Job summaryWe are recruiting 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.
Main duties of the jobProcedure Coder and Data Quality Co-ordinator will have clinical coding experience, including private healthcare coding and liaison with insurers, and be confident interpreting complex clinical records. Strong attention to detail, communication and Excel skills are essential. We welcome applicants who can show how their skills and experience meet person specification.
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. adhering to confidentiality and information governance policies and procedures.
About usThe Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.
At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.
At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.
Job responsibilitiesStrategic DirectionSupport 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.
Operational Performance ManagementEnsure 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.
Financial and Resource ManagementSupport 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.
PersonalMaintain 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 SpecificationEducation/QualificationsEssential- Academic achievements to 'A' level or equivalent
- Clinical Coding Standards Course
- Degree and/or an appropriate professional qualification or equivalent
Desirable- Track record of continuous professional and management development
ExperienceEssential- 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
Desirable- Experience using validation, audit or reporting outputs to identify trends, themes and improvement opportunities.
KnowledgeEssential- Keyboard skills and computer literacy (including knowledge of MS office packages)
- Knowledge of and competence in the use of spreadsheets, including ability to manipulate data. Proficiency in MS Excel, e.g. skilled in using pivot tables and lookups level required
- Expert knowledge of medical terminology anatomical and physiological terms acquired through work-based training
Desirable- Knowledge in interpreting complex oncology surgical procedures with application of coding rules and conventions as specified in the ICD10, OPCS & CCSD manuals
Skills AbilitiesEssential- 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
Desirable- Interest in continuous improvement, digital transformation or clinical documentation improvement within clinical coding.
Other RequirementsEssential- Commitment to promoting equality and diversity in the workplace and in service delivery and development
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.