Job summary
The Clinical
Coder is primarily responsible for supporting the Data Quality Team to ensure that all
external and internal patient correspondence is acted upon at the appropriate
level and accurately coded in the patients medical record. A sound
professional working relationship will be required with the GPs and staff
working within the Practice.
The role includes:
Familiarity with
Docman and EMIS Web clinical software systems
Ensuring that all
incoming patient correspondence is scanned, acted upon and correctly coded to ensure the
integrity of patient records
Accurately
summarise patient records
Main duties of the job
The post
requires high levels of organisation and attention to detail as well as the
ability to exercise tact, discretion and initiative. The ability to work under pressure and as
part of a team are equally important.
The Practice
will support continuing education and professional development in the form of
attendance at study days, courses and with in-house training, as deemed
appropriate for the benefit of both the individual and the Practice.
About us
Canterbury Medical
Practice's priority is to provide the highest standard of clinical care to
the 23,000 patients registered with the Practice as well as those from other
practices who are seen in our additional clinics. We aim to work
collaboratively with other healthcare providers and support organisations, to
enable more patients to be treated in a primary care setting, closer to home.
We embrace a continuous improvement ethos and strive to ensure that we are
available to patients when they need a consultation. We have a holistic
approach to patient care and a strong training ethos within the practice with
a team of medical and non-medical educators as well as opportunities for
non-clinical staff to develop and progress.
We aim
to:
provide high quality
clinical care
meet our patients needs
act with integrity and
complete confidentiality
be courteous, approachable,
friendly and accommodating
ensure we provide safe
and effective services and environments
to put patient care at
the centre of what we do
to maintain a motivated
and skilled workforce
use feedback, monitoring
and auditing to continuously improve our services
treat all patients and
staff with dignity, respect and honesty
Job description
Job responsibilities
Role Responsibilities
- Identifying relevant clinical information
documented in patient correspondence, code appropriately and complete
any action required
- To scan all patient related post onto the system using Docman software and to file this information accurately to the patient's medical record using pre-set options
- To correct errors in filing and ensure corresponding records are amended accurately
- Assess correspondence and deal with as
appropriate and/or pass to appropriate colleagues via workflow process,
ensuring coding and organising of all relevant information
- Follow practice protocols to ensure
consistent and high quality care is provided to our patients including
data accuracy
- Code with additional free text, if
appropriate, the clinical information on to the patient record using
practice templates and EMIS Web software.
- Ensure Problems are recorded appropriately
and rationalised when required
- Summarising of patient healthcare records,
within specified timescale
- Deal with queries relating to coding
- Assist with
auditing process with the Workflow GP Lead
To attend
internal and external meetings as appropriate
To keep up to
date with mandatory and role specific training as well as attend training
courses and other events relating to the role
Helping to
solve day-to-day issues with IT, systems, workloads, etc as they arise
To keep
up-to-date with the Policies and Procedures of the organisation
Undertake any
other duties appropriate to the role
During absence
of colleagues provide essential cover and carry out any other appropriate
duties to ensure continuing provision of the service.
Job description
Job responsibilities
Role Responsibilities
- Identifying relevant clinical information
documented in patient correspondence, code appropriately and complete
any action required
- To scan all patient related post onto the system using Docman software and to file this information accurately to the patient's medical record using pre-set options
- To correct errors in filing and ensure corresponding records are amended accurately
- Assess correspondence and deal with as
appropriate and/or pass to appropriate colleagues via workflow process,
ensuring coding and organising of all relevant information
- Follow practice protocols to ensure
consistent and high quality care is provided to our patients including
data accuracy
- Code with additional free text, if
appropriate, the clinical information on to the patient record using
practice templates and EMIS Web software.
- Ensure Problems are recorded appropriately
and rationalised when required
- Summarising of patient healthcare records,
within specified timescale
- Deal with queries relating to coding
- Assist with
auditing process with the Workflow GP Lead
To attend
internal and external meetings as appropriate
To keep up to
date with mandatory and role specific training as well as attend training
courses and other events relating to the role
Helping to
solve day-to-day issues with IT, systems, workloads, etc as they arise
To keep
up-to-date with the Policies and Procedures of the organisation
Undertake any
other duties appropriate to the role
During absence
of colleagues provide essential cover and carry out any other appropriate
duties to ensure continuing provision of the service.
Person Specification
Experience
Essential
- Good interpersonal and communication skills
- Highly organised and excellent attention to detail
- Time management and ability to prioritise workload
- Knowledge of EMIS Web Clinical System and Docman
- Understanding of clinical coding and medical terminology
- Ability to work autonomously
- Ability to follow policy and procedures
- Accuracy in recording data
Desirable
- Good knowledge of Microsoft Office software
Personal Qualities
Essential
- Flexible approach to the evolving nature of the role
- Able to show good initiative and judgement
- Good communicator verbal and written
- Enthusiastic and motivated
- Ability to work collaboratively in a team
- Drive to provide excellent administrative services
- High levels of integrity and confidentiality
- Take pride in providing a good service
- Ability to use own initiative and work under pressure
Qualifications
Essential
- Good standard of education with good literacy and numeracy skills
- Track record of administrative experience in General Practice
Desirable
- Up to date with mandatory and role specific training
Person Specification
Experience
Essential
- Good interpersonal and communication skills
- Highly organised and excellent attention to detail
- Time management and ability to prioritise workload
- Knowledge of EMIS Web Clinical System and Docman
- Understanding of clinical coding and medical terminology
- Ability to work autonomously
- Ability to follow policy and procedures
- Accuracy in recording data
Desirable
- Good knowledge of Microsoft Office software
Personal Qualities
Essential
- Flexible approach to the evolving nature of the role
- Able to show good initiative and judgement
- Good communicator verbal and written
- Enthusiastic and motivated
- Ability to work collaboratively in a team
- Drive to provide excellent administrative services
- High levels of integrity and confidentiality
- Take pride in providing a good service
- Ability to use own initiative and work under pressure
Qualifications
Essential
- Good standard of education with good literacy and numeracy skills
- Track record of administrative experience in General Practice
Desirable
- Up to date with mandatory and role specific training
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
