towards.
- Use of IT applications
- Leadership, management or coaching courses from any NHS approved training bodies
- Educated to Degree level or with relevant acute NHS experience
- Educated to Masters level or with relevant acute NHS experience
- Clinical Coding experience covering all specialities
- Experience of working in an Acute Hospital setting
- Ability to prioritise work and set deadlines.
- Experience in implementing changes in Clinical Coding work practices.
Job summary
An exciting opportunity has arisen to join the dynamic Clinical Coding Team at Worcestershire Acute Hospitals, as a Clinical Coding Auditor on a full time basis.
We are a forward thinking department that looks at innovative ways of working. aiming towards the progression and modernisation of the coding auditing process.
Offering a supportive working environment which fosters personal development and collaborative woring with all areas o the wider organisation.
Main duties of the job
Duties include:
About us
Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Our objectives are simple:
Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
Date posted
05 June 2024
Pay scheme
Agenda for change
Band
Band 6
Salary
£35,392 to £42,618 a year
Contract
Permanent
Working pattern
Full-time, Flexible working, Home or remote working
Reference number
C9365-24-0714
Job locations
Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
Job descriptionJob description
Job responsibilities
Job Purpose:
The post holder will take the lead role for internal Clinical Coding audit, to ensure the Trust meets national standards for Clinical Coding and adheres to the Clinical Coding audit policy.
In conjunction with the Clinical Coding Manager will develop and implement an ongoing programme of Clinical Coding audits and training throughout the Trust to continuously improve data quality and secure Trust income under Payment by Results.
Will act as Lead Clinical Coder and will assist all coders with complex coding queries and provide expert advice in other departments on coding issues.
Will be responsible for the monitoring and ensuring the completion of the Trusts Clinical Coding backlog
The post holder will deputise for the Clinical Coding Manager.
Responsibilities:
Main duties
1. To carry out internal audit work on the Trusts Clinical Coding in accordance to Clinical Coding audit policy and procedures. Adhering to national standards in Clinical Coding using the International Classification of Diseases ICD-10 volumes 1-3 and operative procedures in accordance to the Office of Population Census OPCS-4.
2. Prepare and present both coding and clinical audit reports, ensure close working and engagement for the clinical coding data validation process
3. To ensure continual improvement of clinical coded information within the Trust through systemic audit and quality assurance procedures, in compliance with national standards, classification rules and conventions.
4. Any training issues identified in audit to be addressed promptly
5. To liaise with Clinicians and Directorates as a coding specialist and to communicate complex coding rules to medical, clinical and administrative staff in order to establish the accurate diagnosis and procedure codes for each speciality.
6. To plan and organise both short and long term strategic objectives for clinical coding to enable the Trust respond successfully to changing internal and external demands
7. To facilitate and support the Clinical Coding team so as to input onto the hospital patient administration system is accurate and complete coded information within the designated timescales in order to support the information requirements and commissioning of the Trust
8. To be responsible for managing and responding to all coding queries raised by coders and Trust staff.
9. To conduct regular meetings with Clinical coding Manager, Data Quality Manager to develop and implement action plans arising from internal and external reviews, audits, validation exercises, Data Set Change Notices (DSCNs) and other related activities/requirements.
10. To assist with yearly external audit which is an essential requirement of the NHS Connecting for Health Data Quality Framework.
11. Deputise for Clinical Coding Manager whenever necessary.
Compliance
Daily Operations/Planning
To record data in manual and computerised systems in accordance with agreed policies and procedures
To adhere to Trust policies regarding confidentiality and information security
To carry out any other duties commensurate with the grade of this job.
The duties defined in this job description are not definitive and may be subject to future amendments following appropriate consultation
Standard Clauses:
The purpose of this post should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post. The post holder may from time to time be asked to undertake other reasonable duties. Any such changes will be made in discussion with the post holder in the light of service needs.
Competence:
The post holder is responsible for limiting his/her actions to those which s/he feels competent to undertake. If the post holder has any doubts as to his or her competence during the course of his/her duties then s/he should immediately speak to their line manager or supervisor.
Codes of conduct:
All employees of the Trust who are required to be registered with a professional body, to enable them to practise within their profession, are required to comply with their code of conduct and requirements of their professional registration. Staffs that are not required to be registered with a professional body are required to comply with the Trusts codes of conduct.
Confidentiality:
The post holder must maintain confidentiality, security and integrity of information relating to patients, staff and other Health Service business.
Records Management:
All employees of the Trust are legally responsible for all records that they gather, create or use as part of their work within the Trust (including patient, financial, personnel and administrative), whether paper or computer based. All such records are considered public records and all employees have a legal duty of confidence to service users. Employees should consult their manager if they have any doubt as to the correct management of records with which they work.
Health and Safety:
Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and the Manual Handling Operations Regulations (1992) and all relevant Trust Health and Safety Policies and Guidance. This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the Trust.
