Job summary
To review all incoming
correspondence and enter, using read codes, pertinent information into the
patients electronic medical record in accordance with the coding
protocol. This will include data
highlighted by clinicians as well as data required to meet contractual
obligations. To organise the medical record of patients whom you are coding, to
harmonise problem titles, group symptom development and assign the appropriate
status to medical information. To recognise own knowledge limits and seek
advice from clinical or administrative colleagues as appropriate.
Main duties of the job
b)
Read all incoming correspondence to the
practice, accurately coding the relevant diagnosis / procedure / information in
the patients records, deciding whether to send on to a GP, ensuring follow-up
actions / tests are brought to the attention of the relevant staff members (GP,
pharmacists, admin).
c)
Use Snomend coding into Emis to ensure the
information is attached to the relevant correspondence.
d)
Sort and date
stamp all incoming patient-related mail.
e)
Scan
patient-related documents onto their medical record using filing codes as
agreed by the clinical team.
f)
Add any
additional information about the source of the document.
g)
Ensure incoming
letters are scanned onto the patient record within a 48/72-hour timescale.
h)
To email blood
test, or other relevant information to outside agencies and Secondary care to
ensure the continuity and safe care of the patients.
i)
To move the
relevant lab reports, prescriptions and documents to the appropriate doctors to
ensure that no results are missed due to annual leave etc.
j)
To deal with Out
of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
k)
To manage admin
emails, action and complete forward as appropriate
l)
To summarise and read code relevant
information from patients clinical records into the practice computer system,
working strictly in accordance with the Note Summarising Protocol.
About us
We are a rural practice with 8300 practice population. We have 6 GP Partners and a wider clinical team. We are within South East Shropshire PCN
Job description
Job responsibilities
Main tasks of the job:
a)
Work as a member of the Clinical Coding Team,
sharing the coding workload via the Docman Team workflow to ensure a highly
professional and technically proficient clinical coding service is maintained
within the remit of Workflow Optimisation.
b)
Read all incoming correspondence to the
practice, accurately coding the relevant diagnosis / procedure / information in
the patients records, deciding whether to send on to a GP, ensuring follow-up
actions / tests are brought to the attention of the relevant staff members (GP,
pharmacists, admin).
c)
Use Snomend coding into Emis to ensure the
information is attached to the relevant correspondence.
d)
Sort and date
stamp all incoming patient-related mail.
e)
Scan
patient-related documents onto their medical record using filing codes as
agreed by the clinical team.
f)
Add any
additional information about the source of the document.
g)
Ensure incoming
letters are scanned onto the patient record within a 48/72-hour timescale.
h)
To email blood
test, or other relevant information to outside agencies and Secondary care to
ensure the continuity and safe care of the patients.
i)
To move the
relevant lab reports, prescriptions and documents to the appropriate doctors to
ensure that no results are missed due to annual leave etc.
j)
To deal with Out
of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
k)
To manage admin
emails, action and complete forward as appropriate
l)
To summarise and read code relevant
information from patients clinical records into the practice computer system,
working strictly in accordance with the Note Summarising Protocol.
m)
To assist with any other duties as may be
required to meet the needs of the Practice.
n) To
work with own initiative and care yet be involved in ideas, brainstorming and
training to help the practice to develop and improve efficiencies.
o) To
work closely with the Managers and administrators to improve practice process
and develop new technology and initiatives.
The above is not an exhaustive list of duties and you will
be expected to perform different tasks as necessitated by your changing role
within the organisation and the overall business objectives of the
organisation.
Job description
Job responsibilities
Main tasks of the job:
a)
Work as a member of the Clinical Coding Team,
sharing the coding workload via the Docman Team workflow to ensure a highly
professional and technically proficient clinical coding service is maintained
within the remit of Workflow Optimisation.
b)
Read all incoming correspondence to the
practice, accurately coding the relevant diagnosis / procedure / information in
the patients records, deciding whether to send on to a GP, ensuring follow-up
actions / tests are brought to the attention of the relevant staff members (GP,
pharmacists, admin).
c)
Use Snomend coding into Emis to ensure the
information is attached to the relevant correspondence.
d)
Sort and date
stamp all incoming patient-related mail.
e)
Scan
patient-related documents onto their medical record using filing codes as
agreed by the clinical team.
f)
Add any
additional information about the source of the document.
g)
Ensure incoming
letters are scanned onto the patient record within a 48/72-hour timescale.
h)
To email blood
test, or other relevant information to outside agencies and Secondary care to
ensure the continuity and safe care of the patients.
i)
To move the
relevant lab reports, prescriptions and documents to the appropriate doctors to
ensure that no results are missed due to annual leave etc.
j)
To deal with Out
of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
k)
To manage admin
emails, action and complete forward as appropriate
l)
To summarise and read code relevant
information from patients clinical records into the practice computer system,
working strictly in accordance with the Note Summarising Protocol.
m)
To assist with any other duties as may be
required to meet the needs of the Practice.
n) To
work with own initiative and care yet be involved in ideas, brainstorming and
training to help the practice to develop and improve efficiencies.
o) To
work closely with the Managers and administrators to improve practice process
and develop new technology and initiatives.
The above is not an exhaustive list of duties and you will
be expected to perform different tasks as necessitated by your changing role
within the organisation and the overall business objectives of the
organisation.
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Medical Terminology or equivalent experience working in a medical environment
Desirable
Experience
Essential
- Experience of working in general Practice
- Experience of coding into medical records
- proficient IT skills
Desirable
- EMIS web/Docman/Medical terminology
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Medical Terminology or equivalent experience working in a medical environment
Desirable
Experience
Essential
- Experience of working in general Practice
- Experience of coding into medical records
- proficient IT skills
Desirable
- EMIS web/Docman/Medical terminology
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.