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Medical secretary/clinical coder

Reading (Berkshire)
NHS
Medical secretary
Posted: 4 October
Offer description

Overview

Join to apply for the Medical Secretary/Clinical Coder role at NHS

This dual role is essential to the smooth running of our clinical operations. You will provide efficient secretarial support to our clinicians and ensure accurate and timely clinical coding of patient records to support QOF, enhanced services, and data quality initiatives.


Job responsibilities

Medical Secretary Duties

* Manage incoming and outgoing correspondence, including referrals, reports, and patient letters
* Liaise with hospitals, community services, and other healthcare providers
* Maintain confidentiality and uphold data protection standards
* Provide comprehensive secretarial support to GPs and other clinicians
* Maintain accurate patient records and uphold confidentiality standards
* Support the practice with administrative tasks including document scanning, coding, and filing

Clinical Coding Duties

* Accurately code clinical information using SNOMED CT
* Assist with audits and data extraction for reporting and improvement
* Accurately code clinical information from GP and hospital correspondence, pathology results, discharge summaries, and consultation notes using SNOMED CT
* Apply codes to reflect diagnoses, procedures, investigations, and relevant health indicators
* Ensure coded data supports effective patient recall, disease registers, and reporting tools
* Work with GPs and clinicians to clarify unclear terminology and ensure accurate record keeping
* Coordinate and manage administrative tasks related to death processing
* Review incoming correspondence and clinical letters, accurately identify any actions required
* Ensure patient records are accurate, consistent, and updated in a timely manner


Person Specification

Essential

* Previous experience in a GP practice or primary care setting
* Strong understanding of medical terminology and clinical coding systems
* Proficiency in EMIS Web or similar clinical systems
* Excellent organisational and communication skills
* Ability to work independently and as part of a team
* Commitment to patient confidentiality and data protection

Desirable

* AMSPAR Medical Secretary Diploma or equivalent
* Accredited Clinical Coding qualification
* Knowledge of QOF, IIF, and NHS data requirements


Experience

Essential

* Experience in medical administration, clinical coding, and working within a GP practice environment
* Familiarity with EMIS Web (or equivalent clinical systems), NHS referral processes, and an understanding of QOF and SNOMED CT coding standards

Desirable

* Previous experience working in a GP surgery or primary care setting
* Familiarity with EMIS Web, Docman, Ardens, or similar clinical systems
* Understanding of NHS referral pathways, including e-RS and 2WW processes
* Experience with clinical coding using Read Codes and SNOMED CT
* Knowledge of QOF and IIF
* AMSPAR Medical Secretary Diploma or equivalent qualification
* Accredited clinical coding training or certification
* Experience supporting multidisciplinary teams in a healthcare environment
* Confidence handling sensitive patient data in line with GDPR and NHS confidentiality standards


Disclosure and safeguarding

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).


Employer details

Employer: Wargrave Surgery

Address: Victoria Road, Wargrave, Reading, RG10 8BP

Employer's website: https://www.wargravesurgery.org.uk

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