About this role
Job summary
To be responsible for the review of investigation and treatment codes inputted by Clinical staff into clinical documentation.
To be responsible for updating any omissions onto the EPR system for each patient
To closely follow the Standard Operating Procedure for this process
To work autonomously when updating EPR making decisions on what
should be recorded
should all data fields in investigation / treatments have already been
populated this requires review of multiple IT Systems .
To work as a member of a small team ensuring excellent team
communication at all times.
To contribute to the production of reports as required demonstrating the on-going results of the coding
review.
To adhere to adhere to all policies regarding Confidentiality by ensuring the data handled within the
department is dealt with to the highest standards of confidentiality and security.
To participate in the annual appraisal process.
Be aware of the Data Protection Act 1998, Caldicott and Freedom of Information Act 2002 and their principles.
Comply with the Walsall Healthcare NHS Trust Policies and Procedures and departmental Policies and Procedures with regard to confidentiality,
ensuring that all information handled within the departmentis dealt with to the highest standard of confidentiality and security,
and to respond in a professional and sensitive manner when
dealing with confidential issues.
Main duties of the job
To be responsible for the review of investigation and treatment codes inputted by Clinical staff onto ED CAREFLOW with the handwritten clinical documentation that has been scanned into ED CAREFLOW. To be responsible for updating any omissions onto the ED CAREFLOW system for each patient To closely follow the Standard Operating Procedure for this process to ensure data is recorded, stored and archived appropriately. To work autonomously when updating ED CAREFLOW making decisions on what should be recorded should all data fields in investigation / treatments have already been populated This requires review of multiple IT Systems and the collation of these systems into a unified report. To work as part of a small team always ensuring excellent team communication. To adhere to all policies regarding Confidentiality by ensuring the data handled within the department is dealt with to the highest standards of confidentiality and security. Be aware of the Data Protection Act 1998, Caldicott and Freedom of Information Act 2002 and their principles. To be aware of and comply with Health and Safety, Fire Regulations and to report accidents/untoward incidents/hazards to the ED Coding/Administration Manager.
About us
As the only provider of NHS acute care in Walsall, we offer a unique opportunity to be part of a Trust making a genuine difference to local health outcomes. The Trust is a busy district general hospital offering compete range of acute services, alongside extensive community services.
A new Urgent Emergency Care Centre was opened in March 2023. The two-storey development has significantly improved emergency care facilities and capacity and has provided almost 5,000 square metres of additional clinical space.
Our strategy is aligned to delivering exceptional care together while supporting a workforce that reflects the communities we serve. We offer clear career development pathways, access to training and education, and opportunities to contribute to service innovation and improvement.
Job description Job responsibilities
To be responsible for the review of investigation and treatment codes inputted by Clinical staff onto ED CAREFLOW with the handwritten clinical documentation that has been scanned into ED CAREFLOW. To be responsible for updating any omissions onto the ED CAREFLOW system for each patient To closely follow the Standard Operating Procedure for this process to ensure data is recorded, stored and archived appropriately. To work autonomously when updating ED CAREFLOW making decisions on what should be recorded should all data fields in investigation / treatments have already been populated This requires review of multiple IT Systems and the collation of these systems into a unified report. To work as part of a small team always ensuring excellent team communication. To contribute to the production of reports as required demonstrating the on-going results of the coding review. To adhere to all policies regarding Confidentiality by ensuring the data handled within the department is dealt with to the highest standards of confidentiality and security. To participate in the annual appraisal process. Be aware of the Data Protection Act 1998, Caldicott and Freedom of Information Act 2002 and their principles. Comply with the Royal Wolverhampton NHS Trust Policies and Procedures and departmental Policies and Procedures regarding confidentiality, ensuring that all information handled within the department is dealt with to the highest standard of confidentiality and security, and to respond in a professional and sensitive manner when dealing with confidential issues. To be aware of and comply with Health and Safety, Fire Regulations and to report accidents/untoward incidents/hazards to the ED Coding/Administration Manager.
Person Specification
Qualifications Essential
4 GCSE's Grade C+ or equivalent Good general standard of education
Experience / Skills Desirable
Excellent computer skills. To be trained in: ED ED CAREFLOW Coding System & Coding procedures. Good working knowledge of Word; Office Systems, Ability to prioritise and organise workload effectively. Ability to interpret Clinical records to identify omissions based on Guidance. Ability to make data entry details based on guidance Knowledge of Medical terminology, anatomical and physiological terms, Through work-based training
Communication Skills Desirable
Excellent oral communication skills to be able to communicate face to face and on the telephone with all levels of staff. To provide and receive complex information and the ability to communicate these complex coding issues to medical, clinical and administrative staff along with external agencies. Comprehensive working knowledge of Microsoft Office software and Clinical Web Portal system and various IT clinical and financial systems. (ED CAREFLOW). Good understanding of Access to Medical Records Act Good understanding of Access to Medical Records Act
Other Essential
Frequent sitting in a restricted and inputting onto a computer for long Periods of time using dual computer monitors To work over a 5-day period. Display a flexible approach to work and the ability to cope with changes in environment and new technology.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Employer details Employer name Walsall Healthcare NHS Trust
Address Walsall Manor Hospital
Moat Road Walsall
Walsall
WS2 9PS
United Kingdom
Employer's website https://walsallhealthcare.nhs.uk (Opens in a new tab)