Job Description
St Stephen’s Health Centre
Clinical Coder job description & person specification
Job Title
Clinical Coder
Line Manager
Operations Manager
Accountable to
Deputy Practice Manager
Hours per week
Hours Negotiable – Minimum 25 hrs PW
Job Summary
The candidate for this role must have 1-2 years of experience in a healthcare setting. Clinical Coding is essential for the effective management of clinical services. The post holder will be required to provide an efficient and high quality clinical coding service, including Clinical Governance, Information Governance by ensuring accurate translation and input of medical terminology.
Mission Statement
St Stephen’s Health Centre is an NHS healthcare provider.
We are a team, working in partnership with our local community to help promote and support health and wellbeing.
St Stephen’s is committed to providing an environment that is caring, kind and respectful to our patients and staff.
Generic Responsibilities
All staff at St Stephen’s Health Centre have a duty to conform to the following:
Equality, Diversity & Inclusion
A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.
Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.
Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.
Safety, Health, Environment and Fire (SHEF)
This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.
Confidentiality
This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.
Quality & Continuous Improvement (CI)
To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.
This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.
Induction Training
On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Deputy Practice Manager.
Learning and Development
The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.
Collaborative Working
All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.
Service Delivery
Staff at St Stephen’s Health Centre must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.
Security
The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.
Professional Conduct
At St Stephen’s Health Centre, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.
Leave
All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of 27 days leave each year, and should be encouraged to take all of their leave entitlement.
Primary Responsibilities
The post holder will be a skilled clinical coder who understands the need for accurate, high quality coded clinical data to support GPs and other health professionals within the practice. They will be responsible for ensure accurate timely and complete consistent coding within strict timescales.
- Good working knowledge of coding classifications and standards of procedures
- Experience of producing high quality work to meet the expectations of the practice
- Understanding of the importance of confidentiality, Data Protection and Caldicott principles
- Proficient knowledge of EMIS
- Manage own workload by working on own initiative, whilst taking direction from managers
- Prioritise work where necessary to meet coding deadlines
- To analyse and extract diagnostic and procedural information from patient notes and information systems and assign the appropriate code in an accurate and timely fashion.
- Organising patient records and letters in preparation for summarising, Reviewing medical records and producing an accurate summary of the patient’s medical history according to the practice summarising policy
- Deal with queries relating to coding
- To adhere to regular quality checks with the aim to improve and maintain a high level of accurate coding
Secondary Responsibilities
In addition to the primary responsibilities, the Clinical Coder may be requested to:
- Assist The Admin Team with ad hoc tasks such as, scanning, registration, reports etc.
The person specification for this role is detailed below.
Person Specification – Receptionist / Administrator
Qualifications
Essential - Educated to GCSE level or equivalent
Desirable - GCSE Mathematics & English (C or above)
Essential - Experience of working with the general public
Essential - Experience of Clinical Coding
Essential - Experience of working in a health care setting
Skills
Essential - Excellent communication skills (written and oral)
Essential - Strong IT skills
Essential - Clear, polite telephone manner
Essential - Competent in the use of Office and Outlook
Essential - EMIS
Essential - Effective time management (Planning & Organising)
Essential - Ability to work as a team member and autonomously
Essential - Good interpersonal skills
Essential - Problem solving & analytical skills
Essential - Ability to follow policy and procedure
Personal Qualities
Essential - Polite and confident
Essential - Flexible and cooperative
Essential - Motivated
Essential - Forward thinker
Essential - High levels of integrity and loyalty
Essential - Sensitive and empathetic in distressing situations
Essential - Ability to work under pressure
Other requirements
Essential - Flexibility to work outside of core office hours
Essential - Disclosure Barring Service (DBS) check
This document may be amended following consultation with the post holder, to facilitate the development of the role, the practice and the individual. All personnel should be prepared to accept additional, or surrender existing duties, to enable the efficient running of the practice.
Job Types: Full-time, Part-time
Part-time hours: 25 per week
Salary: £13,650.00-£21,547.50 per year
Benefits:
Schedule:
Ability to commute/relocate:
- Bow, E3 5ED: reliably commute or plan to relocate before starting work (required)
Work Location: One location
Application deadline: 31/03/2023
Expected start date: 03/04/2023
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