Clinical Coding Qualified Auditor/Delivery Manager

Job Overview

We are seeking an experienced Clinical Coding - Delivery Manager to lead clinical coding operations, quality, and service delivery while remaining actively involved in coding complex inpatient cases across multiple specialties.

The role combines advanced clinical coding expertise with operational leadership responsibility for coding productivity, quality performance, workload management, SLA compliance, data governance, and stakeholder engagement. The successful candidate will mentor coding teams, drive continuous improvement, and ensure delivery of high-quality coding services against agreed performance targets.

Key ResponsibilitiesClinical Coding

• Review and analyze patient records to accurately assign ICD-10 and OPCS-4 codes in accordance with established clinical coding standards and conventions.

• Independently code complex, high-acuity, and multi-specialty inpatient cases.

• Collaborate with clinicians to clarify diagnoses, procedures, and incomplete clinical documentation.

• Ensure coding accuracy, completeness, and compliance with established coding standards.

• Support coding quality improvement initiatives and best practice adoption across the team.

Team Leadership & Workflow Management

• Provide technical guidance, mentoring, and support to junior clinical coders.

• Allocate coding workloads based on case complexity, specialty expertise, and team capacity.

• Monitor and manage coding backlogs to ensure timely turnaround and optimal resource utilization.

• Act as the escalation point for complex coding and operational issues.

Delivery Management & Performance Monitoring

• Monitor daily coding throughput and productivity to ensure achievement of agreed monthly and annual FCE targets.

• Drive team performance to achieve and maintain a minimum 90% clinical coding accuracy target.

• Track coding volumes, backlog status, turnaround times, and operational KPIs.

• Prepare and present regular performance reports, SLA metrics, and service reviews.

• Identify and address operational risks, delivery challenges, and productivity bottlenecks.

Governance & Compliance

• Ensure compliance with ICD-10, OPCS-4, clinical coding standards, information governance requirements, and patient confidentiality regulations.

• Enforce adherence to healthcare data security policies and quality assurance processes.

• Maintain accurate and auditable records of coding activities and operational performance.

Stakeholder Management

• Serve as the primary operational contact for stakeholders and healthcare provider management teams.

• Manage day-to-day stakeholder communications and service review meetings.

• Resolve operational blockers and service delivery issues in a timely manner.

• Provide regular updates on coding performance, quality outcomes, backlog management, and continuous improvement initiatives.

Essential Qualifications

• NCCQ Accredited Clinical Coder (ACC) or equivalent recognized clinical coding certification.

• Clinical Coding Standards Refresher Certification completed within the last 3 years.

• Degree in Life Sciences, Health Sciences, Nursing, Medical Sciences, or equivalent experience.

Essential Experience

• Minimum 5+ years of post-accreditation clinical coding experience.

• Proven experience coding inpatient episodes across multiple clinical specialties.

• Demonstrated experience coding complex clinical cases independently.

• Experience managing coding operations, productivity targets, and service delivery.

• Experience using EHR, PAS, Encoder, and other healthcare information systems.

• Experience working directly with clinicians and stakeholders.

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