Clinical Coding - Delivery Manager
Posted Updated
Summary
Leads clinical coding operations for a healthcare services provider in Dorset: hands-on coding of complex inpatient cases using ICD-10 and OPCS-4, while managing team productivity, backlogs, SLA compliance, mentoring coders, and reporting performance to client stakeholders.
Job Summary (in list format): Clinical Coding Delivery Manager
- Lead clinical coding operations, ensuring high-quality coding and effective service delivery.
- Remain hands-on by coding complex inpatient cases across multiple specialties.
- Oversee coding productivity, quality performance, workload management, and SLA (Service Level Agreement) compliance.
- Mentor, support, and provide technical guidance to clinical coding teams.
- Drive continuous improvement initiatives and adoption of best practices within the team.
- Ensure accurate and complete assignment of ICD-10 and OPCS-4 codes in line with national standards.
- Collaborate with clinicians to clarify diagnoses, procedures, and address documentation gaps.
- Allocate and manage coding workloads based on team capacity and case complexity.
- Monitor and address coding backlogs to ensure optimal resource use and timely turnaround.
- Act as the escalation point for complex coding and operational issues.
- Track and report on coding volumes, backlog status, turnaround times, and other operational KPIs.
- Prepare and present regular reports on performance, SLA metrics, and service reviews to stakeholders.
- Ensure compliance with clinical coding standards, data governance, and patient confidentiality regulations.
- Maintain accurate, auditable records of coding activities and operational performance.
- Serve as the main point of contact for client stakeholders and manage day-to-day client communications.
- Resolve operational blockers and service delivery issues promptly.
- Provide updates on coding performance, quality outcomes, backlog management, and improvement initiatives.
Essential Qualifications & Experience:
- Accredited Clinical Coder (NCCQ ACC or equivalent) and recent refresher certification.
- Degree in Life Sciences, Health Sciences, Nursing, Medical Sciences, or equivalent experience.
- Minimum 5+ years of post-accreditation clinical coding experience, including complex and multi-specialty cases.
- Proven experience managing coding operations and achieving productivity/service targets.
- Proficient in EHR, PAS, Encoder, and other healthcare information systems.
- Experience working directly with clinicians and client stakeholders.
- Lead clinical coding operations, ensuring high-quality coding and effective service delivery.
- Remain hands-on by coding complex inpatient cases across multiple specialties.
- Oversee coding productivity, quality performance, workload management, and SLA (Service Level Agreement) compliance.
- Mentor, support, and provide technical guidance to clinical coding teams.
- Drive continuous improvement initiatives and adoption of best practices within the team.
- Ensure accurate and complete assignment of ICD-10 and OPCS-4 codes in line with national standards.
- Collaborate with clinicians to clarify diagnoses, procedures, and address documentation gaps.
- Allocate and manage coding workloads based on team capacity and case complexity.
- Monitor and address coding backlogs to ensure optimal resource use and timely turnaround.
- Act as the escalation point for complex coding and operational issues.
- Track and report on coding volumes, backlog status, turnaround times, and other operational KPIs.
- Prepare and present regular reports on performance, SLA metrics, and service reviews to stakeholders.
- Ensure compliance with clinical coding standards, data governance, and patient confidentiality regulations.
- Maintain accurate, auditable records of coding activities and operational performance.
- Serve as the main point of contact for client stakeholders and manage day-to-day client communications.
- Resolve operational blockers and service delivery issues promptly.
- Provide updates on coding performance, quality outcomes, backlog management, and improvement initiatives.
Essential Qualifications & Experience:
- Accredited Clinical Coder (NCCQ ACC or equivalent) and recent refresher certification.
- Degree in Life Sciences, Health Sciences, Nursing, Medical Sciences, or equivalent experience.
- Minimum 5+ years of post-accreditation clinical coding experience, including complex and multi-specialty cases.
- Proven experience managing coding operations and achieving productivity/service targets.
- Proficient in EHR, PAS, Encoder, and other healthcare information systems.
- Experience working directly with clinicians and client stakeholders.