Summary
The Clinical Coding Team Leader is responsible for the day-to-day supervision of the clinical coding team, ensuring policies are followed. You will manage a diverse coding team of mixed ability, supporting coders to deliver a high-quality coding service, providing robust and timely coded data crucial to the business needs of the organisation.
Monitoring of agreed key performance and quality metrics will form a major part of your role, ensuring high levels of accuracy and identifying areas for improvement. You will work to ensure that the team works in line with the organisation's strategic aims and embodies its values at all times. You will engage with clinicians and build relationships with key stakeholders across the organisation to ensure that data is timely, standardised and robust to support performance.
Work Activity Components
| Title | Details |
|---|---|
| Analysis (Level Four) (BINT) | Undertakes analytical activities to deliver analysis outputs, conforming to agreed standards. |
| Information requirements and search (Level 4)(BINT) | Determines what information is required and defines search and other criteria to meet a specified requirement. |
| Policies, standards, and guidelines (Level Four) (BINT) | Contributes to the development of local clinical coding policy, standards and guidelines. |
| Security and safeguards (Level Four) (BINT) | Ensures that all clinical coding activity complies with data and information security processes. |
| Sourcing and validation (Level Four) (BINT) | Investigates available internal and external information sources to establish what information is available. Identifies and establishes the reliability and data risks of external sources of information of relevance to the operational needs of the enterprise. |
| Reports and analysis (Level Three) (ASMG) | Provide, analyse and present regular reports containing complex clinical coding information and key performance indicators to facilitate the achievement of clinical coding targets and quality standards. |
| Records management (RMGT)( Level 4) | Conducts record collection, delivery and retention tasks ensuring ensure accessibility, retrievability, integrity, security and protection of records is maintained. |
| Advice and guidance (Level Four) (ANCC) | Provides advice and guidance to support and encourage adherence to clinical codng policies and standards. |
| Clinical coding audit (Level Four) (ANCC) | Supports and participates in feedback sessions regarding outcomes of clinical coding audits. |
| Clinical infomation (Level Four) (ANCC) | Manages a team of clinical coders to accurately extract clinical information from relevant patient records, translate and assign accurate diagnostic, intervention and procedure codes using ICD10/OPCS-4 classifications following and in-keeping with the national and local coding standards. |
| Coding accuracy (Level Four) (ANCC) | Refers to ICD10/OPCS4 classifications in order to process accurately coded data. |
| Coding deadlines (Level Four) (ANCC) | Ensures the team completes workloads within the agreed coding targets to achieve the required coding deadlines. |
| Coding quality (Level Four) (ANCC) | Liaises with all staff, both clinical and non-clinical, to raise issues surrounding all aspects of the coding process and to clarify and resolve coding issues raised. Promotes clinical coding awareness and improvement by engaging with colleagues. |
| Coding standards (Level Four) (ANCC) | Works within and maintains up to date knowledge of all coding standards published by NHS England TCDS (Classifications Service). Is responsible for updating personal coding classifications following changes to standards published by the NHS England TCDS (Classification Service). |
| Data standards (Level Four) (ANCC) | Demonstrates an understanding of best practice data policies, processes and standards, and implements them effectively. Understands which standards need to be applied where. Works effectively with subject matter experts to develop the rules, policies and guidance needed to safeguard the organisation’s data assets. Works within a team to monitor how data policies and standards are applied and complied with, taking action where necessary. |
| Escalation (Level Four) (ANCC) | Resolves complex coding issues raised by less experienced clinical coding colleagues to ensure correct coding resolution is reached following the national coding query mechanism. |
| Information interpretation (Level Four) (ANCC) | Uses judgement where necessary to translate cases where information is not always clear. Contacts clinical staff as necessary for clarification of information within source documentation where there is ambiguity. |
| Quality assurance (Level Four) (ANCC) | Performs quality assurance checks on the work of others. Investigates and corrects complex clinical coding errors. |
| Empowerment and role model (PEMT) (Level 4) | Facilitates effective working relationships between team members. Motivates team members to maintain a high level of performance. Engages with, and empowers team members. Acts as a role model for individuals and team members, setting a standard, acting professionally at all times and working to a professional code of conduct and ethics. |
| Formal appraisals (PEMT) (Level 4) | Conducts formal appraisals of the performance of team members. Facilitates a dialogue with team members about expectations, progress, performance and development needs. |
