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Job description

The post holder is a member of the Clinical Coding Team who translate medical information (diagnoses and interventions) from patient’s electronic record to assign appropriate clinical codes using ICD-10 and OPCS-4 classifications. This information must be timely, complete and accurately recorded. It is required for cost analysis, invoicing CCGs, treatment effectiveness and outcome measurements.

• Undertake the Clinical Coding Standards Foundation Course (25 days) and pre-course elearning modules. Course content includes Anatomy & Physiology, Classifications of Diseases, History and theory of Clinical Coding through to assigning clinical codes in a classroom situation.
• Demonstrate by assessment an understanding of the rules and conventions that surround the Classifications of Diseases and Healthcare Related problems, tenth revision (ICD-10) and Office of Population Census and Surveys fourth revision (OPCS-4) at the end of the foundation course.
• Identify in the patient medical record, what clinical information needs to be collected and to correctly assign clinical codes to diagnoses and procedures in line with current national standards.
• Maintain of a good level of competency in the recording of clinical codes. Complete assessments as and when required to measure knowledge and accuracy of clinical coding.

If applicant does not have the ACC qualification the salary will be Annex 21. Post will also have Recruit and Retain payment of £3000 p.a pro rata

• Attend dedicated clinical coding computer training sessions which will enable to be able to navigate the MEDICODE software successfully and gain full use of this system.
• Undertake local and national clinical coding training programs held either internally or externally as required and work towards the National Clinical Coding Qualification (NCCQ).
• Complete clinical coding to the highest level of specificity using the three dimensions to coding accuracy giving complete, accurate data of a high quality that is consistently recorded.
• Ensure all coding is completed in a timely fashion in line with Trust and billing requirements. All clinical coding has to be completed by a given date in the month following the month in which the patient is discharged or transferred to another specialty or consultant.
• Report to the Clinical Coding Team Leader any discrepancies in clinical information contained in the medical record that contradicts clinical coding guidelines.
• Promote and adhere to clinical coding policies and procedures and national guidelines as laid down in the Data Quality Review and the National Classifications Service. Maintain these documents as and when new guidelines are issued.
• • Carry the on-call Medical Records Major Incident bleep as per rota. The week on call is for 24 hours, 7 days a week. This would entail being available at short notice i.e maximum of 30 minutes distance from the hospital, in the event of a Major Incident.

Our Trust

Cambridge University Hospitals (CUH) NHS Foundation Trust comprises Addenbrooke’s Hospital and the Rosie Hospital in Cambridge. With over 11000 staff and over 1100 beds the priorities of the Trust focus on a quality service which is all about people – patients, staff and partners. Recognised as providing ‘outstanding’ care to our patients and rated ‘Good’ overall by the Care Quality Commissioner, is testament to the skill and dedication of the people who work here. CUH’s values – Together - Safe, Kind, Excellent – are at the heart of patient care, defining the way all staff work and behave. The Trust provides accessible high-quality healthcare for the local people of Cambridge, together with specialist services, dealing with rare or complex conditions for a regional, national and international population.

CUH is committed to promoting a diverse and inclusive community - a place where we can all be ourselves. We value our differences and fully advocate and support an inclusive working environment where every individual can fulfil their potential. We want to ensure our people are truly representative of all the communities that we serve. We welcome applications for all positions in the organisation irrespective of people’s age, disability, ethnicity, race, nationality, gender identity, sex, sexual orientation, religion or belief, marriage and civil partnership status, or pregnancy and maternity status or social economic background.

Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.

This vacancy will close on the 12th of April.

Interviews are due to be held on the 19th of April.

Benefits to you

We offer development opportunities and a wide range of benefits including on-site leisure facilities, shopping concourse, day nurseries and access to a great transport system with easy access to airports and rail travel.

Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases alternative working hours will be considered.

We welcome applications from the Armed Forces.