Clinical Coder

Roslea Surgery

Clinical Coder

Salary - dependant on experience

Roslea Surgery is an ever expanding and training, 6 doctor GP practice in the heart of Bamber Bridge. We are a friendly, progressive, and forward-thinking practice and are always striving for efficiency and excellence in patient care. You will be joining a well-established administration team who pride themselves on working collaboratively to provide excellent administrative support to the wider practice.

We are seeking an enthusiastic person with excellent attention to detail to complete our admin team, with a can-do attitude who is calm and collected under pressure. Strong IT skills, excellent communication skills and a fabulous team player is essential. This role will support the clinical team by assessing all medical documents that enter the practice and the administration team by helping them reach their targets. Previous experience working within the medical profession with a background in clinical coding is desirable.

**Main duties, including but not limited to**:
**Scanning and Filing**
- Sort and date stamp all incoming patient related mail into various mailboxes.
- Scan patient related documents onto their medical record using read codes as agreed by the clinical team
- Add any additional information about the source of the document
- Forward the document to the doctor or nurse who initiated the referral or who is most appropriate to receive the information or as directed by the managing partners - Ensure incoming letters are scanned onto the patient record within a 48/72 hour timescale
- Scan all internal paper documents on to the relevant patients record and then store the documents in line with surgery procedures.

**Coding**
- Identify relevant clinical information contained in patient correspondence
- Code using read codes and problem titles with relevant priorities as per practice guidelines or free text the clinical information on to the patient record as trained and advised.
- Deal with queries relating to coding
- Summarise incoming records

**Health & Safety**:
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

- Using personal security systems within the workplace according to Practice guidelines
- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
- Making effective use of training to update knowledge and skills
- Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards - Reporting potential risks identified

**Systems**:

- Emis Web
- Microsoft Office
- Outlook

**ADDITIONAL INFORMATION**

**Confidentiality**:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

**Equality and Diversity**:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

- Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a manner which is welcoming to and of the individual, is non
- judgmental and respects their circumstances, feelings priorities and rights.

**Personal/Professional Development**:
The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

**Quality**:
The post-holder will strive to maintain quality within the Practice, and will:

- Alert other team members to issues of quality and risk
- Assess own performance and take accountability