Trainee Clinical CoderinOswestryinOswestryPUBLISHED WED 22 JAN 2025
Opportunity for career advancement, The role provides a pathway to obtain an accredited clinical coding qualification, enhancing professional growth and future job prospects.
Critical contribution to healthcare, Trainee Clinical Coders play a vital role in processing patient data, improving the accuracy of healthcare records, and contributing to effective patient care.
Engagement with healthcare professionals, The position offers the chance to develop good relationships with clinical staff, fostering a collaborative environment aimed at improving data quality.
Skill development, The role involves analyzing complex medical terminology and information, building valuable analytical and critical thinking skills.
Working within a supportive team, Being part of a specific department within a reputable NHS foundation trust allows for a nurturing work environment with opportunities for mentorship.
Flexibility in work hours, The position may offer varied hours, accommodating personal and professional commitments, especially useful for trainees.
Contribution to public health and research, The collected coded data is crucial for statistical analysis and research, meaning that the work has a tangible impact on public health services.
The Trainee Clinical Coder role at Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust in Oswestry involves extracting and translating medical information from patient case notes into coded data for payment and statistical analysis. This includes studying both written and electronic patient records to accurately code diagnoses and treatments using national classifications such as ICD10 and OPCS version 4. Trainees will work under the guidance of the Clinical Coding Manager to handle complex cases, ensure coding accuracy, and support hospital data quality initiatives.
The position requires strong concentration and analytical skills, as well as collaboration with various clinical and administrative departments. Responsibilities include entering coded data into the Patient Administration System, maintaining close relationships with clinical staff to enhance data quality, and participating in coding audits. The role also emphasises ongoing professional development, requiring attendance at mandatory training courses and efforts towards obtaining an accredited clinical coding qualification. Candidates eligible for Skilled Worker Sponsorship will also be considered.
The position requires strong concentration and analytical skills, as well as collaboration with various clinical and administrative departments. Responsibilities include entering coded data into the Patient Administration System, maintaining close relationships with clinical staff to enhance data quality, and participating in coding audits. The role also emphasises ongoing professional development, requiring attendance at mandatory training courses and efforts towards obtaining an accredited clinical coding qualification. Candidates eligible for Skilled Worker Sponsorship will also be considered.
Opportunity for career advancement, The role provides a pathway to obtain an accredited clinical coding qualification, enhancing professional growth and future job prospects.
Critical contribution to healthcare, Trainee Clinical Coders play a vital role in processing patient data, improving the accuracy of healthcare records, and contributing to effective patient care.
Engagement with healthcare professionals, The position offers the chance to develop good relationships with clinical staff, fostering a collaborative environment aimed at improving data quality.
Skill development, The role involves analyzing complex medical terminology and information, building valuable analytical and critical thinking skills.
Working within a supportive team, Being part of a specific department within a reputable NHS foundation trust allows for a nurturing work environment with opportunities for mentorship.
Flexibility in work hours, The position may offer varied hours, accommodating personal and professional commitments, especially useful for trainees.
Contribution to public health and research, The collected coded data is crucial for statistical analysis and research, meaning that the work has a tangible impact on public health services.
The role of the Clinical Coder is to extract and translate written medical terminology from patient case notes into coded data, for use in Payment by Results and statistical analysis. This involves the study of all written information and electronic reports and letters to establish all the diagnosed conditions, treatments and procedures undertaken within the relevant episode of care and recording this information using national classifications onto the Patient Administration System (PAS). The ability to concentrate for long periods of time is essential within the Coding Department in order to deal with complex information.
Applicants from job seekers who require current Skilled Worker Sponsorship to work in the UK are welcome and will be considered alongside all other applications.Job seekers should be aware that not all roles will be eligible for Skilled Worker Sponsorship. For further information visit UK Visas and Immigration - GOV.UK ( www.jobsincare.com/job/jbnsFsTA
- Extract relevant information from case notes to enable coding of clinical activity
- Adhere to national and international rules and standards including ICD10 and OPCS version 4
- Responsible for accurate completion of inpatient and day case episodes - referring complex cases to the Clinical Coding Manager
- Take responsibility for entry of clinical codes onto the patient administration/electronic patient record system
- Develop and maintain good links with clinical staff to ensure quality of data
- Assist with clinical coding audits
- Work towards accredited clinical coding ACC qualification
About us
Key working Relationships
Finance Department, Information Department, IT Department, Clinicians, other Medical and Nursing staff, Ward staff and Healthcare Records staff.
Main Responsibilties- To extract relevant information from case notes/source documents to enable the coding of clinical activity.
- To critically analyse the data from all available sources relevant to the episode of care and interpret this information using the current classifications (World Health Organisation ICD10 and Office of Population Censuses and Surveys version 4), applying national and international rules and conventions whilst maintaining accuracy and completeness of coding. This will require the use of initiative and judgment to reconcile the given diagnoses and to integrate new procedures.
