RCSI Hospitals Group Recruitment Campaign

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1 RCSI Hospitals Group Recruitment Campaign Post Title: RCSI Group Clinical Coder x 3 Post Status: Permanent Department RCSI Hospital Group Location: Geographical area of RCSI Hospitals Group The RCSI Hospitals Group includes the following hospitals: Beaumont Hospital (Lead Hospital) Cavan General Hospital Monaghan Hospital Connolly Hospital Our Lady of Lourdes Hospital Drogheda Louth Hospital Rotunda Hospital Reports to: The post holder will report to the Clinical Coding Manager within the Group Corporate Finance Structure. Salary: Appointment will be made on Grade V ( 41,209 49,496) at a point in line with Government pay policy. Hours of work: Full-Time Closing Date: 12 Noon on 20 th October 2017 Position Summary: To expertly code HIPE discharges in a timely and accurate way. To assist the group in assuring flexible cover for coding across the hospitals. Carry out Audit and Data quality activities as required by the group to ensure high quality HIPE data. Where necessary mentor and train new coders. Background: The Government s health reform programme, Future Health, aims to improve the population s health, assist health service staff to improve services to the public, and demonstrate to taxpayers that value for money is being delivered. The financial challenges facing the health system are immense. Demand is increasing on an annual basis while the amount of funding available to provide services has decreased significantly. Financial Reform is one of the 4 Pillars of Reform within Future Health and these reforms are designed to ensure that the financing system is based on incentives aligned to fairness and efficiency, while reducing costs, improving control and also improving quality. The Activity-Based Funding (ABF) model is being introduced in order to create incentives that encourage treatment at the lowest level of complexity that is safe, timely, efficient, and is delivered as close to home as possible. This shift will be used as an opportunity to achieve quality and safety objectives rather than simply being a means of paying for activity. Ultimately, the ABF system will be designed to integrate payment systems supporting integration between primary, community and hospital care. The reform actions necessary to enable the Government to deliver whole system health reform, as undertaken within the Programme for Government, are laid out in Future Health: A Strategic Framework for Reform of the Health Service

2 The establishment of Hospital Groups is an integral part of this reform, which will see public hospitals reorganised into more efficient and accountable hospital groups that will harness the benefits of increased independence and greater control at local level. The Government s decision regarding the establishment and operation of the new Hospital Groups is informed by two reports The Establishment of Hospital Groups as a Transition to Independent Hospital Trusts and The Framework for Development Securing the Future of Smaller Hospitals. These reports fulfil important commitments in Future Health for the reform of the health service. The alignment of ABF with the national clinical programmes will provide Hospital Groups with the tools to provide effective and efficient services within a clear national framework. The RCSI Hospital Group comprises of 7 clinical sites: Beaumont Hospital Cavan General Hospital Connolly Hospital Louth County Hospital Monaghan Hospital Our Lady of Lourdes Hospital Drogheda Rotunda Hospital RCSI is our Academic Partner. The Group serves a population of approximately 865,000 people, with over 8,100 staff. The Hospital Group annual gross spend is approximately 830million. The Hospital Group will continue to work with colleagues across the Group together with all other internal and external stakeholders to deliver optimum services for our patients within the resources available whilst at the same time ensuring that quality and patient safety remains a key priority. Principal Duties and Responsibilities: Working with HIPE within the group hospitals to deliver timely and accurate coded activity information ensuring accuracy, consistency, completeness and compliance with national and international coding standards and in line with specified deadlines. Ensure the integrity and quality of coded data by working the HIPE Manager(s) and clinicians in the group hospitals. Carry out regular HIPE audits across the hospitals in the group, feeding result back to HIPE Manager(s) and Group HIPE manager. Work closely with Group HIPE Manager and HIPE manager(s) with regard to data quality, training and audit activities to optimise HIPE data for the group. Assist and support the induction, training and support of new coders. Identify training needs for HIPE staff within the group and initiate steps to accomplish same. Liaising with medical records and other hospital staff to ensure a good and timely flow of completed medical records to each HIPE department. Working to ensure compliance to coverage and data quality guidelines. Ensuring that coding queries returned to the Hospital(s) from the Hospital Pricing Office (HPO) are corrected and adequate response provided. Identify opportunities for improvement of chart flow/ system/documentation quality and initial steps to accomplish these. Ensuring that the confidentiality of patient data is maintained at all times. Keep up to date with any new developments on the HIPE system as they arise. Must be willing to participate in on-going training both self -education and at HPO and hospital level. Create, promote and maintain open communications and healthy working relationships. Any other duties with regard to the office as may be assigned from time to time.

