Summary
The Clinical Coding Manager will support the Head of Clinical Coding to provide operational leadership for the Clinical Coding function and will deputise for the Head of Service and represent Clinical Coding at meetings in their absence.
You will lead on a full clinical engagement programme, delivering training and awareness sessions to clinicians and various managers, to improve the knowledge and importance of clinical coding and related topics. This will develop the understanding of what is necessary to support accurate clinical coding from the clinician’s perspective.
You will continually review and develop the coding process to ensure it delivers to the quality and timescale required to support the clinical and business requirements.
You will deal with complex information which requires analysis, interpretation and comparison against National Standards.
Work Activity Components
| Title | Details |
|---|---|
| Advice and guidance (Level 5) (AUDT) | Provides general and specific audit advice to management on ways of improving the effectiveness and efficiency of control mechanisms. |
| Audit management (Level 5) (AUDT) | Ensures audits under own responsibility are managed, planned, resourced, and executed within roadmap timescales. |
| Audit roadmap (Level 5) (AUDT) | Contributes to the development of the audit roadmap. |
| Audit standards (Level 5) (AUDT) | Contributes to the development of new internal standards and updates to existing standards. |
| Risk assessment (Level 5) (AUDT) | Leads risk assessments and risk reviews. Identifies and evaluates associated risks and how they can be mitigated. |
| Stakeholder engagement (Level 5) | Leads engagement with all stakeholders to issue and review plans, reports, progress statements and approvals. |
| Process improvement (Level 6) (BPRE) | Manages the process improvement function to assess process improvement opportunities and maximise benefit. |
| Process, methods and standards (Level 6) (BPRE) | Develops and applies processes and methods to support the clinical coding needs of the organisation. Promotes standards and best practice. |
| Strategic initiatives and projects (Level 6) (BPRE) | Plans and manages process improvement, ensuring the smooth integration of new processes with organisational structure and culture. |
| Information requirements and search (Level 5)(BINT) | Evaluates the need for analytics, and assesses the problems to be solved and which internal or external data sources to use or acquire. |
| Policies, standards, and guidelines (Level 5) (BINT) | Manages the development of clinical coding policy, standards and guidelines to meet the current and future needs of the organisation. |
| Security and safeguards (Level 5) (BINT) | Ensures that all clinical coding activity complies with data and information security processes. |
| Reports and analysis (Level Five) (ASMG) | Manage the provision, analyse and presentation of regular reports containing complex clinical coding information and key performance indicators to facilitate the achievement of clinical coding targets and quality standards. |
| Clinical coding audit (Level Five) (ANCC) | May manage one or more clinical coding auditors, reports and makes recommendations based on their findings. Works as part of the clinical coding management team to promote and implement improvements to address audit findings. |
| Coding deadlines (Level Five) (ANCC) | Manages the clinical coding function, ensuring that all deadlines are met. |
| Coding standards (Level Five) (ANCC) | Manages quality assurance for the coding function and ensures coding standards are met. Understands and supports the role of audit and training in embedding standards. |
| Collaboration (Level Five) (ANCC) | Collaborates with subject matter experts to improve source information quality. |
| Escalation (Level Five) (ANCC) | Ensures that the necessary processes are in place and are operating effectively to ensure the resolution of coding issues in line with the national coding query mechanism. |
| Quality assurance (Level Five) (ANCC) | Develops and implements audit plans for assessing clinical coding accuracy and consistency. Analyses and reports on classification codes quality. Leads team quality audit programmes. |
| Strategy (Level Five) (ANCC) | Contributes to organisational clinical coding strategy. |
| Career paths and mentoring (PEMT) (Level 5) | Advises individuals on career paths, and encourages pro-active development of skills and capabilities. Provides mentoring to support professional development. |
| Empowerment and role model(PEMT) (Level 5) | Facilitates effective working relationships within and between teams of staff. Motivates groups of staff and teams towards a high level of performance. Engages with, and empowers groups of staff. Acts as a role model for groups of staff, setting a standard, acting professionally at all times and working to a professional code of conduct and ethics. |
| Formal appraisals (PEMT) (Level 5) | Conducts formal appraisals of the performance of team members. Facilitates a dialogue with team members about expectations, progress, performance and development needs. Participates, as appropriate, in formal processes such as compensation negotiations, grievance procedures, and disciplinary procedures. |
