Job summary
An exciting opportunity has arisen for an experienced, motivated, and hardworking individual to join our team as Clinical Coder/Summariser.
To be a member of the Practice Team, to summarise and code relevant information using codes from patients' clinical records into the Practice computer system. To extract information from patients notes and enter it onto their digital record, displaying any significant medical problems prominently so it is obvious to any healthcare professional using the record. To ensure all incoming and internal patient correspondence is stored in the patients record and all relevant information is correctly and accurately coded. To carry out administrative related tasks as delegated by the Primary Care Manager, and to provide support and cover to other admin colleagues during absence or sickness.
Main duties of the job
Scan and recode electronic and hard copy clinical correspondence in accordance with the practice protocol and timescales.
Read code electronic and hard copy clinical correspondence within agreed timescales.
Read code information into the practice clinical system when appropriate.
Oversee the distribution of results in line the practice protocol.
Ensure data entry adheres to current QOF/LES/DES guidelines.
Sorting and organising patient records and letters in chronological order in preparation for summarising.
Summarise incoming electronic and hard copy medical records in accordance with the practice summarising protocol and within agreed timescales.
File paper records once summarisation is complete.
Communicate with clinical staff regarding any coding issues.
About us
At Yarm Medical Practice, we have a supportive and cohesive team led by five Partners a Business Manager and Primary Care Manager. In addition to the Partners our clinical team consists of Salaried GP's, Nurse Practitioner, Practice Nurses' and NA's, HCA's
- Friendly, supportive working environment.
- TPP SystemOne clinical system.
- List size of 14337.
- High QOF and enhanced services achievement.
- Achieved "Good" in all areas on our CQC inspections.
- Work closely with the other practices in our PCN (Primary Care Network).
Job description
Job responsibilities
Main Duties/Key Tasks:
Scan and recode electronic and hard copy clinical correspondence in accordance with the practice protocol and timescales.
Read code electronic and hard copy clinical correspondence within agreed timescales.
Read code information into the practice clinical system when appropriate.
Oversee the distribution of results in line the practice protocol.
Ensure data entry adheres to current QOF/LES/DES guidelines.
Sorting and organising patient records and letters in chronological order in preparation for summarising.
Summarise incoming electronic and hard copy medical records in accordance with the practice summarising protocol and within agreed timescales.
File paper records once summarisation is complete.
Communicate with clinical staff regarding any coding issues.
Highlight any issues with summarising to your line manager or managing partner as soon as they arise.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Manage data quality issues.
Support the practice clinical audit program.
Job description
Job responsibilities
Main Duties/Key Tasks:
Scan and recode electronic and hard copy clinical correspondence in accordance with the practice protocol and timescales.
Read code electronic and hard copy clinical correspondence within agreed timescales.
Read code information into the practice clinical system when appropriate.
Oversee the distribution of results in line the practice protocol.
Ensure data entry adheres to current QOF/LES/DES guidelines.
Sorting and organising patient records and letters in chronological order in preparation for summarising.
Summarise incoming electronic and hard copy medical records in accordance with the practice summarising protocol and within agreed timescales.
File paper records once summarisation is complete.
Communicate with clinical staff regarding any coding issues.
Highlight any issues with summarising to your line manager or managing partner as soon as they arise.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Manage data quality issues.
Support the practice clinical audit program.
Person Specification
Experience
Essential
- Essential
- GCSE Mathematics C or above
- GCSE English C or above
- Experience of working in Health care setting
- Experience of administrative duties
- Excellent communication skills (written & oral)
- IT Skills
- Microsoft Word
- Quick reader and learner
- Clear, polite telephone manner
- Time management and ability to work to deadlines.
- Problem solving skills.
- Interpersonal skills
- Planning & organising
- Team Player
- Self-motivated
- Confidentiality
- Flexibility
Desirable
- Experience of reviewing medical records and assigning specific codes to diagnoses, procedures, and treatments.
- Experience of working with General Practice
- Have previous SystemOne experience.
- 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.
Qualifications
Essential
- GCSE Mathematics C or above
- GCSE English C or above
Person Specification
Experience
Essential
- Essential
- GCSE Mathematics C or above
- GCSE English C or above
- Experience of working in Health care setting
- Experience of administrative duties
- Excellent communication skills (written & oral)
- IT Skills
- Microsoft Word
- Quick reader and learner
- Clear, polite telephone manner
- Time management and ability to work to deadlines.
- Problem solving skills.
- Interpersonal skills
- Planning & organising
- Team Player
- Self-motivated
- Confidentiality
- Flexibility
Desirable
- Experience of reviewing medical records and assigning specific codes to diagnoses, procedures, and treatments.
- Experience of working with General Practice
- Have previous SystemOne experience.
- 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.
Qualifications
Essential
- GCSE Mathematics C or above
- GCSE English C or above
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.
