Medical Summariser

2 days ago

London, United Kingdom Squires Lane Medical Practice Full time

Summarising existing patient records. Summarising new patient records within agreed timescales based on Practice procedures. Restructuring existing computerised notes. Maintaining structure when recording new information.

Assisting GPs with queries relating to medical records. To work as a member of the clinical coding team, with responsibility for own areas, inputting coded data into the Patient Administration System. Coding from information gathered from a number of sources including patient notes, discharge forms, both manual and electronic, and other clinical information captured on a variety of sources. To work with other administrators and healthcare professionals to provide a first-class service to our patients.

To ensure clinical coding is recorded in a timely and accurate manner in accordance with both national and the Practice guidelines and standards To maintain clinical coding skills and participate in internal and external training programmes as required for both refresher and specialist clinical coding courses and work toward a high standard of coding. To extract, interpret and independently code clinical information from clinical letters and Discharge summaries from Hospitals and Clinics To participate in quality improvement initiatives, identifying areas where the processes used within the coding function can be improved and assist in implementing. To feedback coding information to senior management and to improve the quality and completeness of documents or clinical notes. Provide the first point of contact for patients and other stakeholders/visitors (either face to face or on the telephone) and provide administrative support.

To work in accordance with the service specification and clinical key performance indicators. To work In line with national, local and organisational priorities in order to affect good access for patients and to maximize activity and opportunity.

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