| Guidance, performance and feedback (PEMPT) (Level 5) | Optimises the performance of people, measuring and reporting on performance against agreed quality and performance criteria. Collects data on the performance of groups of staff. Gives regular feedback to teams and senior staff as to team performance on work packages. |
| Lead, manage and supervise(PEMT) (Level 5) | Manages, supports and guides the work of groups of staff in line with organisational strategy. |
| Team dynamics (PEMT) (Level 5) | Integrates staff into teams to perform packages of work, taking account of individual and team capabilities. Consider the importance of skill mix within teams. Is sensitive towards team dynamics. |
| Work allocation, support and delegation (PEMT) (Level 5) | Allocates responsibilities, including supervisory and assigns packages of work to groups of staff. Ensures that work packages are aligned with the particular skills and abilities of teams. Supports teams in the delivery of work packages. Delegates work to individuals and teams, taking full account of skills and capabilities. |
| Learning performance management (ETMG) (Level Five) | Uses data to assess and improve the effectiveness of clinical coding training activities. Evaluates and reports on the benefits of training. |
| Learning resource management (ETMG) (Level Five) | Manages the provision of clinical coding training, ensuring optimum use of resources. |
Behavioural Skills
| Title | Details |
|---|---|
| Analytical Thinking | Acquiring a proper understanding of a problem or situation by breaking it down systematically into its component parts and identifying the relationships between these parts. Selecting the appropriate method/tool to resolve the problem and reflecting critically on the result, so that what is learnt is identified and assimilated. |
| Attention to Detail | Applying specific quality standards to all tasks undertaken to ensure that deliverables are accurate and complete. |
| Conceptual Thinking | Acquiring understanding and insights regarding the underlying issues in complex problems or situations through the development of abstract representations, the identification of patterns and the analysis of hypotheses. |
| Creativity | Taking innovative approaches to problem solving and/or devising inventive and creative solutions. |
| Critical Thinking | The ability to think clearly and rationally; review and evaluation of processes and outputs; the ability to engage in reflective and independent thinking; reasoned thinking involving critique. |
| Customer Focus | Understanding the needs of the internal or external customer and keeping these in mind when taking actions or making decisions. |
| Decision Making | Making decisions at the appropriate time, taking into account the needs of the situation, priorities, constraints, known risks, and the availability of necessary information and resources. |
| Follow-up and Monitoring | Checking progress against targets, taking action to resolve exceptions/ issues and reporting and escalating where necessary. |
| Goal Orientation | Maintaining focus on agreed objectives and deliverables. |
| Influence, Persuasion and Personal Impact | Conveying a level of confidence and professionalism when engaging with stakeholders, influencing positively and persuading others to take a specific course of action when not in a position of authority. |
| Information Acquisition | Identifying gaps in the available information required to understand a problem or situation and devising a means of resolving them. |
| Interacting with People | Establishing relationships, contributing to an open culture and maintaining contacts with people from a variety of backgrounds and disciplines. Effective, approachable and sensitive communicator in different communities and cultures. Ability to adapt style and approach to meet the needs of different audiences. |
| Leadership | Clearly articulating goals and objectives, and motivating and leading others towards their achievement. |
| Organisational Awareness | Understanding the hierarchy and culture of own, customer, supplier and partner organisations and being able to identify the decision makers and influencers. |
| Planning and Organisation | Determining a course of action by breaking it down into smaller steps and by planning and resourcing each of these, making allowance for potential problems and escalating if necessary. |
| Providing Direction | Directing others to undertake specified tasks within a defined timescale. |
| Teamwork | Working collaboratively with others to achieve a common goal. |
Technical Skills
| Title | Details | Depth |
|---|---|---|
| Business Analysis Techniques | Applying techniques that help investigating, analysing, modelling and recording a business area or system of interest. | Familiar with |
| Clinical Coding Auditing | Principles, practices, tools and techniques of clinical coding auditing. | Familiar with |
| Clinical Coding Standards | The clinical coding standards used to assign codes to patient data (e.g. ICD10, OPCS-4). | Expert in |
| Data Handling | The ability to harvest, clean, curate, manage, process and manipulate data in a variety of formats. | Expert in |
