The main responsibilities of this role will be to Summarise and add SNOWMED codes for relevant information from the patients clinical records into the practices EMIS. You will be required to ensure diagnosis and investigations are reflected accurately on a patients medical record. Organising new patient records and letters in preparation for summarising. Reviewing medical records and producing an accurate summary of the patients medical history to include identifying the higher risk areas that require input.Read all incoming correspondence to the practice, accurately coding the relevant diagnosis / procedure / information in the patients records, deciding whether to send on to a GP, ensuring follow up actions / tests are brought to the attention of the relevant staff.
Your work will assist the GPs with the flow of correspondence that comes into the practice, including hospital letters, reports, and other patient communications. Identifying documents to send to the Clinical Team for review such as medication changes and hospital results. Scan patient-related documents onto their medical records using codes as agreed by clinical team. Ensure incoming letters are scanned onto the patient record.
Ensure that all QOF related data is captured. Ensuring that all clinical codes are current. Following practice protocols to ensure consistent and high-quality care is provided to our patients. Actioning referrals on choose and book as recommended by the clinical team.
Admin support to the rest of the admin team where required