Clinical Coder/Summariser

Job description

Job responsibilities

• Assess own performance and take accountability for own actions, either directly or under supervision.
• Reviewing medical records and producing an accurate summary of the Patient’s medical history
• Participate in performance review and appraisals
• Sorting Patient records and letters in preparation for scanning/summarising
• Summarise and Read Code relevant information from clinical letters and patient’s clinical records into the Practice computer system (EMIS WEB), working strictly in accordance with the Practice notes & summarising protocol.
• Utilise relevant systems/equipment to be able to do the job to the best of your ability.
• Effectively manage own time, workload and resources.
• Timely management of clinical information received in practice.
• Work collaboratively with the multi-disciplinary general practice team to meet the needs of patients to support the delivery of policy and procedures.

Confidentiality

•  While seeking treatment, patients entrust us with sensitive information They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
•  In the performance of the role, the post-holder will have access to confidential information relating to patients, carers, practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
•  Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
• To work in accordance with all Practice written protocols.

Equality and Diversity:

• The post-holder will support the equality, diversity and rights of patients, carers, and colleagues, to include:
•  Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures, policies, and current legislation.
•  Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues.
•  Behaving in a manner which is welcoming, non-judgmental and respectful of circumstances, feelings, priorities, and rights.

Safeguarding

• The Thornton Practice is committed to safeguarding and promoting the welfare of all. The post-holder will be expected to share this commitment.
• Personal/Professional Development
• The post-holder will participate in any training programme implemented by the Practice as part of this employment.

Important Note

• Please note that because the general practice framework is subject to national/local amendments, this job description is likely to alter with time. It is intended to be reviewed and amended in consultation with the post-holder at regular intervals.

Person Specification

Qualifications

Essential

• Maths and English GCSE or equivalent experience

Desirable

• A Level / NVQ Level 3 qualifications Knowledge of GP practice / NHS / Services provided in the community

Experience

Essential

• Strong customer service and communication skills Logical thinker who can provide a rationale for decision made Flexibility and understanding of importance of teamwork Strong judgement and decision-making skills Strong IT skills

Desirable

• Experience in Primary Care
• Experience in healthcare roles
• Strong analytical skills

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 Thornton Practice

Address

The Thornton Practice

Church Road

Thornton-cleveleys

Lancashire

FY5 2TZ

Employer's website

https://www.thedoctors.co.uk/ (Opens in a new tab)