| Information and Data Visualisation/Presentation | The ability to visualise and present information and data in an appropriate format that helps stakeholders understand the significance of the information and data. | Expert in |
| Technical Training Subject Matter | Current and emerging concepts and/or practical applications of one or more specialist topics in sufficient depth to develop and conduct learning interventions covering the topics. Undertakes ongoing personal subject-related updating to ensure knowledge of subject matter remains up to date. | Familiar with |
Other Skills
| Title | Details | Depth |
|---|---|---|
| Appraisal Techniques | Methods and techniques for appraising an individual's performance and potential. | Proficient in |
| Budgets | Principles, methods, techniques and tools for the preparation and monitoring of budgets to manage costs and ensure cost-effectiveness and value for money. | Familiar with |
| Business Proposals | Methods and techniques for preparing and presenting business cases, requests for proposal (RFP) invitations to tender (ITT) and statements of requirements/work both verbally and in writing. | Familiar with |
| Coaching Techniques | Methods and techniques for coaching individuals or groups by a balanced combination of support and direction, which could include use of virtual learning environments plus add-ons to augment feedback specific to work items, workflow or career plans. | Proficient in |
| Data Protection | Principles, practices, tools and techniques to ensure data protection. | Proficient in |
| Disciplinary Issues and Procedures | Managing episodes of unsatisfactory behaviour or performance in accordance with appropriate policies and legislative conformance. Includes changes to circumstances, such as sickness, disability and other personal issues. | Proficient in |
| Document Management Techniques | Methods and techniques for the organisation, storage and version control of information in both paper and electronic formats. | Proficient in |
| Function or Department Operations | The activities, structure, and position in the organisation of the functions or departments for which services are provided. | Expert in |
| Information Assurance Methods and Tools | Information assurance methods, tools and techniques (including the Caldicott Principles) used to protect the integrity, availability, authenticity, non-repudiation and confidentiality of user data and manage the risks related to the use, processing, storage, and transmission of information. | Proficient in |
| Own Organisation's Learning and Development Procedures | The procedures used within own organisation for staff learning and development. | Proficient in |
| Performance Monitoring | Identifying, agreeing and monitoring (usually by face-to-face interviews) objectives and deliverables with individuals. Identifying under-performance issues against agreed quality standards and performance criteria. Identifying gaps in capability and causes, disciplinary or ability-related (needing assistance, training or other support). | Proficient in |
| Presentation Techniques | Methods and techniques for delivering effective and accessible presentations, either face-to-face or online within various contexts and to a variety of audiences. | Proficient in |
| Process Improvement Techniques | Methods, tools and techniques to analyse and optimise processes in order to improve the quality of a product or service. | Familiar with |
| Project Management | Principles, methods, techniques and tools for the effective management of projects from initiation through to implementation. | Familiar with |
| Report Writing Techniques | Methods and techniques for writing clear, accessible and persuasive reports. | Proficient in |
| Resource Allocation | The effective and efficient routine deployment of resources, (but also including reassessment and reallocation in a dynamic multi-project environment), to achieve optimum results. | Proficient in |
| Stakeholder Engagement | Establishing relationships, analysing perspectives and managing stakeholders from a variety of backgrounds and disciplines. Adapting stakeholder engagement style to meet the needs of different audiences. The identification of key business stakeholders and an assessment of their level of power and interests, and their perspectives to inform the way(s) in which they should be considered and managed. | Proficient in |
| Standards Writing Techniques | Principles, methods and techniques for establishing, documenting, and maintaining standards. | Proficient in |
| Team Dynamics | Knowledge and understanding of the psychological and environmental forces that influence the direction of team behavior and performance and the tools and techniques to improve team cohesion and performance. | Proficient in |
| Techniques for Effective Meetings | Methods and techniques for running effective meetings and for understanding and influencing the roles played by participants. | Proficient in |
| Training Techniques | Methods and techniques for creating and delivering effective and accessible learning and development. | Familiar with |
Training
| Title | Details |
|---|---|
| Audit Standards and Techniques | Training in the standards against which audits will be conducted, and in methods, procedures and techniques for the conduct of audits. This includes methods for ensuring regulatory compliance where appropriate. |
