Description
We are recruiting a Procedure Coder and Data Quality Co-ordinator to help ensure private patient activity is recorded, coded and validated accurately.
The post holder will review clinical information, apply ICD-10, OPCS and CCSD coding standards, resolve documentation queries and work with clinical, operational and finance colleagues to support accurate, timely billing.
Also, investigate data quality issues and help improve coding processes.
The post holder will be expected to adopt a professional and caring attitude, working alongside colleagues with a polite and courteous manner in all aspects of communication.
The post holder will work effectively within a team and with colleagues across the Trust to ensure that all chargeable private patient activity is recorded accurately, on time and in line with the targets set by the Private Care Directorate.
Job Responsibilities:
- Support the development and promotion of the Trust's mission, values, aims and objectives.
- Establish and maintain effective working relationships and communication across the Division, the wider Trust, and with external stakeholders including clinicians, patients, insurers and embassies.
- Ensure all Private Care activity is coded, mapped and validated accurately in accordance with CCSD schedules, coding standards, insurer requirements and sponsor contracts.
- Extract clinical information from a range of sources including operation notes, endoscopy reports, interventional radiology reports, histopathology results and consultant guidance.
- Support the accurate charging of Private Care procedures, diagnostics and consumables through robust coding and data quality processes.
- Work closely with Commercial Finance and billing teams to ensure invoices are raised accurately and within agreed timescales.
- Maintain professional knowledge and expertise in medical terminology, anatomy, physiology, CCSD coding standards and developments affecting Private Care services.
- Undertake training and continuing professional development to maintain and enhance coding knowledge and skills.
Person Specification:
- Academic achievements to 'A' level or equivalent
- Clinical Coding Standards Course
- Degree and/or an appropriate professional qualification or equivalent
- Experience reviewing complex clinical information, resolving coding queries and identifying documentation gaps that affect coding accuracy.
- Experience in clinical coding across ICD10, OPCS & CCSD classifications with the ability to analyse and translate patient record information in accordance with the rules and conventions of clinical coding.
- Awareness of data quality issues in healthcare settings
- Experience of working in private healthcare coding, liaising with insurance companies
- Excellent attention to detail
- Good interpersonal skills with ability to liaise effectively with colleagues and multidisciplinary team members
- Able to work independently, self-motivate, and use own initiative to plan, prioritise and organise workload
- Excellent verbal and written communication skills
- Ability to sensitively and professionally communicate complex information.
- Proven ability to work to strict deadlines
- Commitment to self-development with ability to demonstrate in depth knowledge of key policies and themes in healthcare provision in the UK
- Ability to work effectively within a team and to manage and motivate others.
- Strong problem-solving skills and proactive approach to problems.
- Be flexible in responding to the demands of the service
Benefits:
- Competitive salary: £36,943 to £44,900 a year
- Permanent, full-time position
- Opportunities for learning and development
- Flexible working requests considered
Equal Opportunities:
The Royal Marsden NHS Foundation Trust is committed to promoting equality and diversity in the workplace and in service delivery and development.