An exciting opportunity has arisen for an experienced, motivated, and hardworking individual to join our team as Clinical Coder/Summariser. We are looking for a coder to work 16 hours per week over 2-4 days.
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 patient record and all relevant information is correctly and accurately coded. To carry out administrative related tasks as delegated by the Practice 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 hardcopy 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 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.
* File paper records once summarisation is complete.
* Communicate with clinical staff regarding any coding issues.
About us
Kings Surgery has a supportive and friendly team led by our three partners and our practice manager. In addition to the Partners our clinical team consists of a Physician Associate, 2 Practice Nurses and a Health Care Support Worker.
List size 6500
Computer system - EMIS
Job responsibilities
Main Duties/Key Tasks:
* Scan and recode electronic and hardcopy clinical correspondence in accordance with the practice protocols
* Read code electronic and hard copy clinical correspondence
* Read code information into the practice clinical system when appropriate.
* Oversee the distribution of results in line the practice
* Ensure data entry adheres to current 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 manager or GP 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.
* Support the practice clinical audit program.
Person Specification
Qualifications
* GCSE Mathematics C or above.
* GCSE English C or above.
* Experience of working in Health care setting.
* Experience of administrative duties.
* IT Skills.
* Microsoft Word.
* Quick reader and learner.
* Clear, polite telephone manner.
* Time management and ability to work to deadlines.
* Interpersonal skills.
* Planning & organising.
* Team Player.
* Self-motivated.
* Confidentiality.
* Flexibility.
* Experience of reviewing medical records and assigning specific codes to diagnoses, procedures, and treatments.
* Experience of working with General Practice
* Have previous EMIS experience.
* Disclosure and Barring Service Check
* This post is subject to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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.
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