Medical Coder/Summariser/referral/admin support

2 months ago


Halesowen, United Kingdom Clement Road Medical Centre Full time

Job summary

We are a very friendly team based in Halesowen who serve 5800 patients. Our team include 3 GP partners, 2 salaried GPs, practice nurse and HCA.

The practice values high clinical standards and aims for an excellent patient experience.

We are looking for an adaptive, motivated and hardworking individual who can bring their knowledge and expertise to this role of clinical coder, summariser, admin support and actioning GP referrals.

Main duties of the job

The main responsibilities of this role will be to Summarise and add SNOWMED codes for relevant information from the patients clinical records into the practices EMIS.

You will be required to ensure diagnosis and investigations are reflected accurately on a patients medical record.

Organising new patient records and letters in preparation for summarising. Reviewing medical records and producing an accurate summary of the patients medical history to include identifying the higher risk areas that require all incoming correspondence to the practice, accurately coding the relevant diagnosis / procedure / information in the patients records, deciding whether to send on to a GP, ensuring follow up actions / tests are brought to the attention of the relevant staff.

Your work will assist the GPs with the flow of correspondence that comes into the practice, including hospital letters, reports, and other patient communications. Identifying documents to send to the Clinical Team for review such as medication changes and hospital results.

Scan patient-related documents onto their medical records using codes as agreed by clinical team.

Ensure incoming letters are scanned onto the patient record.

Ensure that all QOF related data is captured.

Ensuring that all clinical codes are current.

Following practice protocols to ensure consistent and high-quality care is provided to our patients.

About us

We are a very friendly team based in Halesowen who serve 5800 patients. Our team include 3 GP partners, 2 salaried GPs, practice nurse and HCA.

Our administration and reception team are excellent, reliable and hardworking and will provide you with great support.

We are an active participant part of the Halesowen PCN and also host a range of additional healthcare professionals including paramedic practitioners, first contact mental health practitioner, first contact musculoskeletal practitioner, GP assistants and a phlebotomist.

Job description

Job responsibilities

The main responsibilities of this role will be to Summarise and add SNOWMED codes for relevant information from the patients clinical records into the practices EMIS.

You will be required to ensure diagnosis and investigations are reflected accurately on a patients medical record.

Organising new patient records and letters in preparation for summarising. Reviewing medical records and producing an accurate summary of the patients medical history to include identifying the higher risk areas that require all incoming correspondence to the practice, accurately coding the relevant diagnosis / procedure / information in the patients records, deciding whether to send on to a GP, ensuring follow up actions / tests are brought to the attention of the relevant staff.

Your work will assist the GPs with the flow of correspondence that comes into the practice, including hospital letters, reports, and other patient communications. Identifying documents to send to the Clinical Team for review such as medication changes and hospital results.

Scan patient-related documents onto their medical records using codes as agreed by clinical team.

Ensure incoming letters are scanned onto the patient record.

Ensure that all QOF related data is captured.

Ensuring that all clinical codes are current.

Following practice protocols to ensure consistent and high-quality care is provided to our patients.

Actioning referrals on choose and book as recommended by the clinical team.

Admin support to the rest of the admin team where required

Person Specification

Qualifications

Essential

Completed medical terminology course Experience with using EMIS and Docman English literacy and numeracy skills to GCSE level C or above Experience on actioning referrals on choose and book system

Desirable

Experience in working in General Practice

Knowledge and communication

Essential

Good interpersonal and communication skills Flexible Keen to learn Team player Ability to work to deadlines Organised

Desirable

Proficient in using microsoft word and basic IT skills

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