Clinical Coding Auditor

Detailed job description and main responsibilities

KEY DUTIES

• To operate on own initiative referring more complex cases to the Clinical Coding Assistant Manager for advice
• To act in the capacity of coding expert and provides advice to junior team members on coding queries ensuring adherence to national clinical guidelines
•  Undertake staff audits and ad hoc specialty audits
•  Assign codes from the International Classification of Diseases (ICD10) and the Office of Populations and Censuses and Surveys (OPCS4)
•  Participate in preparing audit reports for staff audits undertaken
• Participate in Departmental meetings and present the results of relevant reviews
• Demonstrate good presentation skills to colleagues, the multi-disciplinary team and Clinicians
• Coordinate engagement between Coders, Clinicians and Divisional Managers
• Responsible for planning own workload to ensure that the objectives of the whole team are achieved
• Maintain a professional standard of behaviour with all Trust staff
• Take responsibility for keeping up to date with current issues and developments within the coding department.
• Work with the Divisional Managers, Associate Managers and Clinicians to improve and sustain accurate clinical data recording to support clinical coding to National Standards
• Raise clinical coding issues with the Coding Manager
• Undertake clinical coding reviews as required and agreed
• Identify key areas impacting on HRG assignment and tariff making recommendations to the Clinical Coding Assistant Manager accordingly
• Work with the Audit and training team to identify key areas for clinical coding review
• Plan meetings with Senior Clinicians as and when necessary to undertake review of clinical information where queries have been raised
• To validate complex clinical data and procedures with Clinicians in order to assure depth of coding for accurate payment
• Analyse external audit reports and recommend to the Coding Manager and Divisions any corrective measures that need to be put in place to improve data quality and clinical coding outcomes
• Support the Auditors & Clinical Coding Assistant Manager in obtaining clarification on new interventional procedures and clinical practice within the divisional specialties to ensure correct understanding for code assignment and support cascading this information
• To liaise with clinicians and their support staff concerning interpretation of case notes documentation affecting coding
• To prioritise Junior Clinical Coders workload and reallocate work to cover sickness or leave at short notice.