Infection Control:
Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable Health Care Associated Infection. All Employees must undertake annual mandatory updates in Infection Control.
Non Smoking Policy:
The Trusts approach to smoking is in line with the governments on-going initiatives for an eventual smoke-free environment. It aims to adhere to the Worcestershire Health Community Campaign to help Worcestershire stop smoking.
A no smoking environment policy exists within all Trust premises including entrances and exits to hospital buildings and on other Trust property (with the exception of staff resident in staffresidences, as these are the homes of staff). In June 2014 a ban was implanted which meant staff, contractors and volunteers were no longer permitted to smoke in any of the hospital grounds, including car parks.
Further to this, The Alexandra, Kidderminster and Worcestershire Royal Hospitals, have all become smoke free to all patients and visitors as of 17 June 2015. This means that, as well as staff, members of the public, patients and visitors are not allowed to smoke in any of the acute hospital grounds, including car parks.
Risk Management:
It is a standard element of the role and responsibility of all employees of the Trust that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, taking appropriate actions, and reporting all incidents, near misses, and hazards promptly. It is a contractual obligation that all employees must co-operate with any investigations undertaken.
Children and vulnerable adults:
You have a responsibility for promoting and safeguarding the welfare of the children/young people/vulnerable adults that you come into contact with or are responsible for in your job role and sphere of competence.
Disclosure and Barring Service:
The Trust aims to promote equality of opportunity for all, with the right mix of talent, skills and potential. Criminal records will be taken into account for recruitment purposes, only when the conviction is relevant. As the Trust meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants who are offered employment will be subject to a criminal record check from the Disclosure and Barring Service before the appointment is confirmed. This will include details of cautions, reprimands or final warnings, as well as convictions. Potholders may periodically be asked to undertake a re-check.
The Trust is legally required to check all staff against the Disclosures and Barring Services Childrens and Vulnerable Adults barring lists if they engage in what is defined as Regulated Activity or Controlled Activity: Regulated Activity is defined as working closely with children or vulnerable adults, paid or unpaid, on a frequent or intensive basis. Controlled activity is work that provides opportunities for contact with children or vulnerable adults, or their records. This includes caterers, cleaners, administrators, contractors, maintenance workers and their managers and supervisors.
Equality and Diversity:
The Trust promotes policies and practices that challenge discrimination, promote equality, respect individual needs, preferences and choices, and protects human rights. The Trust has a clear commitment to equality for all in employment practices based on an applicants ability, skills and aptitude for the post. A range of equality & diversity policy initiatives are in place and all successful applicants are expected to familiarise themselves with these. It is therefore the duty of every employee to comply with the detail and spirit of these policies and the law at all times. Any issues or concerns you have should be taken up with your manager or the human resource team as soon as possible.
Job responsibilities
Job Purpose:
The post holder will take the lead role for internal Clinical Coding audit, to ensure the Trust meets national standards for Clinical Coding and adheres to the Clinical Coding audit policy.
In conjunction with the Clinical Coding Manager will develop and implement an ongoing programme of Clinical Coding audits and training throughout the Trust to continuously improve data quality and secure Trust income under Payment by Results.
Will act as Lead Clinical Coder and will assist all coders with complex coding queries and provide expert advice in other departments on coding issues.
Will be responsible for the monitoring and ensuring the completion of the Trusts Clinical Coding backlog
The post holder will deputise for the Clinical Coding Manager.
Responsibilities:
Main duties
1. To carry out internal audit work on the Trusts Clinical Coding in accordance to Clinical Coding audit policy and procedures. Adhering to national standards in Clinical Coding using the International Classification of Diseases ICD-10 volumes 1-3 and operative procedures in accordance to the Office of Population Census OPCS-4.
2. Prepare and present both coding and clinical audit reports, ensure close working and engagement for the clinical coding data validation process
3. To ensure continual improvement of clinical coded information within the Trust through systemic audit and quality assurance procedures, in compliance with national standards, classification rules and conventions.
4. Any training issues identified in audit to be addressed promptly
5. To liaise with Clinicians and Directorates as a coding specialist and to communicate complex coding rules to medical, clinical and administrative staff in order to establish the accurate diagnosis and procedure codes for each speciality.
6. To plan and organise both short and long term strategic objectives for clinical coding to enable the Trust respond successfully to changing internal and external demands
7. To facilitate and support the Clinical Coding team so as to input onto the hospital patient administration system is accurate and complete coded information within the designated timescales in order to support the information requirements and commissioning of the Trust
8. To be responsible for managing and responding to all coding queries raised by coders and Trust staff.
9. To conduct regular meetings with Clinical coding Manager, Data Quality Manager to develop and implement action plans arising from internal and external reviews, audits, validation exercises, Data Set Change Notices (DSCNs) and other related activities/requirements.
