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Medical note summariser

Reading (Berkshire)
The Clear
Posted: 3 November
Offer description

My client is seeking a Medical Notes Summariser to support their team and to be based in their Reading clinic. Responsibilities: • The role will include checking coding on patient medical records fulfils contractual obligations. For example, Primary Care Network and Quality and Outcomes Framework (QOF) and other summarising tasks as required. • Experience in medical terminology, clinical coding and summarising is essential. • All work must be carried out with strict adherence to patient confidentiality protocols. • This job description may change in the light of developments within the role and/or within the practice, national policies or personnel factors and will then be subject to amendments in consultation with the post-holder. Main duties/key tasks: • Checking incoming paper and electronic medical records and producing an accurate summary of the patients medical history • Coding the information into the practice clinical system in line with QoF (Quality and Outcomes Framework) • Managing Electronic records management workflow • Checking and updating records in preparation for provision of data to other healthcare providers • Tracking and chasing outstanding medical records • Responding to requests from Primary Care Support England • Organising workload to meet practice requirements • Maintaining strict confidentiality in line with GDPR regulations & Practice Poli...

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