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North Tees & Hartlepool NHS Foundation Trust

Trainee Clinical Coder / Clinical Coder

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Transparency summary

Fully remote
Salary
£25,760–27,476 per year
Office location
Stockton-on-Tees, North East, England
Contract
Permanent · Full-time
Department
Clinical Services
Industry
Healthcare
Experience level
Trainee

Job Description

Job summary
The post-holder will be responsible for the clinical coding of inpatient and day-case episodes across all specialties provided at North Tees and Hartlepool Hospitals.

The post involves liaising with clinicians and clinical teams on a regular basis to verify data recorded in patient case-notes and on electronic systems.

This post may close early if sufficient amount of applications are reached.

Main duties of the job
Undertake office based clinical coding training and NHS England Clinical Coding Standards Course t achieve proficiency in clinical coding.

Abstract clinical information from the electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions

About us
South Tees Hospitals NHS Foundation Trust and North Tees and Hartlepool NHS Foundation Trust have come together to form University Hospitals Tees. As a result, post holders may be required to work across sites within both organisations.

Across University Hospitals Tees, our ambition is to be the best place to work, ensuring we have the right staff in the right roles at the right time to deliver outstanding patient care and experience.

We are committed to supporting our staff through an inclusive and supportive working environment, offering health and wellbeing initiatives, staff benefits, and opportunities for personal and professional development.

We are committed to fostering an inclusive recruitment process and welcome applications from suitably qualified candidates, including those who first language is not English.

We support the 'Making Every Contact Count' approach to behaviour change in the promotion of health and wellbeing of individuals and communities.

Details
Date posted
28 October 2026
Pay scheme
Agenda for change
Band
Band 3
Salary
£25,760 to £27,476 a year
B4 and B5 available depending on training and experience
Contract
Permanent
Working pattern
Full-time,
Flexible working,
Home or remote working,
Compressed hours
Reference number
345-COR8340199
Job locations
University Hospital of North Tees
Stockton-on-Tees
TS19 8PE
United Kingdom

Job description
Job responsibilities
Abstract clinical information from the case-note/electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions;
Liaise with hospital wards and other departments as necessary to view information in source documentation (case notes), required to complete coding; to collect source document sheets (e. g. discharge summaries); to take reasonable steps to chase up outstanding source data. Source documents will increasingly include electronic records;
Contribute to improvements in accuracy and completeness of clinical coding for admitted care;
Attend meetings to discuss coding issues and data-quality as required;
Work and improve communication between clinicians and clinical coders to ensure they understand of coding process and its limitations, by meeting and liaising with relevant clinicians on a regular basis;
Highlight issues relating to administrative coding discrepancies such as clinician or method of admission etc.;
Ensure coding queries are resolved, escalating to the Manager / Deputy Manager where necessary;
Participate in discussions relating to general coding problems and issues, for example, at departmental meetings;
Plan and prioritise own workload to meet performance and quality targets and, in a timely manner, advise the Manager / Deputy Manager of any hindrance to the achievement of these targets;
Assist in the continuing development and improvement of the Clinical Coding Service in order that high quality-data can be collected and produced with minimum delay;
Advise the Manager / Deputy Manager on the standards of information provided for clinical coding, particularly if this becomes unacceptable; to evaluate and discuss with the manager any problems that arise, and assist in the implementation of any changes required;
In periods of absence, cover the workload of other colleagues as required;
Keep abreast of all new national guidance in relation to clinical-coding practices and ensure own coding skills are kept up to date, widening and strengthening own skill-set across various clinical specialties;
14. Undertake appropriate training, as deemed necessary by the Training and Audit Manager and/or Clinical Coding Manager;
Be aware of all statutory and local requirements regarding the disclosure/safe keeping of information e. g. the Data Protection Act, Caldicott etc.

Job responsibilities
Abstract clinical information from the case-note/electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions;

Liaise with hospital wards and other departments as necessary to view information in source documentation (case notes), required to complete coding; to collect source document sheets (e. g. discharge summaries); to take reasonable steps to chase up outstanding source data. Source documents will increasingly include electronic records;

Contribute to improvements in accuracy and completeness of clinical coding for admitted care;

Attend meetings to discuss coding issues and data-quality as required;

Work and improve communication between clinicians and clinical coders to ensure they understand of coding process and its limitations, by meeting and liaising with relevant clinicians on a regular basis;

Highlight issues relating to administrative coding discrepancies such as clinician or method of admission etc.;

Ensure coding queries are resolved, escalating to the Manager / Deputy Manager where necessary;

Participate in discussions relating to general coding problems and issues, for example, at departmental meetings;

Plan and prioritise own workload to meet performance and quality targets and, in a timely manner, advise the Manager / Deputy Manager of any hindrance to the achievement of these targets;

Assist in the continuing development and improvement of the Clinical Coding Service in order that high quality-data can be collected and produced with minimum delay;

Advise the Manager / Deputy Manager on the standards of information provided for clinical coding, particularly if this becomes unacceptable; to evaluate and discuss with the manager any problems that arise, and assist in the implementation of any changes required;

In periods of absence, cover the workload of other colleagues as required;

Keep abreast of all new national guidance in relation to clinical-coding practices and ensure own coding skills are kept up to date, widening and strengthening own skill-set across various clinical specialties;

14. Undertake appropriate training, as deemed necessary by the Training and Audit Manager and/or Clinical Coding Manager;

Be aware of all statutory and local requirements regarding the disclosure/safe keeping of information e. g. the Data Protection Act, Caldicott etc.

