Real World Clinical Coder

Key Responsibilities

• Accountable to understand scope of the request and to generate and maintain sets of medical and pharmacy codes (e.g., ICD-10-CM, HCPCS, CPT, NDC, SNOMED, LOINC, etc.) for use in defining conditions, events, and treatments in studies using administrative healthcare data (electronic health record and insurance claims databases) or other health records through critical review of published literature, keyword searches of coding dictionaries, and/or coding software
• Drive stakeholder engagement by identifying real world coding needs for upcoming real-world database studies and provide expert consultation to our partners on the appropriate selection of code sets based on the needs of a given study and real-world data set.
• Maintain a coding library platform to house previously generated code sets
• Proactively identify ways to support the re-use of previously defined and standardized code sets for frequently used concepts by using coding library platform
• Identify the scope of automation in code list generation process and come up with a plan to collaborate with R&D tech and RWA on better ways to implement it.

• Effective literature review to be able to create/review/update code list precisely

• Document and archive code lists when complete in the coding library platform; decommission code lists with relevant documentation when appropriate

• Lead the effort to update the Repository data internal platform (RDIP) dictionary with the latest ICD9 CM, ICD10 CM, LOINC, ICD9 UK, ICD10 UK, SNOMED, CPT, and HCPCS codes, when external coding tools are unavailable.
• Learn and deliver code lists of new coding systems used in new datasets/systems like Japanese datasets, SEER registry etc.
• Preferable to have knowledge of MedDRA and WHODrug dictionaries
• Help/Advice/drive with the leadership team to develop systems and tools on code list management internally and externally to ensure they are fit for purpose
• Able to trouble shoot coding related issues, technical and/or process and know where to go to get support if required e.g., IT support
• Able to use sophisticated technical tools (e.g. R programs) for code list creation
• Define and drive metrics and reports creation for Senior Management, essential for seamless delivery and operations
• Acquires healthcare industry and system knowledge while working on code list requests. Shares this knowledge with colleagues to make them aware of the code list generation process, while also learning from their experiences in return.
• Communicates effectively and precisely on regular code list updates, flags risks proactively and negotiates on reasonable timelines
• Identify opportunities for process improvements and implement innovative solutions to enhance efficiency and quality of clinical code list generation process.
• Provide expert guidance and support to project teams/vendors on Clinical coding process.
• Maintain a 'first time right' mindset to ensure high-quality deliverables.
• Accountable for the accuracy and reliability of application of Clinical coding Standards.

Education Requirements

MSc/PhD (or equivalent) in Life Science, B-Pharm/ M-Pharm/ medicines

Job Related Experience

• Minimum 10 years of experience in clinical coding, with strong knowledge of real-world data (RWD) sources, including electronic health records (EHR), claims data, and registries.
• Proficiency in using coding systems such as ICD-10-CM, HCPCS, CPT, NDC, SNOMED, LOINC, etc.
• Familiarity with tools/systems to retrieve codes e.g. "InnoviHealth (Find-a-code)", "UPTODATE INC (Medispan)", Encoder, First Data Bank (FDB)etc.
• Understanding of regulatory guidelines and compliance requirements related to clinical coding and data privacy
• Familiarity with application of AI/ML tools to modernize clinical code list generation process would be preferable.
• Expertise in R with proficiency in other programming languages such as SQL and visualization tools
• Proven track record of leading projects and delivering high-quality results within tight timelines.
• Excellent problem-solving skills and ability to think strategically and innovatively.
• Experience of working in global matrix environment and managing stakeholders effectively
• Experience of using technologies to bring efficiency as well as in simplifying processes
• Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
• Demonstrated learning agility, with the ability to quickly adapt to new information and changing environments.
• Commitment to delivering high-quality work and ensuring data accuracy and integrity.
• Strong sense of accountability, taking ownership of tasks and delivering on commitments.
• A growth mindset, open to feedback and dedicated to continuous improvement and development.

Why GSK?

Uniting science, technology and talent to get ahead of disease together.

GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.

People and patients around the world count on the medicines and vaccines we make, so we're committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.

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