Job summary
We are looking for an experienced and enthusiastic individual to join our friendly and forward-thinking practice team as a Medical Coder and Summariser.
The ideal candidate will have experience in a primary care setting and demonstrate excellent communication and organisational skills and be able to think autonomously. You will need to be confident working within a busy, fast-paced environment and able to manage multiple priorities effectively. Strong IT skills and an eye for detail are essential, along with the ability to work well both independently and as part of a team.
If you are passionate about supporting patient care through accurate coding, summarising, and clinical administration and want to be part of a welcoming team that values your contribution then we would love to hear from you.
Main duties of the job
- Provide essential support to clinicians and wider staff, contributing to the delivery of high-quality patient services within a safe, efficient, and well-organised work environment.
- Review and process incoming patient records, including both paper documents and GP2GP electronic transfers.
- Accurately summarise and read-code relevant medical history into patient records, ensuring consistency and completeness.
- Extract and identify key clinical information from incoming correspondence, ensuring accurate coding and appropriate follow-up actions are recorded.
- Appropriately assign and forward clinical tasks or documents to GPs, nurses, or pharmacists for further action.
- Uphold the highest standards of confidentiality at all times, both within and outside the workplace.
- Identify and correct anomalies within patient records, ensuring records are structured and maintained in line with practice protocols.
- Ensure patient records are well-organised, up to date, correctly labelled, and repaired or maintained as needed.
- Foster positive working relationships with all members of the practice team, including clinical and administrative staff.
- Provide general administrative support to clinical staff as required, contributing to the smooth running of daily operations.
About us
The practice lies within the Integrated Care Board of Devon. We are part of the West Devon Primary Care Network, alongside two other thriving local practices. This has offered a dynamic and cohesive relationship as well as strengthening our own identity and central ethos.
As a team we are committed to offering a high-quality service to our patients, achieving high patient satisfaction scores and QOF scores. We are rated Good by CQC.
We have seven GP partners who are supported by a range of clinical and admin staff.
The jewel in our crown is really our practice ethos, encompassing a strong supportive culture of praise and encouragement.
Job description
Job responsibilities
- Ensure accurate and consistent SNOMED coding to support patient recall systems and maintain high-quality, comprehensive medical records.
- Summarise the medical history of all patient records using both paper records and electronic sources, ensuring completeness and accuracy.
- Prepare and review patient records prior to granting Online Access, ensuring they are appropriately summarised and meet practice standards.
- Open, sort, scan, and accurately code all incoming correspondence, including referral letters, hospital communications, and other confidential documentation.
- Appropriately allocate and forward clinical correspondence or tasks to the relevant GP, nurse, or pharmacist for action.
- Liaise with external healthcare providers to chase missing or incomplete medical records, ensuring all relevant information is obtained and recorded.
- Maintain and update existing patient records, including making necessary adjustments to diary entries and correcting any identified inaccuracies.
- Monitor the GP2GP inbox, ensuring timely processing, scanning, and summarisation of transferred records.
- Correct anomalies within patient notes and restructure computerised records when required to ensure consistency and usability.
- Ensure all patient records are kept neat, well-organised, and current, including labelling, repairing, and filing as necessary.
- Provide cover for reception and admin colleagues during busy periods, annual leave, or sickness absence.
- Undertake any other duties reasonably requested by the management team to support the smooth operation of the practice.
Job description
Job responsibilities
- Ensure accurate and consistent SNOMED coding to support patient recall systems and maintain high-quality, comprehensive medical records.
- Summarise the medical history of all patient records using both paper records and electronic sources, ensuring completeness and accuracy.
- Prepare and review patient records prior to granting Online Access, ensuring they are appropriately summarised and meet practice standards.
- Open, sort, scan, and accurately code all incoming correspondence, including referral letters, hospital communications, and other confidential documentation.
- Appropriately allocate and forward clinical correspondence or tasks to the relevant GP, nurse, or pharmacist for action.
- Liaise with external healthcare providers to chase missing or incomplete medical records, ensuring all relevant information is obtained and recorded.
- Maintain and update existing patient records, including making necessary adjustments to diary entries and correcting any identified inaccuracies.
- Monitor the GP2GP inbox, ensuring timely processing, scanning, and summarisation of transferred records.
- Correct anomalies within patient notes and restructure computerised records when required to ensure consistency and usability.
- Ensure all patient records are kept neat, well-organised, and current, including labelling, repairing, and filing as necessary.
- Provide cover for reception and admin colleagues during busy periods, annual leave, or sickness absence.
- Undertake any other duties reasonably requested by the management team to support the smooth operation of the practice.
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Knowledge of medical terminology
Desirable
- Coding and summarising experience
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Knowledge of medical terminology
Desirable
- Coding and summarising 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.