What you will do

Undertake office based clinical coding training and NHS England Clinical Coding Standards Course t achieve proficiency in clinical coding.

Abstract clinical information from the electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions

Abstract clinical information from the case-note/electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions;
Liaise with hospital wards and other departments as necessary to view information in source documentation (case notes), required to complete coding; to collect source document sheets (e. g. discharge summaries); to take reasonable steps to chase up outstanding source data. Source documents will increasingly include electronic records;
Contribute to improvements in accuracy and completeness of clinical coding for admitted care;
Attend meetings to discuss coding issues and data-quality as required;
Work and improve communication between clinicians and clinical coders to ensure they understand of coding process and its limitations, by meeting and liaising with relevant clinicians on a regular basis;
Highlight issues relating to administrative coding discrepancies such as clinician or method of admission etc.;
Ensure coding queries are resolved, escalating to the Manager / Deputy Manager where necessary;
Participate in discussions relating to general coding problems and issues, for example, at departmental meetings;
Plan and prioritise own workload to meet performance and quality targets and, in a timely manner, advise the Manager / Deputy Manager of any hindrance to the achievement of these targets;
Assist in the continuing development and improvement of the Clinical Coding Service in order that high quality-data can be collected and produced with minimum delay;
Advise the Manager / Deputy Manager on the standards of information provided for clinical coding, particularly if this becomes unacceptable; to evaluate and discuss with the manager any problems that arise, and assist in the implementation of any changes required;
In periods of absence, cover the workload of other colleagues as required;
Keep abreast of all new national guidance in relation to clinical-coding practices and ensure own coding skills are kept up to date, widening and strengthening own skill-set across various clinical specialties;
14. Undertake appropriate training, as deemed necessary by the Training and Audit Manager and/or Clinical Coding Manager;
Be aware of all statutory and local requirements regarding the disclosure/safe keeping of information e. g. the Data Protection Act, Caldicott etc.

Abstract clinical information from the case-note/electronic system to translate this into diagnostic (ICD10) and operative (OPCS4) codes in a timely and accurate manner, applying national and international classification rules and conventions;

Liaise with hospital wards and other departments as necessary to view information in source documentation (case notes), required to complete coding; to collect source document sheets (e. g. discharge summaries); to take reasonable steps to chase up outstanding source data. Source documents will increasingly include electronic records;

Contribute to improvements in accuracy and completeness of clinical coding for admitted care;

Attend meetings to discuss coding issues and data-quality as required;

Work and improve communication between clinicians and clinical coders to ensure they understand of coding process and its limitations, by meeting and liaising with relevant clinicians on a regular basis;

Highlight issues relating to administrative coding discrepancies such as clinician or method of admission etc.;

Ensure coding queries are resolved, escalating to the Manager / Deputy Manager where necessary;

Participate in discussions relating to general coding problems and issues, for example, at departmental meetings;

Plan and prioritise own workload to meet performance and quality targets and, in a timely manner, advise the Manager / Deputy Manager of any hindrance to the achievement of these targets;

Assist in the continuing development and improvement of the Clinical Coding Service in order that high quality-data can be collected and produced with minimum delay;

Advise the Manager / Deputy Manager on the standards of information provided for clinical coding, particularly if this becomes unacceptable; to evaluate and discuss with the manager any problems that arise, and assist in the implementation of any changes required;

In periods of absence, cover the workload of other colleagues as required;

Keep abreast of all new national guidance in relation to clinical-coding practices and ensure own coding skills are kept up to date, widening and strengthening own skill-set across various clinical specialties;

14. Undertake appropriate training, as deemed necessary by the Training and Audit Manager and/or Clinical Coding Manager;

Be aware of all statutory and local requirements regarding the disclosure/safe keeping of information e. g. the Data Protection Act, Caldicott etc.

What success looks like

Essential criteria
- Educated to GCSE level or equivalent, including Maths and English
- Understanding of a health record / previous health records experience
- Experience of administrative processes
- Ability to work as part of a team
- Understanding of uses of clinical coded data in NHS
- Understanding of confidentiality in the workplace, Data Security and Caldicott
- Ability to organise own workload and work to Trust deadlines
- Excellent attention to detail
- Excellent interpersonal and communication skills, written and verbal
- Flexible approach to work and ability to prioritise workload
- Friendly and able to interact with colleagues
- Professional appearance

Desirable criteria
- Basic computer course, e. g. ECDL
- Certificate in Anatomy & Physiology
- Medical terminology qualification
- Previous experience using Patient Administration Systems
- Previous experience using encoders
- Knowledge of medical terminology, anatomy and physiology
- Keen to learn and enthusiastic to progress

Benefits

- We are committed to supporting our staff through an inclusive and supportive working environment, offering health and wellbeing initiatives, staff benefits, and opportunities for personal and professional development.
- We support the 'Making Every Contact Count' approach to behaviour change in the promotion of health and wellbeing of individuals and communities.
- B4 and B5 available depending on training and experience
- Flexible working,

Essential skills
Essential: Attention to Detail Essential: Communication
Desirable skills
Desirable: Medical Terminology
Mentioned skills
Mentioned: Behaviour Change Mentioned: Clinical Coding Mentioned: Data Quality Mentioned: Recruitment
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