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Detailed job description and main responsibilities

Maintain a high level of knowledge and skills required in the use of coding procedures and conventions, understanding a range of work procedures requiring knowledge of medical terminology, anatomical and physiological terms which will be acquired through work-based training.

• Communicate complex clinical coding rules to medical, clinical and administrative staff.
• Receive, abstract and analyse complex and highly confidential information in the form of individual patient clinical notes and translate into agreed national ICD10 and OPCS codes.
  
  
• Use judgement to translate and interpret cases where the procedure undertaken is not readily codable by applying clinical coding conventions.
  
  
• Maintain and update case note tracking to ensure that medical staff are aware that individual patient notes are in the process of being coded.
  
  
• Input patient information into the Patient Administration System for Powys
  
  
• (WPAS) using standard keyboard skills.
  
  
• Working without supervision at a given location within Powys THB. The post holder will organise their own day to day work tasks and activities.
  
  
• Responsible for updating and maintaining individual reference documentation to ensure that all nationally agreed amendments to coding manuals are acted upon.
  
  
• Recommend and comment on proposed changes to national and local variations.
  
  
• Follow the policies and procedures put in place nationally and locally for clinical coding.
  
  
• Undertake audits and validation of data entered onto WPAS as necessary.
  
  
• There is a requirement for the post holder to collect case notes from hospital wards and therefore may have incidental contact with patients.
  
  
• Frequent requirement for sitting in a restricted position, reading case notes and inputting into computer.
  
  
• Frequent requirement for prolonged concentration when converting information into a national coding structure.
  
  
• Frequent indirect exposure to distressing or emotional circumstances through exposure to patient case notes that may hold disturbing photographs and notes about abuse and terminally ill patients.
• The use of VDU is more or less continuous.

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click “Apply now” to view in Trac.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.