Senior Specialist Clinical Coder | East Lancashire Hospitals NHS Trust
| Posting date: | 12 February 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £31,049 - £37,796 per annum |
| Hours: | Full time |
| Closing date: | 14 March 2026 |
| Location: | Preston, PR2 8DY |
| Company: | East Lancashire Hospitals NHS Trust |
| Job type: | Permanent |
| Job reference: | 7741234/435-1LSC-LT-007-26 |
Summary
Are you looking to further your career or maybe make a sideways move within the field of Clinical Coding? Then we want to hear from you.
The opportunity has arisen for an enthusiastic and committed individual to fill the role of Senior Specialist Clinical Coder here at Lancashire Teaching Hospitals NHS Foundation Trust (LTH) as part of One Lancashire and South Cumbria (One LSC).
We are looking for a highly motivated individual who is dedicated to providing a first-class service to the department and Trust. As such you will need to be extremely organised, focused, and willing to develop your skills. In return, we can offer rewarding experiences and the ability to make a positive difference to service delivery.
You will be involved with the direction of workflow, mentoring / supervision of staff, the achievement of deadlines, and promotion of the importance of Clinical Coding to the Payment by Results and local / national reporting processes.
As a Senior Specialist Clinical Coder, you will have extensive knowledge of A&P, Medical Terminology and Coding Classifications. You will be experienced in coding within an acute Trust setting covering a wide variety of specialities, with a particular interest in Medicine, Obstetrics and Gynaecology. You will be ACC qualified or willing to gain on your commencement in post.
To provide Clinical Coding expertise in several specialty areas, to department and Trust staff.
To provide maximum coverage and high quality clinically coded information within the Clinical Coding Department and in line with national and local standards, in accordance with Trust deadlines.
To be accountable for the accurate translation of medical information, and therefore the quality of data produced, by responsibility for maintaining current and appropriate knowledge.
To use the ICD10 (International Statistical Classification of Diseases and Related Health Problems – 10thRevision) and OPCS classifications to appropriately assign codes to admitted patient care episodes in order to support service and management information requirements, along with the Payment by Results (PbR) process.
To ensure Coding deadlines are met, in accordance with SUS submission timetable.
To work as a productive member of a pro-active team to ensure optimal efficiency for provision of an outstanding Coding Service to the Trust.
This role is mentally demanding requiring long periods of concentration in a highly pressured and changeable work environment.
LTH workload covers a wide variety of clinical specialties, including a number of regional fields such as Oncology, Neurosurgery and Renal Medicine.
This role will give you the opportunity to begin an in-depth career in the field of Clinical Coding, broaden your experience within the profession or enhance your existing knowledge of these areas by working in specialist teams with rotation. Support is available within the team structure at LTH from the Senior Coders, Trainer, and Auditors.
Our Coders work with a range of electronic systems including scanned patient notes and as such the role involves full daily use of computer screens.
We are currently exploring an agile working model within the department so there is the option to introduce an element of homeworking alongside the Preston Business Centre base, following a period of on-site training.
As part of OneLSC we believe collaboration is a key factor to providing an outstanding clinical coding service for all the partner trusts.
CODING
· Accurate abstraction, translation, and input of information from source documents into diagnostic and procedural codes using ICD-10 and OPCS-4 classifications.
· Liaise with clinicians and departments as appropriate to ensure coding requirements are fulfilled in accordance with national and local standards.
· Clinically code episodes of admitted patient care for the achievement of SUS submission deadlines and in support of the PbR process.
· Improve the quality of coded data by validating specialist areas on a regular basis, providing feedback to department Auditors / Trainer, department Manager and Divisional Managers or Clinicians, as appropriate.
WORKFLOW
· Plan and coordinate workloads to ensure compliance with SUS submission deadlines.
· Identify and evaluate any problem areas regarding the availability of source documents or accuracy of coding.
· Supervise coding staff as required in support of the Assistant Manager.
· Provide cover for peers in the structure as required.
· Act as supervisor for clerical staff and on-site leader for the team, as required.
DEVELOPMENT
· Provide support for staff development through the appraisal process, as required.
· Responsible for maintaining expert knowledge of specialist areas and identifying own development needs.
· Responsible for up-to-date knowledge of coding standards, local policies, and clinical specialties
· Commitment to travelling to and providing feedback from external workshops.
· Support the development of Coders and Trainees
COMMUNICATION
· Become a credible Clinical Coding Lead for the Trust and influence clinician practice with regards to documentation in the clinical record
· Responsible for giving expert advice to Trust staff of all levels and assisting the department management team with corporate queries.
· Make constructive suggestions for service improvement and contribute ideas to improve internal processes.
· Effective communication with a range of staff from other departments within this and other Trusts and constructive management of barriers
· Responsible for effective clinical engagement in specialist fields
OTHER
· Report errors on the Harris Flex, Evolve and Medicode computer systems.
· Undertake income generation and quality checks provided by internal or external reports.
· Perform any other duties which are commensurate with the responsibility levels of the role.
This advert closes on Thursday 26 Feb 2026