Clinical CoderNHS

Job summary

At Optimised Care, we are committed to delivering outstanding healthcare through clinical excellence, innovation and exceptional patient experiences. We're looking for an experienced Clinical Coder to join our growing team and play a vital role in ensuring the accuracy and quality of our clinical information.

As a Clinical Coder, you will accurately translate patient diagnoses, procedures and treatments into nationally recognised clinical codes using ICD-10 and OPCS-4 classifications. Your work will directly support clinical governance, service planning, performance reporting and the delivery of high-quality patient care across our organisation.

You'll work closely with consultants, clinicians and administrative teams within a modern, collaborative environment where your expertise is recognised and valued. We invest in our people, offering ongoing professional development, a supportive culture and the opportunity to contribute to a forward-thinking independent healthcare provider focused on delivering outstanding patient outcomes.

If you are detail-oriented, passionate about maintaining the highest standards of clinical coding and want to be part of an organisation that is shaping the future of patient care, we'd love to hear from you and welcome you to the Optimised Care team.

Main duties of the job

As a Clinical Coder at Optimised Care, you will play a key role in ensuring the accuracy, completeness and integrity of our clinical data. Working with electronic patient records, you will analyse clinical documentation and assign ICD-10 and OPCS-4 codes in accordance with national coding standards and organisational policies.

You will collaborate with consultants, clinicians and multidisciplinary teams to clarify clinical information where required, helping to maintain the highest standards of data quality. Your work will support patient care, clinical governance, activity reporting and operational performance, ensuring accurate information is available for decision-making and regulatory requirements.

This role requires excellent attention to detail, strong analytical skills and the ability to interpret complex medical terminology confidently. You'll become part of a supportive and professional team that values continuous learning, accuracy and collaboration, with opportunities to develop your expertise while contributing to the delivery of exceptional healthcare services across Optimised Care.

Job description

Job Description Clinical CoderJob PurposeThe Clinical Coder is responsible for the accurate translation of clinical diagnoses, procedures and interventions into nationally recognised clinical codes using ICD-10 and OPCS-4 classifications. The role is fundamental in supporting patient care, clinical governance, performance reporting, service planning and regulatory compliance across Optimised Care.

Working closely with consultants, clinicians and multidisciplinary teams, the Clinical Coder will ensure that all coded information is complete, accurate and compliant with national coding standards and organisational policies.

Key Responsibilities

• Review inpatient, day case and outpatient medical records to extract relevant clinical information.
• Assign accurate ICD-10 diagnostic codes and OPCS-4 procedure codes in accordance with the latest NHS Clinical Coding Standards.
• Ensure all clinical coding is completed within agreed timescales to support reporting, governance and operational performance.
• Analyse complex clinical documentation, including consultant notes, operation records, pathology reports and diagnostic investigations.
• Liaise professionally with consultants and clinical teams to clarify incomplete or ambiguous documentation where necessary.
• Maintain high levels of coding accuracy through continuous quality assurance and audit compliance.
• Support internal and external clinical coding audits by providing evidence of coding decisions.
• Identify documentation issues that may affect coding quality and work collaboratively to improve clinical documentation standards.
• Maintain confidentiality and comply with GDPR, Information Governance and organisational policies at all times.
• Keep up to date with national coding guidance, ICD-10 and OPCS-4 updates and changes in clinical coding standards.
• Participate in mandatory training, departmental meetings and continuing professional development activities.
• Contribute to service improvement initiatives that enhance coding quality, efficiency and patient data integrity.

Knowledge, Skills and ExperienceEssential

• Accredited Clinical Coding Standards Course (ACCS) qualification or equivalent.
• Proven experience working as a Clinical Coder within the NHS or independent healthcare sector.
• Comprehensive knowledge of ICD-10 and OPCS-4 classifications.
• Understanding of NHS Clinical Coding Standards and Data Quality requirements.
• Ability to interpret complex medical terminology and clinical documentation.
• Excellent attention to detail with a high level of accuracy.
• Strong analytical and organisational skills.
• Excellent communication and interpersonal skills.
• Competent user of Electronic Patient Record (EPR) systems and Microsoft Office applications.
• Ability to prioritise workload and consistently meet deadlines.

Desirable

• National Clinical Coding Qualification (NCCQ).
• Experience within an independent hospital or elective surgical setting.
• Knowledge of clinical audit methodologies.
• Experience coding across a broad range of medical and surgical specialties.
• Understanding of healthcare performance reporting and clinical governance frameworks.

Professional Responsibilities

• Maintain professional standards and confidentiality at all times.
• Demonstrate integrity, accountability and attention to detail in all aspects of the role.
• Promote Optimised Care's values through collaboration, respect and professionalism.
• Support a culture of continuous improvement and excellence.
• Undertake any other reasonable duties appropriate to the role and grade.

What We OfferJoining Optimised Care means becoming part of a forward-thinking healthcare organisation committed to excellence. We offer:

• Competitive salary.
• Generous annual leave entitlement.
• Company pension scheme.
• Ongoing learning and professional development.
• Supportive and collaborative working environment.
• Modern clinical systems and technology.
• Employee wellbeing initiatives.
• Free on-site parking.
• Opportunities for career progression within a growing healthcare organisation.
• Flexible working hours
• Remote work

About us

At Optimised Care, we are dedicated to providing outstanding, patient-centred healthcare through clinical excellence, innovation and compassion. Our multidisciplinary teams work together to deliver high-quality elective care in a modern, professional environment where every colleague plays an important role in achieving the best possible outcomes for our patients.

We pride ourselves on fostering a supportive and inclusive culture where teamwork, respect and continuous improvement are at the heart of everything we do. We believe that investing in our people is key to delivering exceptional care, which is why we offer ongoing training, professional development and opportunities for career progression.

When you join Optimised Care, you'll become part of an organisation that values your expertise, encourages collaboration and recognises individual contributions. We promote a healthy work-life balance and provide a competitive benefits package, including generous annual leave, pension contributions, employee wellbeing support, free on-site parking, access to learning and development opportunities, and a positive working environment where you can build a rewarding long-term career.

If you're looking to join a forward-thinking healthcare provider where quality, innovation and people come first, Optimised Care is the place for you.