Main duties of the job

To abstract, analyse, translate and data enter complex medical patient care records into alphanumeric codes using the ICD-10 and OPCS 4 classifications in an accurate and timely manner.

Use judgment and knowledge of coding procedures and conventions to translate information where diagnosis/procedure is not transferable to exact code.

At BCU Health Board we believe that data helps save lives and improve outcomes for patients. Working with doctors and nurses to understand what matters for their patients, the Information Department has developed analytics that help our clinicians make better decisions and improve their services.

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

Working for our organisation

If you relish a challenge, have a passion to help others or simply fancy a fresh start, then Betsi Cadwaladr University Health Board (BCUHB) North Wales, has all the right ingredients. The largest health organisation in Wales, providing a full range of primary, community, mental health, acute and elective hospital services for a population of around 700,000, across North Wales . Join our team and get the support you need, in line with our Organisational Values and Proud to Lead competence framework.

Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the Disability Confident Employer scheme.

Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.

Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English.

Detailed job description and main responsibilities

Act as a mentor and assist in the education of less experienced and trainee clinical coders.

Regularly liaises with clinicians to maintain accurate clinical coding.

Ensure accuracy and completeness of clinical coding.

Locate and collate missing source material e.g. missing case notes, histology results.

Communication

  • To liaise with clinical, nursing, secretarial/clerical and portering staff to facilitate timely and accurate receipt of clinical source documentation for coding.
  • Where appropriate, visit the wards to obtain information for coding.
  • Communicate and explain complex coding rules to medical, clinical and administrative staff.
  • When necessary locate patients medical records to obtain source documentation on incomplete episodes.
  • To contact and liaise with community hospitals, as necessary, to obtain complex clinical information where medical records have been sent out with patients.
  • Contribute to team meetings on specific clinical coding queries, coding audit feedback and workshops attended.

    • Person specification

    Qualifications

    Essential criteria

  • Accredited Clinical Coding Qualification or equivalent relevant experience

    • Desirable criteria

  • Welsh Language

    • Qualifications

    Essential criteria

  • GCSE/Equivalent education including English & Biology.

    • To work in the UK, all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship to obtain either a Health and Care visa or Skilled Worker visa , unless you have permission to work via another route. Non UK / RoI candidates wishing to apply should self-assess the likelihood of obtaining a Certificate of Sponsorship by visiting Work in the UK . If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.

    Employer certification / accreditation badges

    Applicant requirements

    Welsh language skills are desirable

    Welsh language skills are desirable