Medical Summariser / Clinical Coder

Job description

Job responsibilities

Job summary

The practice is moving towards becoming a paper light environment, and the main responsibilities of the post holder will be to summarise and read code relevant information from patients clinical records into the practice computer system, working strictly in accordance with the practice notes summarising protocol.

Main duties of the job

• Coding medical letters that come into the surgery
• Processing GP2GP transfers
• Reviewing Medical Records and producing an accurate summary of the patients medical history
• Read Coding the information into the practice clinical system
• Auditing data collection standards in the practice
• Monitoring progress of notes summarising against practice targets
• Filing and retrieving paperwork

Person Specification

Qualifications

Essential

• Educated to GCSE level or equivalent
• Medical Terminology training

Desirable

• National Clinical Coding qualification

Experience

Essential

• Experience of working within a GP Practice
• Experience of dealing with the public on the phone and face to face
• Experience of using NHS computer systems for records updates, ordering and other functions (eg, Read coding, data collection, hospital referrals)
• Attention to accuracy and detail on a consistent basis
• Confident to respond to a range of different people and colleagues in a courteous and professional manner
• Ability to work in a fast paced, everchanging environment
• Understands the need to maintain data security and confidentiality of information
• Excellent IT Skills, including Excel and Word
• Good written and oral communication
• Excellent organisational and time management skills

Desirable

• Familiar with SystemOne

Personal Attributes

Essential

• Friendly and approachable manner
• Professional in approach
• Calm and able to work under pressure
• Able to work as part of a multi-skilled team (with and/or without direct supervision)
• Flexible approach to the needs of the practice including working at other sites when required
• Demonstrates discretion at all times
• Self motivated and committed

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

The North Leeds Medical Practice

Address

355 Harrogate Road

Leeds

LS17 6PZ

Employer's website

https://www.northleedsmedicalpractice.nhs.uk/ (Opens in a new tab)