| Coaching | Concepts, methods and techniques for providing coaching in subject specialisms to individuals or groups (e.g. GROW model). |
| Information Analysis | Tools and techniques which can be used to analyse and present data and to uncover latent information inherent in them. |
| Learning and Development Needs Analysis | Methods and techniques for the analysis of individual learning and development needs of (typically) IT practitioners. |
| Mentoring | Methods and techniques for providing mentoring support to less experienced individuals. |
| Process Improvement Methods and Tools | Process improvement methods to identify process bottlenecks and inefficiencies such as Six Sigma and Lean IT. The tools and techniques to implement measurement-based strategies that focuses on process improvement. |
| Security Awareness | Tools and techniques to help users and employees understand the role they play in helping to combat information security breaches and for IT and security professionals to prevent and mitigate risk. |
Professional Development Activity (PDA)
| Title | Details | PDA Group |
|---|---|---|
| Deputising | Standing in for supervisor or manager on a temporary basis during periods of absence. | Broadening Activities |
| Gaining Knowledge of Broader IT Issues | Increasing and maintaining currency of knowledge of broader IT issues through reading, attending and participating in seminars or conferences, special studies, temporary assignments etc. | Increasing Knowledge |
| Gaining Strategic Knowledge of Employing Organisation | Developing a comprehensive understanding of the business environment in which the employing organisation operates and its position, policies and direction in relation to health and care, country and global issues. | Increasing Knowledge |
| Job Shadowing and Special Assignments | Undertaking temporary periods or secondments in other roles, particularly those that offer a new perspective on own function or exposure to other environments and cultures. | Broadening Activities |
| Management Development | Undertaking learning and best practice of the skills appropriate to managing all or part of an organisation, including business and financial management, benefits management, people management, management of change and strategic planning. This will require both on and off the job learning and may include participation in an appropriate development programme such as MBA or DMS (Diploma in Management Studies). | Developing Professional Skills |
| Mentoring | Acting as a mentor, advising those for whom there is no direct responsibility, on matters to do with their job role, career and professional development. | Broadening Activities |
| Negotiating and Influencing | Undertaking learning and practice of negotiating with and influencing others. | Developing Professional Skills |
| Participation in Professional Body Affairs | Taking an active part in professional body affairs at branch, specialist group, committee or board level. | Participation in Professional Activities |
| Project Assignments | Participating in a project team, working group or task force established to deliver a solution to a specific problem or issue - especially valuable if the group is inter-disciplinary. | Broadening Activities |
| Research Assignments | Exploring a topic which is not part of own normal responsibilities and presenting findings to colleagues and/or management | Increasing Knowledge |
Qualification Components
| Title | Awarding Bodies |
|---|---|
| CMI Level 5 Diploma in Management and Leadership | Chartered Management Institute |
| FEDIP Advanced Practitioner | The Federation for Informatics Professionals |
| ILM Level 4/5 Leadership and Management (Middle Manager) | Institute of Leadership and Management |
| National Clinical Coding Qualification (UK) | Institute for Health Records and Information Management |
Government Digital and Data Profession Capability Framework Skills
| Skill | Level |
|---|---|
|
Data management |
Practitioner Data management You can: advocate data governance and data management standards and guidelines within your team’s products and services continually communicate and improve data management practices in your teams help define and support the use of common toolsets seek to automate data management activities where possible develop processes to enable good data management practices and compliance with data governance policies |
|
Data regulation and ethics Data preparation involves sorting and cleansing information so it's available for more detailed analysis. |
Practitioner Data regulation and ethics You can: demonstrate a good understanding of relevant data laws, regulations, codes of practice and ethical requirements, and can apply these to your work understand how the law and ethical considerations relate to one another monitor the landscape and legislation to ensure you understand and can implement best practice in new areas of thought such as data ethics |
|
Data standards Data standards involve established practices to make it easier and more effective to share and use data across government. |
Practitioner Data standards You can:
|
The Professional Body Responsible for this job family is IHRIM. This job role profile was created in collaboration with BCS, using Role Model Plus.