3 Communications To understand and be able to explain the importance of HIPE data and its impact on ABF. To be able to consult in a clear way with Group and hospital personnel, including clinicians, on matters regarding HIPE. The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.participation in relevant committees and working groups as required. Selection Criteria: Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post. Applications will be assessed on the basis of how well candidates satisfy these criteria. Mandatory: Professional Qualification and Experience Significant experience of clinical coding including working in a hospital setting with practical coding experience e.g. extraction of appropriate information from charts and application of clinical codes from a recognised clinical coding scheme e.g. ICD-10-AM/ACHI/ACS. Expert knowledge of the HIPE portal and its functions. Evidence of attending on-going clinical coding training courses up to specialist level e.g. certification or confirmation of attendance at coding courses required. Possess sufficient administrative capacity to discharge the functions of the grade. Be computer literate and able to demonstrate good knowledge of Microsoft office. Desirable: Knowledge and Experience Expertise in clinical coding, ICD-10-AM/ACHI/ACS classifications and knowledge of the Australian Refined Diagnosis Related Groups (AR DRGs). Experience and expertise in the extraction and coding of HIPE data according to national coding guidelines. Demonstrate knowledge of Irish and Australian coding standards, including how these are updated and implemented. Display a strong quality and confidentiality focus and an understanding of the importance of same. Excellent IT skills including Microsoft Office. Knowledge of the HIPE Portal and the associated tools. Knowledge and experience of using an system effectively e.g. Outlook, Lotus Notes. Demonstrate good knowledge of the Health Services Executive, HPO and the external environment. Communications & Interpersonal Skills Effective verbal communication skills, delivering complex information clearly, concisely and confidently. Excellent written communication skills including good writing and presentation skills. Excellent communication and interpersonal skills in order to deal effectively with a wide range of stakeholders

4 and with a broad range of disciplines at all levels. Demonstrate a strong quality and confidentiality focus and an understanding of the importance of same. Planning & Organising and Delivery of Results The ability to organise and prioritise one s own work within the HIPE team in order to meet strict deadlines across the group. Be able to collect, code and provide HIPE data in a timely and accurate way. The ability to proactively identify areas for improvement and to develop practical solutions for their implementation. The ability to embrace change and adapt local work practices accordingly by finding practical ways of working. Demonstrate adaptability and a capacity to manage change and the pressure of tight deadlines. The ability to use resources effectively, challenging processes to improve efficiencies where appropriate. Demonstrate the ability to take responsibility and use own initiative. Demonstrate a high level of organisational skills. Evaluating Information, Problem Solving & Decision Making Excellent analytical, problem solving and decision making skills The ability to confidently explain the rationale behind decisions when faced with opposition. Ability to make sound decisions with a well-reasoned rationale and to stand by these. Building and Maintaining Relationships including Teamwork & Leadership Skills The ability to build and maintain relationships with colleagues and other stakeholders and to achieve results through collaborative working The ability to work both independently and collaboratively within a dynamic team and multi stakeholder environment Flexibility, adaptability and openness to working effectively in a changing environment Commitment to a Quality Service Evidence of incorporating the needs of the service user into service delivery. Evidence of practicing and promoting a strong focus on delivering high quality customer service for internal and external customers. Commitment to developing own knowledge and expertise. Evidence of setting high standards of performance for self, ensuring accurate attention to detail and consistent adherence to procedures and current standards within area of responsibility. Further Information for Candidates: Supplementary information: The Hospital Management Unit: Hospital Group

5 Particular to this position: Access to appropriate transport to fulfil the requirements of the role e.g. travel to hospitals throughout the group. May be required to work in different hospitals for varying lengths of time. Flexibility around working hours to service requirements. Application Procedure: Recruitment for this competition is being managed by the Beaumont Hospital recruitment team. Candidates should submit a full curriculum vitae to include the names and contact details of 2 referees ( addresses if possible) to recruitmentoffice@beaumont.ie, referencing the job vacancy in the subject line. A short listing exercise may be carried out on the basis of information supplied in your application. The criteria for ranking and or short listing are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification.

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