- To be responsible for accurate completion of all in patient and day case episodes ensuring that all relevant information is coded, referring where necessary in complex cases to the Clinical Coding Manager.
- To be responsible for meeting existing targets of completed coding and to ensure that the agenda for Payment by Results (PbR) is achieved through accurate and timely coding.
- To take responsibility for entering the coded clinical information onto the Patient Administration System (PAS).
- To identify missing activity for all specialities by producing daily/weekly lists of uncoded activity, using the information available from electronic patient records, discharge summaries, x-ray reports and histology reports.
- To report any discrepancies in data provision to the relevant Ward/Department and the Clinical Coding Manager.
- To check and amend coded data regarding patient episodes on the Patient Administration System ensuring that all the information is accurate and complete.
- To develop and maintain good links with clinical staff to improve and ensure good quality and depth of clinical coded data, amending clinical coding where necessary.
- To ensure that medical case notes are kept in good order and booked out to the correct Department after the coding episode has been completed.
- To assist with the preparation of Information Governance and PbR Audits by pulling and returning medical case notes to and from the Records Library.
- To attend the mandatory external NHS 18 day Clinical Coding Foundation Course.
- To work towards the national accredited clinical coding ACC qualification or the Trust internal assessment.
- To take responsibility for maintenance and improvements of clinical coding knowledge by attendance at the mandatory external NHS two yearly Refresher Training Course and other speciality courses in line with Department training plans.
- To be responsible for identifying personal training and development needs through appraisals in line with Trust policies.
- To provide codes to the Information Department to enable data analysis for statistical and research purposes.
- To provide coding information to other Departments within the Trust as and when required.
- To provide support and cover as required within the Department.
- To attend meetings as requested and within own remit.
- To promote the professional image of the Clinical Coding Department throughout the Trust and to ensure that all duties are carried out in a professional manner.
- To main confidentiality at all times in line with the Data Protection Act.
More information related to this job opportunity, from jobsincare:
Possible interview questions for this job
Click to
viewStart practice interview
NEW!
Please wait...this will take a moment...
Please wait...this will take a moment...
More about the NHS
The National Health Service (NHS) is a cornerstone of healthcare in the United Kingdom, established in 1948 with the simple yet profound principle of providing healthcare to all citizens, free at the point of use. This revolutionary system aimed to ensure that access to medical services would not depend on an individual’s financial situation, a concept that has since become fundamental to British societal values.Learn more...
Useful skills for a Trainee Clinical Coder:
Click to view
To work as a Trainee Clinical Coder in the UK, you will need a combination of skills, knowledge, and personal attributes. Here are some key skills and qualifications that are beneficial for this role:
Educational Background
1. Relevant Qualifications: Although specific qualifications may vary, having a background in healthcare, life sciences, or a related field can be advantageous. A degree in a health-related subject, such as nursing, medicine, or medical administration, is often beneficial.
Technical Skills
2. Understanding of Medical Terminology: A foundational knowledge of medical terminology, anatomy, and physiology is crucial for accurately translating clinical information into codes.
3. Familiarity with Coding Systems: Knowledge of coding classifications, such as ICD-10 (International Classification of Diseases) and OPCS-4 (Office of Population Censuses and Surveys), is important. Training often covers these systems.
4. Computer Literacy: Proficiency in using computers and familiarity with healthcare information systems is essential, as you will be working with coding software and patient records.
Analytical Skills
5. Attention to Detail: Clinical coding requires high accuracy to ensure proper coding of diagnoses and procedures. Attention to detail is critical to minimize errors.
6. Analytical Thinking: The ability to analyze clinical notes and documentation to extract relevant information for coding accurately is important.
Communication Skills
7. Effective Communication: You will need to collaborate with healthcare professionals and understand clinical discussions. Clear communication skills will help in asking questions and clarifying information when necessary.
8. Written Communication Skills: Good written communication skills are important for documenting coding decisions and ensuring clarity in coded data.
Personal Attributes
9. Organizational Skills: Being organized helps in managing the workload effectively, especially when dealing with large volumes of medical records.
10. Problem-Solving Skills: The ability to address and resolve discrepancies in clinical information and coding challenges is essential.
11. Continuous Learning: A commitment to ongoing learning and professional development is vital, as coding standards and practices may evolve.
Additional Considerations
12. Teamwork and Collaboration: Working as part of a healthcare team requires the ability to collaborate and contribute effectively in a team setting.
13. Confidentiality Understanding: A strong understanding of patient confidentiality and data protection regulations is critical given the sensitive nature of health information.
Training and Development
- Once you secure a trainee position, you will likely receive on-the-job training and possibly pursue professional qualifications in clinical coding, such as those offered by the National Association of Clinical Coders (NACC) or similar organizations.
More from Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
inOswestry
What might it look like to work here?
Stand by, we'll show you...
Stand by, we'll show you...
This image is not representative.
Learn more