Clinical Coder

**Job title**

Clinical Coder

**Line Manager**

Admin Lead

**Accountable to**

Practice Manager

**Hours**

Full / Part Time available

**Contract**

Permanent

**Salary**

£11.00 per hour

**Job Summary**

To be responsible for the read-coding of relevant information into the patient’s electronic healthcare records on EMIS clinical system, adhering to the practice coding policy. In addition, the post-holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the practice.

**Key Responsibilities**

The following are the core responsibilities of the clinical coder. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
a. Accurately read-coding data on EMIS into the patient record

b. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions

c. Input and extract data as required to support practice reports

d. File and store records as required

e. Photocopy documentation as required

f. Input data into the patient’s healthcare records as necessary

g. Answer incoming phone calls, transferring calls or dealing with the callers request appropriately

h. Carry out system searches as requested

i. Maintain a clean, tidy, effective working area at all times

j. Support all clinical staff with general administrative tasks as requested

In addition to the primary responsibilities, the clinical coder may be requested to:
a. Review and update the practice coding policy as required (in conjunction with the Deputy Practice Manager)

b. Partake in audit as directed by the audit lead

c. Support reception staff, providing cover during staff absences

d. Book appointments

e. Complete opening and closing procedures in accordance with the duty rota

**Equality, Diversity & Inclusion**

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

**Safety, Health, Environment and Fire (SHEF)**

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

**Confidentiality**

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

**Quality & Continuous Improvement (CI)**

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

**Induction Training**

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Deputy Practice Manager.

**Learning and Development**

**Collaborative Working**

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

**Service Delivery**