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Deputy Head of Clinical Coding

Royal National Orthopaedic Hospital NHS Trust
£56,388 to £62,785 Per annum including HCAS
Closing date
7 Dec 2023

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Other Health Profession
Band 8A
Contract Type
Full Time
The RNOH Clinical Coding Department seeks to employ a Deputy Head of Clinical Coding to a permanent position. The post-holder is responsible for the leadership of the Clinical Coding team.

We are looking for an experienced individual to join our Specialised Orthopaedic Clinical Coding Team. The post holder must have an experience of coding and validation of complex and specialised orthopaedic surgical specialties and an excellent knowledge of National Clinical Coding Standards (ICD-10 and OPCS-4), HRG4+ and NHS financial flows based on codes and HRGs

The post holder will deliver the comprehensive coding validation programme under the supervision of the Head of Clinical Coding to achieve and maintain the highest possible quality of coded data and provide expert advice on clinical coding data aspects, coding inconsistencies, documentation issues and areas of under achievement to provide the Trust with a high quality clinical coding validation service. The validation programme will extend across all specialties involving all clinical teams, using the ICD-10 and OPCS-4 Classifications and adhering to National and Local Clinical Coding Standards.

Main duties of the job

To manage and provide professional leadership of the Clinical Coding department and work closely with Head of Coding, Clinicians, General Managers and other Senior Managers to identify, analyse and address complex clinical coding issues

To manage the delivery of timely, accurate and highly complete clinical coding of activity for all specialities across the Trust

To develop effective communication and relations between clinical teams and the Coding department and improve the professional profile of clinical coding

To design and manage the delivery of a comprehensive quality assurance program along with Head of Coding

To collaborate with the Head of Coding on the strategic and operational leadership of the Clinical Coding department

To coordinate upgrades, develop or incorporate new technologies into the coding process as appropriate

To manage the development of the RNOH local clinical data classifications

To be responsible for the implementation of projects from a coding perspective

To deputise for the Head of Coding in dialogue on PROMs with the NHS England, GIRFT and the Specialist Orthopaedic Alliance (SOA)

To provide expertise and promote the Trust agenda in discussions surrounding national tariffs and their highly complex interactions with NHS England, Terminology and Classifications Delivery Service

About us

The post holder will work as part of a friendly clinical coding team and will gain a detailed and comprehensive understanding of a wide range of specialised Orthopaedics activity.

The Clinical Coding department at RNOH relies on the extensive knowledge and expertise of the Clinical Coders to meet the highest levels of coded data quality.

The post holder will have an opportunity to work from home after successful completion of the probation period.

The RNOH provides very high quality specialised orthopaedics care, as shown in the Quality Accounts, the NHS Staff Survey and patient feedback such as the Friends and Family test. Good quality coding is an essential part of the process and the RNOH Coding department provides this to support activity management and commissioning. It also shares coding expertise with a range of organisations in the NHS to further the strategic aims of the RNOH and specialised orthopaedics providers in the NHS. The range of highly specialised and innovative care provided at RNOH is a significant challenge for clinical classifications and commissioning.

Job description

Job responsibilities

Interpret, analyse and communicate critical and highly complex coding, casemix and PbR guidance information to support service redesign and development.

Deliver and manage documentation and presentations to provide education and updates, as well as highlight issues and make recommendations to consultants and management.

Advise on impacts of enhanced or new classification systems used as financial currencies such as Healthcare Resource Groups (HRGs) in line with Payments by Results policy and Trust activity plans and contracts.

Identify and address coding, activity recording and governance issues (such as documentation) with the Head of Coding, clinicians and other senior managers as appropriate.

Develop and establish systems to increase the scope of the coded clinical data set in line with Payment by Results requirements.

Trust-wide responsibility for the adherence to National Clinical Coding Standards and best practice guidelines as set out by governing bodies such as The Terminology and Classifications Delivery Service

Trust-wide accountability for the clinical documentation requirements to support the collection of accurate clinical information, relied on for appropriate financial reimbursement.

Promote the clinical coding function, service and personnel across the Trust with clinical staff and management teams, as well as represent the Trust at external committees.

Advises senior management and clinicians on clinical coding matters which may be complex, sensitive or contentious.

Delivers complex presentations and training to large groups of staff

Develop and lead internal specialty audits collaborating with clinicians, service managers and the wider Coding Team

Leads corrective action resulting from audits which may span across multiple service areas.

Design specific validation methods to identify breaches of National Clinical Coding Standards.

Ensure all clinical coders receive regular internal and external coding specific training to maintain up-to-date national standards knowledge, in addition to professional development requirements.

Validation and approval of all local coding policies and ad hoc complex patient treatments to ensure accurate and consistent collection of patient diagnoses and treatment, from the clinical information available.

Ensure the scope and detail of classifications meets operational requirements for planning and reporting of activity and adherence to Referral to Treatment targets.

Reduce the burden of data collection where possible.

Collaborate with the Head of Coding on the strategic planning for coded clinical data and deputise as necessary.

Deputise for the Head of Coding at senior level external meetings as necessary

Person Specification



  • Management qualification or equivalent to degree level
  • National Clinical Coding Qualification (NCCQ)
  • NHS England Terminology and Classifications Delivery Service Approved Clinical Coding Auditor (or working towards it)


  • Degree in Healthcare setting
  • NHS England Terminology and Classifications Delivery Service Approved Clinical Coding Trainer (or working towards it)
  • Project Management Qualification (e.g. PRINCE2 Practitioner)



  • Minimum of 5 years proven specialised orthopaedic coding experience in a specialised orthopaedic NHS Trust using ICD-10 and OPCS-4
  • Experience of using hospital Patient Administration system
  • Proven experience as a manager of clinical coding team
  • Experience in orthopaedic coding validation with clinicians
  • Clinical coding audit experience
  • Experience of using clinical encoder software


  • Demonstrable experience of orthopaedic clinical coding or demonstrable experience of clinical coding in a specialist trust
  • Clinical coding training delivery experience
  • Experience of delivering coding reports/ presentations to clinicians

Skills and Abilities


  • Management skills, proven ability to manage, motivate and develop staff
  • Proven ability to deliver change management and performance management
  • Proven ability to lead on the implementation of projects and inform projects related to coding
  • Able to work in an organised, methodical way, paying attention to detail
  • Goal-orientated, able to manage resources effectively to achieve targets
  • Able to make judgements and recommendations involving highly complex and sometimes contentious information or situations


  • Able to model the impact of changes to code assignment by checking HRG and tariff impact
  • Managing change processes
  • Using coded data for influencing and decision making



  • Thorough and in depth knowledge of specialised orthopaedic coding, National Clinical Coding Standards, Rules, Conventions and Coding Guidelines
  • Extensive knowledge of medical terminology, anatomy and physiology
  • Knowledge of NHS information systems and data flows
  • Knowledge of uses of coded clinical information
  • Knowledge of Payment by Results technical guidance and Healthcare Resource Groups
  • Appreciation of NHS information and data quality requirements
  • Knowledge of data protection and confidentiality issues


  • Detailed understanding of uses of coded clinical data
  • Experience of writing local orthopaedic policies and rule sets
  • Communication with EWG to report broken HRGs and income impact

Employer details

Employer name

Royal National Orthopaedic Hospital NHS Trust


Royal National Orthopaedic Hospital NHS Trust

Brockley Hill, Stanmore



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