| Guidance, performance and feedback (PEMT)(Level 4) | Provides direction, support and guidance as necessary, in line with individual's skills and abilities and role expectations. Sets achievable goals, monitors and acknowledges performance. Makes learning recommendations to support individual and team development. Collects data on individual and team performance. Gives regular feedback to team members and leads them to achieve their full potential. |
| Lead, manage and supervise(PEMT) (Level 4) | Supervises, supports and guides the work of individuals and/or small groups in line with organisational strategy. |
| Team dynamics (PEMT)(Level 4) | Integrates staff into teams to perform packages of work, taking account of individual and team capabilities. Considers the importance of skill mix within teams and is sensitive towards team dynamics. |
| Team support (PEMT)(Level 4) | Support the clinical coding team in their exposure to distressing or disturbing information and take this work on where appropriate. |
| Work allocation, support and delegation (PEMT) (Level 4) | Allocates routine tasks and assigns project work to individuals, according to their particular skills, capabilities, and development needs. |
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. |
| Creativity | Taking innovative approaches to problem solving and/or devising inventive and creative solutions. |
| Customer Focus | Understanding the needs of the internal or external customer and keeping these in mind when taking actions or making decisions. |
| Follow-up and Monitoring | Checking progress against targets, taking action to resolve exceptions/ issues and reporting and escalating where necessary. |
| Initiative | Being proactive, anticipating opportunities for systems, service or product improvement or development and taking appropriate action(s). |
| 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. |
| 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 |
|---|---|---|
| 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. | Proficient 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. | Proficient in |
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. | Aware of |
| 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. | Familiar with |
| 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 |
| Function or Department Operations | The activities, structure, and position in the organisation of the functions or departments for which services are provided. | Familiar with |
| 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 |
| Information Elicitation Techniques | The selection and application of information elicitation methods, tools and techniques that are appropriate to the information required and the sources available. | 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. | Familiar with |
| 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. | Familiar with |
| 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 |
| 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. | Aware of |
| Techniques for Effective Meetings | Methods and techniques for running effective meetings and for understanding and influencing the roles played by participants. | Proficient in |
Training
| Title | Details |
|---|---|
| Data Quality and Security | Methods and strategies used to ensure the quality and security of data. |
| Information Analysis | Tools and techniques which can be used to analyse and present data and to uncover latent information inherent in them. |
| 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 Activities of Employing Organisation | Developing an understanding of the potentially diverse range of activities (service, governance, administrative, regulatory, commercial, charitable, industrial, etc.) undertaken by the employing organisation. | Increasing Knowledge |
| Gaining Knowledge of IT Concepts and Techniques | Undertaking study, learning and, where possible, practice in IT concepts and techniques external to own function. | 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 |
| 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 |
| Research Assignments | Exploring a topic which is not part of own normal responsibilities and presenting findings to colleagues and/or management | Increasing Knowledge |
| Team Leadership | Undertaking learning and practice of the skills required to lead teams, including motivation, direction, coaching, delegation, appraisal, counselling and developing others. | Developing Professional Skills |
Qualification Components
| Title | Awarding Bodies |
|---|---|
| FEDIP Senior Practitioner | The Federation for Informatics Professionals |
| National Clinical Coding Qualification (UK) | Institute for Health Records and Information Management |
Government Digital and Data Profession Capability Framework Skills
| Skill | Level |
|---|---|
|
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 |
Clinical Informatics Framework
Information Systems & Technologies
| Title | Details | Level |
|---|---|---|
| Security and governance of data | Demonstrates knowledge of the security and governance of data, systems, devices and networks (e.g., Data Security and Protection Toolkit), and is able to use this to contribute to the development of solutions required to manage data. | 2. Understand: Explain ideas or concepts: classify, describe, discuss, explain, identify, recognise, report, select, translate. |
The Professional Body Responsible for this job family is IHRIM. This job role profile was created in collaboration with BCS, using Role Model Plus.