Clinical Data Specialist
2 months ago
The Limehouse Practice is seeking a skilled Clinical Coder to join our team. As a Clinical Coder, you will play a vital role in ensuring the accuracy and completeness of patient medical records.
Key Responsibilities- Review and code patient medical records in accordance with established protocols and guidelines.
- Enter pertinent information into the patient's electronic medical record, adhering to the Coding Protocol and QOF standards.
- Highlight clinician action and workflow to appropriate clinicians or teams as per Workflow Protocol.
- Organize patient medical records to link problem titles and ensure accurate coding.
- Check incoming medical records and summarize them onto the clinical system.
- Recognize own knowledge limits and seek advice from clinical or administrative colleagues as needed.
- Perform administrative tasks as delegated by the Clinical Lead and Practice Manager.
- Accurately code data on EMIS into the patient record.
- Identify relevant clinical information documented in patient correspondence and code appropriately.
- Input and extract data as required to support practice reports.
- Filing and storing records as required.
- Photocopying documentation as needed.
- Actioning all incoming correspondence, emails, and mail in a timely manner.
- Scanning patient-related documentation and attaching scanned documents to patient healthcare records.
- Inputting data into patient healthcare records as necessary.
- Answering incoming telephone calls, transferring calls, or dealing with callers' requests appropriately.
- Carrying out system searches as requested.
- Maintaining a clean, tidy, and effective working area at all times.
- Checking incoming medical summaries and recording them into the clinical system.
- Review and update the practice coding policy as required (in conjunction with the Deputy Practice Manager).
- Participate in audit as directed by the audit lead.
- Support reception staff, providing cover during staff absences.
- Book appointments.
The post-holder will maintain confidentiality and handle sensitive information with discretion.
Health and SafetyThe post-holder will promote and maintain their own and others' health, safety, and security as defined in the practice health and safety policy.
Equality and DiversityThe post-holder will support the equality, diversity, and rights of patients, carers, and colleagues.
Personal and Professional DevelopmentThe post-holder will participate in any training programme implemented by the practice and take responsibility for their own development and learning.
QualityThe post-holder will strive to maintain quality within the practice and contribute to the effectiveness of the team.
CommunicationThe post-holder will communicate effectively with other team members, patients, and carers.
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