Trainee Clinical Coder

Detailed job description and main responsibilities

The Job Description and Person Specification are attached to this job, please review for the full details and responsibilities

The Clinical Coding Department is a pivotal Service within the Trust\’s IM&T Division. These are corporate functions responsible for all Trust management information, reporting both externally and internally, providing vital management information to clinicians and managers which inform and determine the basis for decision-making across the Trust.

The Clinical Coding Department is responsible for the collection of clinical diagnosis codes using the ICD-10 (International Classification of Diseases) and clinical procedure codes using OPCS-4 (Classification of Interventions and Procedures), extracting the relevant information from patient case notes, discharge letters and reports.

Clinical Coding data is essential for the effective management of the Trust and directly and crucially influences the Trust\’s income in line with the \’Payment by Results\’ (PBR) process. It also forms the basis for clinical audit, clinical governance reporting, bench-marking and medical research.

The Trust uses \’Electronic Documentation Record Management service\’ (E.D.R.M.S), Medicode360, this enables remote working;

• To attend all components of the Clinical Coding Standards Course including corporate induction / mandatory training.
• The post holder must be committed to attaining the National Clinical Coding Qualification in order to achieve Accredited Clinical Coder status.
• To attend relevant clinical coding training courses and workshops as required.
• To comply with both the Trust and departmental policies and processes.
• To abstract and analyse information in the patient\’s electronic records or other source of documents and translate the medical terminology into clinical codes (ICD-10 and OPCS-4), and input the coded information on to the organisation\’s clinical information system.
• To be able to work under pressure maintaining accuracy especially around monthly coding deadlines and the refresh period.
• To maintain a portfolio of evidence and professional accreditation through attendance and participation in ongoing internal and external training programmes; continuously updating comprehensive knowledge and understanding of medical terminology, anatomy and physiology and its applications to clinical coding.
• Maintain a flexible attitude and response to change in job content or organisation in order to maintain or improve the quality of service provided to patients, the Trust, and to other stakeholders.
• To plan and prioritise own workload to meet departmental targets and to advise the manager of any hindrance to the achievement of these targets.
• To support Administrative functions of the department in the absence of clerical team members.
• To maintain the strictest confidentiality.
• To undertake all reasonable requests.

Person specification

Qualifications

Essential criteria

• Willingness to attend the Clinical Coding Standards Course and pass the course assessments within 6 months of commencing in post.
• Good Standard of education

Knowledge

Essential criteria

• Understanding of the need of confidentiality awareness at all times.
• To be proficient in the use of Microsoft Office including: Word, Excel, PowerPoint, Outlook

Desirable criteria

• Basic level of Anatomy and Physiology
• Basic level of Medical Terminology

Personal Skills

Essential criteria

• Basic keyboard skills, Good written and verbal communication skills

It is an exciting time to join the newly formed Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

All new staff will be subject to a probationary period covering their first six months in post.

Employer certification / accreditation badges

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• TRAINEE CLINICAL CODER – JD (PDF, 232.6KB)
• Person Specification (PDF, 56.5KB)
• Functional Aspects (PDF, 176.4KB)
• L&D Hospital site map (PDF, 96.8KB)
• Disclosure & Barring Information and Recruitment of Ex-Offenders (PDF, 78.5KB)
• Staff Diversity Network (PDF, 140.3KB)
• Information for Disabled Applicants (PDF, 98.7KB)
• Bedford Hospital Site map (PDF, 2.6MB)
• Staff Benefits (PNG, 1.6MB)

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