Job overview

The Clinical Coding Department is responsible for abstracting and analysing complex clinical information from patients records and translate this into a coded format in line with National Standards.

To enter the final encoded data onto the appropriate computer systems to meet essential Trust requirements for statutory information and financial flows.

The post holder will work as part of a team of experienced trained staff, the job will involve rotation between duties working on all specialties.

Main duties of the job

The job requires an enthusiastic, adaptable person with a methodical approach and high attention to detail, able to work following demanding deadlines and timescales.

To plan and prioritise own workload to meet departmental targets and to advise the manager of any hindrance to the achievement of these targets.

To have full knowledge in coding procedures and conventions, medical terminology, anatomical and physiological terms, acquired by undertaking training to National Standards

Obtain and accurately code medical information of inpatients and day case episodes using the national standard guidelines of the World Health Organisation using ICD10 and OPCS4.10

Analyse and abstract complex clinical information from a variety of data sources.

Use this information to assign accurate, timely, complete, and consistent diagnostic and procedure coding to all inpatient episodes in line with the national and local coding standards and guidelines to meet the service level agreements of the Trust.

Input assigned clinical codes onto the Trust’s encoder system, informing data managers of any errors concerning admission, transfer and discharge information which might compromise Trust income and data quality.

To advise the manager on the standards of information provided for clinical coding, particularly if this becomes unacceptable; to evaluate and discuss with the manager any problems that arise, and to assist in the implementation of any changes required.

Working for our organisation

We are committed to recruiting the best person for the job through a fair, open and consistent process that is free from bias and discrimination.

We are working towards becoming an anti-racist organisation. This means creating a workplace where every colleague feels seen, heard and valued, and where racism in any form has no place. Our anti-racism commitment is backed by action through our Anti-Racism Statement and action plan, developed in collaboration with our REACH staff network.

We actively challenge discrimination, dismantle barriers and embed equity across all aspects of our workforce, including recruitment, progression and development. All applicants will receive equal consideration regardless of race, ethnicity, nationality, religion or belief, sexual orientation, gender identity, age, disability, health condition or employment history.

We particularly welcome applications from ethnically diverse communities, people with disabilities or long-term health conditions, and LGBTQ+ community members. We are proud to be a Disability Confident Employer, a member of the Business Disability Forum, and a Stonewall Diversity Champion.

Our staff networks, including REACH, PRIDE, ENABLED and Women’s Networks, are active and executive supported. These employee-led networks play a vital role in shaping an inclusive culture at GOSH and are open to all colleagues.

Together, we are building a culture where inclusion is not optional - it is essential.

Detailed job description and main responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s below.

The postholder will have regular contact with vulnerable people and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.