Work Activity Components
| Title | Details |
|---|---|
| Audit execution (AUDT) (Level 4) | As part of an audit team, or as the lead, coordinates all stakeholders and conducts audits within planned timescales. |
| Audit planning (AUDT) (Level 4) | Takes responsibility for the planning and resourcing of audits and/or conformance reviews of existing and planned clinical coding processes, systems and services. |
| Audit point resolution (AUDT) (Level 4) | Runs the action plan following a completed audit. Prepares response within agreed timescales. Tracks all actions until completed. |
| Audit prioritisation (AUDT) (Level 4) | Participates in, or facilitates, stakeholder workshops to review requirements for planned audits, agree priorities, timescales, information disclosure approach and audit frequency. Documents agreements made. |
| Audit scope and requirements (AUDT) (Level 4) | Contributes to, and/or leads, audit requirements definition on audits or conformance reviews. Confirms the scope and objectives of specific audit activity with management. |
| Review findings (AUDIT)(Level 4) | Collates and analyses evidence regarding the interpretation and implementation of control measures, and/or conformance to standards, and prepares and communicates the audit report. |
| Risk assessment (AUDT) (Level 4) | Contributes to risk assessments and participates in risk reviews. Identifies, documents and communicates the root cause of issues found. |
| Stakeholder engagement (AUDT) (Level 4) | Engages with stakeholders to issue and review plans, reports, progress statements and approvals. |
| Audit roadmap (AUDT) (Level 4) | Contributes to the development of the audit roadmap. |
| Analysis (Level Four) (BINT) | Undertakes analytical activities to deliver analysis outputs in accordance with service needs and 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. |
| 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) | Leads clinical coding audits, 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 accuracy (Level Four) (ANCC) | Refers to ICD10/OPCS4 standards on a regular basis in order to process accurately coded data. |
| 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). |
| Quality assurance (Level Four) (ANCC) | Performs quality assurance checks on the work of others. Investigates and corrects complex clinical coding errors. |
| Ability assessment (ETDL) (Level 4) | Assesses objectively, probably against pre-set criteria, the ability levels of students and reports as appropriate. |
| Detailed instructions and responses (ETDL) (Level 4) | Provides detailed instruction as necessary and responds to wide-ranging and detailed questioning in own area(s) of specialisation. |
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. |
| Goal Orientation | Maintaining focus on agreed objectives and deliverables. |
| 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. |
| Persistence | Meeting targets, acting and/or fulfilling agreements even when adverse circumstances prevail. |
| 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. |
| 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. | Expert in |
| 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 |
|---|---|---|
| Data Protection | Principles, practices, tools and techniques to ensure data protection. | 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. | Proficient 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 |
| 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 |
| 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 |
| Report Writing Techniques | Methods and techniques for writing clear, accessible and persuasive reports. | 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 |
| Statistical Sampling Techniques / Assumption Testing | Methods and techniques for ensuring valid results are obtained by means of sampling and assumption testing. | 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
| 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. |
| 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 |
| NHS Approved Clinical Coding Auditor | NHS England |
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 |
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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 |
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Data standards Data standards involve established practices to make it easier and more effective to share and use data across government. |
Working Data standards You can:
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The Professional Body Responsible for this job family is IHRIM. This job role profile was created in collaboration with BCS, using Role Model Plus.