10. To assist with yearly external audit which is an essential requirement of the NHS Connecting for Health Data Quality Framework.
11. Deputise for Clinical Coding Manager whenever necessary.
Compliance
Daily Operations/Planning
To record data in manual and computerised systems in accordance with agreed policies and procedures
To adhere to Trust policies regarding confidentiality and information security
To carry out any other duties commensurate with the grade of this job.
The duties defined in this job description are not definitive and may be subject to future amendments following appropriate consultation
Standard Clauses:
The purpose of this post should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post. The post holder may from time to time be asked to undertake other reasonable duties. Any such changes will be made in discussion with the post holder in the light of service needs.
Competence:
The post holder is responsible for limiting his/her actions to those which s/he feels competent to undertake. If the post holder has any doubts as to his or her competence during the course of his/her duties then s/he should immediately speak to their line manager or supervisor.
Codes of conduct:
All employees of the Trust who are required to be registered with a professional body, to enable them to practise within their profession, are required to comply with their code of conduct and requirements of their professional registration. Staffs that are not required to be registered with a professional body are required to comply with the Trusts codes of conduct.
Confidentiality:
The post holder must maintain confidentiality, security and integrity of information relating to patients, staff and other Health Service business.
Records Management:
All employees of the Trust are legally responsible for all records that they gather, create or use as part of their work within the Trust (including patient, financial, personnel and administrative), whether paper or computer based. All such records are considered public records and all employees have a legal duty of confidence to service users. Employees should consult their manager if they have any doubt as to the correct management of records with which they work.
Health and Safety:
Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and the Manual Handling Operations Regulations (1992) and all relevant Trust Health and Safety Policies and Guidance. This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the Trust.
Infection Control:
Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable Health Care Associated Infection. All Employees must undertake annual mandatory updates in Infection Control.
Non Smoking Policy:
The Trusts approach to smoking is in line with the governments on-going initiatives for an eventual smoke-free environment. It aims to adhere to the Worcestershire Health Community Campaign to help Worcestershire stop smoking.
A no smoking environment policy exists within all Trust premises including entrances and exits to hospital buildings and on other Trust property (with the exception of staff resident in staffresidences, as these are the homes of staff). In June 2014 a ban was implanted which meant staff, contractors and volunteers were no longer permitted to smoke in any of the hospital grounds, including car parks.
Further to this, The Alexandra, Kidderminster and Worcestershire Royal Hospitals, have all become smoke free to all patients and visitors as of 17 June 2015. This means that, as well as staff, members of the public, patients and visitors are not allowed to smoke in any of the acute hospital grounds, including car parks.
Risk Management:
It is a standard element of the role and responsibility of all employees of the Trust that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, taking appropriate actions, and reporting all incidents, near misses, and hazards promptly. It is a contractual obligation that all employees must co-operate with any investigations undertaken.
Children and vulnerable adults:
You have a responsibility for promoting and safeguarding the welfare of the children/young people/vulnerable adults that you come into contact with or are responsible for in your job role and sphere of competence.
Disclosure and Barring Service:
The Trust aims to promote equality of opportunity for all, with the right mix of talent, skills and potential. Criminal records will be taken into account for recruitment purposes, only when the conviction is relevant. As the Trust meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants who are offered employment will be subject to a criminal record check from the Disclosure and Barring Service before the appointment is confirmed. This will include details of cautions, reprimands or final warnings, as well as convictions. Potholders may periodically be asked to undertake a re-check.
The Trust is legally required to check all staff against the Disclosures and Barring Services Childrens and Vulnerable Adults barring lists if they engage in what is defined as Regulated Activity or Controlled Activity: Regulated Activity is defined as working closely with children or vulnerable adults, paid or unpaid, on a frequent or intensive basis. Controlled activity is work that provides opportunities for contact with children or vulnerable adults, or their records. This includes caterers, cleaners, administrators, contractors, maintenance workers and their managers and supervisors.
Equality and Diversity:
The Trust promotes policies and practices that challenge discrimination, promote equality, respect individual needs, preferences and choices, and protects human rights. The Trust has a clear commitment to equality for all in employment practices based on an applicants ability, skills and aptitude for the post. A range of equality & diversity policy initiatives are in place and all successful applicants are expected to familiarise themselves with these. It is therefore the duty of every employee to comply with the detail and spirit of these policies and the law at all times. Any issues or concerns you have should be taken up with your manager or the human resource team as soon as possible.
Person SpecificationPerson Specification
Qualifications
Essential
Desirable
Experience
Essential
Qualifications
Essential
Desirable
Experience
Essential
Employer details
Employer name
Worcestershire Acute Hospitals NHS Trust
Address
Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
Employer's website
https://www.worcsacute.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Worcestershire Acute Hospitals NHS Trust
Address
Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
Employer's website
https://www.worcsacute.nhs.uk/ (Opens in a new tab)
About the company
National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.