Clinical coder

Duration: 12 Months + Possible Extension

Location:

100% Remote from UK only

Inside IR35

Extra info:
Candidate will work remotely but will need to travel once/twice in the beginning for laptop collection

We are seeking a highly skilled and detail-oriented Clinical Coder to accurately review, interpret, and translate patient clinical records into standardized diagnosis and procedure codes using ICD-10 and OPCS-4 classification systems. The successful candidate will play a critical role in ensuring the accuracy, completeness, and integrity of clinical data that supports healthcare reporting, reimbursement, quality improvement initiatives, clinical research, and operational decision-making.

• Review and analyse patient records to accurately identify and abstract diagnoses, co-morbidities, complications and procedures relevant to each inpatient episode.
• Assign accurate ICD-10 and OPCS-4 codes in accordance with national clinical coding standards, conventions and guidelines.
• Code complex clinical specialities and deceased patient records, liaising with clinicians where required to ensure accuracy and completeness.
• Maintain high standards of coding quality and productivity, contributing to the delivery of timely and reliable clinical data.
• Provide expert advice on complex coding issues, explaining coding decisions and rationale to clinical, medical and administrative staff.
• Collaborate with clinicians to clarify diagnoses, procedures and emerging clinical practices to support accurate code assignment.
• Share specialist knowledge and provide support, guidance and technical advice to colleagues within the Clinical Coding team.
• Plan and manage a personal workload effectively, working independently to meet agreed objectives and deadlines.
• Contribute to the achievement of monthly coding targets and support team performance during periods of absence or increased workload.
• Use patient administration, pathology, radiology and other clinical systems to gather and validate information required for coding.
• Ensure coded data, patient demographics and admission, transfer and discharge details are recorded accurately and promptly.
• Identify and report data quality issues to ensure patient activity is accurately captured within Trust systems.
• Maintain professional competence through continuous learning, participation in coding reviews and completion of mandatory national refresher training.
• Contribute to the continuous improvement of coding quality, data accuracy and compliance with national standards

• Significant experience of coding inpatient activity across a wide range of specialities within hospital setting
• Demonstrable knowledge, experience and understanding of ICD
  10 & OPCS 4 classifications and standards
• Experience of using both paper and electronic records to extract clinical information for the purposes of clinical coding
• NCCQ Accreditation (ACC)
• Clinical Coding Standards Refresher training certification within last 3 years
• Degree or equivalent training and experience