Clinical Coder and Administrator Primary Care
Riverside Health Partnership have an exciting opportunity for a motivated, enthusiastic and dedicated member of staff to join our experienced team of practice administrators, in particular coding of medical information and processing documents for medical records.
The successful candidate will be responsible for reviewing and coding medical records, managing patient records including summarising and deductions.
This role ensures the efficient and accurate handling of medical records, guaranteeing compliance with Record Management and Data Protection policies.
The administrator supports the clinical team by providing timely access to patient information and contributes to the overall efficiency and quality of care delivered to patients.
Main duties of the job
Records Management - Create, update, and maintain patient medical records ensuring a high level of accuracy. This involves handling new patient registrations and deducted/deceased Records. Liaising with PCSE (Primary Care Support England) or other healthcare facilities to request or transfer patient records if needed.
Data Entry - Summarising : Input patient data, clinical notes, test results, and other relevant information into the electronic health records (EHR) system.
AI Technology - to work with a new digitised AI system for clinical correspondence letters. Liaise with supplier if needed.
Safe Disposal of Data - Ensure physical patient records that need disposing are destroyed safely in accordance with NHS retention and disposal policies.
Information Retrieval - Retrieve and provide physical medical records for clinicians or other members of staff if required.
Compliance - Ensure records comply with GDPR and other relevant regulations regarding patient confidentiality and data protection. Check own e-learning training is kept up to date.
Audit and Data Quality - Using SystmOne Clinical Reporting tool to regularly audit medical records for accuracy, completeness, and compliance and take corrective actions as needed.
About us
Riverside Health Partnership is a busy practice caring for 24,000 patients over 4 sites located in Retford, Harworth, Misterton and Gringley-on-the-Hill.
We are a well-led, well-managed and supportive practice. We are a consistently high performing GP training practice with 5 partners and 12 salaried GPs working alongside an excellent team of ANPs, Nurses, Social Prescribers and Practice Pharmacists. We also have multiple GP Registrars training at any one time.
Job responsibilities
Main Duties & Responsibilities:
Records Management : Create, update, and maintain patient medical records ensuring a high level of accuracy. This involves handling new patient registrations and deducted/deceased Records. Liaising with PCSE (Primary Care Support England) or other healthcare facilities to request or transfer patient records if needed.
Data Entry (Summarising) : Input patient data, clinical notes, test results, and other relevant information into the electronic health records (EHR) system.
AI Technology : Oversee the introduction of the new digitised AI system for clinical correspondence letters. Assigning workload where appropriate. Liaise with supplier if needed.
Safe Disposal of Data : Ensure physical patient records which need disposing are destroyed safely in accordance with NHS retention and disposal policies.
Information Retrieval : Retrieve and provide physical medical records for clinicians or other members of staff if required.
Compliance : Ensure records comply with GDPR and other relevant regulations regarding patient confidentiality and data protection. Check own e‑learning training is kept up to date.
Audit and Data Quality : Using SystmOne’s Clinical Reporting tool to regularly audit medical records for accuracy, completeness, and compliance and take corrective actions as needed (whether that be training staff, logging significant events for learning opportunities etc.).
Safeguarding : Work with the Safeguarding Leads to ensure sensitive data is entered correctly and restricted to appropriate members of staff.
Other Duties : Filing, scanning and organising medical documents. Action GP2GP Tasks / Links / FP69 Notifications within a timely fashion.
To regular feedback to the Practice Coding Lead on workload / performance or highlight any issues that may need escalating. To undertake any other admin related tasks required by the organisation.
Person Specification
Experience
* We are looking for a member of staff who has experience of working in a GP practice or similar and it would be beneficial to have some knowledge of read coding/summarising medical records.
* This role requires accuracy and attention to detail. Good personal organisational skills and ability to work to deadlines is essential.
* IT Literate: Sound knowledge of Windows / Microsoft 365.
* SystmOne (or other similar clinical system experience), strong verbal and written communication skills, problem solving skills, flexible approach and a team player.
* An awareness of GDPR / Data Security / IG Requirements would also be beneficial.
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.
#J-18808-Ljbffr