Clinical coder

Remote Clinical Coding Opportunity

Join a dedicated team to ensure the accuracy, completeness, and integrity of clinical data that supports healthcare reporting, reimbursement, quality improvement initiatives, clinical research, and operational decision-making. This 12-month engagement, with the possibility of extension, is conducted entirely remotely from the UK, with initial travel required for equipment collection. Working inside IR35, you will play a critical role in translating patient clinical records into standardized codes, maintaining high levels of quality and productivity while working independently.

Key Responsibilities

• 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.

Essential Qualifications

• Significant experience of coding inpatient activity across a wide range of specialities within a hospital setting.
• Demonstrable knowledge, experience, and understanding of ICD-10 and 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 the last 3 years.
• Degree or equivalent training and experience.