Senior Clinical Coder

at  Dartford and Gravesham NHS Trust

To ensure accurate extraction of complex clinical details relating to diagnoses and operative procedures for each consultant episode from patient medical records To engage and support the internal continuous audit process ensuring that a personal IG level 2 audit result is achieved and maintain To assist in the daily supervision of trainee and less experienced clinical coding staff providing mentorship and cultivating a supportive learning environment To interpret histology and radiology reports to ensure accuracy of the coding process To undertake the coding of extracted information ensuring adherence to National Standards and local policies To accurately enter the clinical codes onto the Trust information system PAS/Medicode To identify insufficient/incorrect clinical data in source documentation and using own initiative to raise the query for resolution with other relevant departments To share and assist other colleagues with personal coding experience and promote a learning environment at workplace To organise daily workload efficiently so that personal coding targets are met, including allocated Consultant backlog list, supporting the coding team in achieving high standards of coding completeness and accuracy at agreed timescales To take responsibility for self-development on a continuous basis by studying for the Auditor and/or Trainer qualification, if required by the Trust. To participate in ongoing coding training and testing to meet National Standards and Trust requirements. This may require travelling to other organisations outside core working hours To liaise with Clinicians and their support staff concerning interpretation of case note documentation affecting coding To investigate and correct coded clinical data rejected or queried by recipient information systems To communicate complex coding rules to clinical coding staff, medical, clinical and administrative staff and external agencies. Implement agreed local policy directives and assist in the development of local coding policies which impact on the various service areas Undertake/Participate in complex audits To work across all specialitie

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