Medical Summariser and Coder

Brownlow Group Practice

Information:

This job is now closed

Job summary

To follow the Coding Pathway to ensure the correct summarising and coding of patient information. Direct clinical letters to the correct department within Brownlow Health. Clear tasks, workflow, GP2GP amendments and work in accordance with the team to complete work across all Brownlow Health sites.

All these duties will be completed whilst hitting QOF targets and maintaining strict confidentiality.

Main duties of the job

Scanning Opening all post that comes into the practice. Prioritising post that urgently needs to be seen by a clinician. Using patient identifiers to put letters onto correct patients electronic medical record. Assigning the letter in the form of a task to the correct clinician/team member to be actioned.

Summarising care records The process of transferring medical information from a patients paper record to an electronic record, coding all important information (immunisations, procedures, diagnosis)

Workflow The process of sorting/filing/organising patients medical records who have registered or left the practice. Dealing with any amendments to patients medical records.

Coding Extracting all clinical information from documents that arrive in the practice in an accurate and timely manner. Electronically coding all important information such as immunisations, procedures, diagnosis. Ensuring that the clinical document gets seen by the correct clinician

Provide support and training to new starters and colleagues.

All above done whilst maintaining strict confidentiality.

About us

Brownlow prides itself in being an exceptional employer. We have a dedicated staff wellbeing team and offer numerous staff benefits and incentives including protected study leave with financial allowance. You will receive a 6-month mentorship/induction package and following this will have the option for some home working should you wish to if appropriate for your role.

Brownlow is an organisation that is committed to equality and diversity, and we strive for our workforce to be representative and inclusive of the complex and diverse community which we are proud to serve. With this commitment in mind, we actively encourage individuals who self-identify as having protected characteristics to apply for this role. We are particularly keen to encourage applications from: individuals with linguistic diversity, members of the LGBTQ+ community; members of black, minority ethnic, and minority faith groups; and from those who are disabled and / or neurodiverse. We are mindful that we may not always be aware of structural and systemic factors, which might discourage or prevent certain minority groups and marginalised populations from applying to join our team. If you are aware that any such barriers do exist, please let us know so that we can work to overcome and dismantle these.

Although not required by law we strongly recommend that all staff have received all Covid vaccinations.

Extended access will form part of your contracted hours.

Date posted

10 January 2023

Pay scheme

Other

Salary

£21,730 to £23,177 a year Whole time equivalent

Contract

Permanent

Working pattern

Full-time

Reference number

A1812-23-3212

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Job description

Job responsibilities

Responsible for ensuring patient medical records are kept current, in chronological order, in good repair and continually archiving the older records, monitoring their safe storage.

Summarise patient clinical records and enter the summary onto the electronic patient record; in a timely manner according to current guidance and following the summarizing protocol.

Support transfer of records and data to partner health care providers.

Ensuring full knowledge of the Read Codes system.

Inputting data using the Read Codes system.

Auditing data collection to ensure Practice standards are met.

Monitoring the progress of notes for summonsing

Use clinical knowledge to escalate any anomalies in patient notes

Ensure information within the patient file, which is not required to be kept, is disposed of appropriately.

Sorting patient records and letters in preparation of summarizing when required

Ensure all new medical records are sorted, ideally within 8 weeks of the notes being received at the practice, or as soon as possible thereafter. Archiving as required

Respond to all queries and requests for assistance from staff and ensure that any records that are identified are summarized in a timely manner

Job description

Job responsibilities

Responsible for ensuring patient medical records are kept current, in chronological order, in good repair and continually archiving the older records, monitoring their safe storage.

Summarise patient clinical records and enter the summary onto the electronic patient record; in a timely manner according to current guidance and following the summarizing protocol.

Support transfer of records and data to partner health care providers.

Ensuring full knowledge of the Read Codes system.

Inputting data using the Read Codes system.

Auditing data collection to ensure Practice standards are met.

Monitoring the progress of notes for summonsing

Use clinical knowledge to escalate any anomalies in patient notes

Ensure information within the patient file, which is not required to be kept, is disposed of appropriately.

Sorting patient records and letters in preparation of summarizing when required

Ensure all new medical records are sorted, ideally within 8 weeks of the notes being received at the practice, or as soon as possible thereafter. Archiving as required

Respond to all queries and requests for assistance from staff and ensure that any records that are identified are summarized in a timely manner

Person Specification

Experience

Essential

  • Coding & Summarising experience
  • Clear understanding of Emis & Workflow
  • A sound general education to GCSE level or equivalent, or equivalent working experience.
  • A good standard of grammar and spelling in the English language.
  • The ability to produce accurate and thorough work, including alphabetical filing.
  • Experience of using computers, with good keyboard skills.
  • Excellent attention to detail.

Desirable

  • Experience of summarising and read coding in the NHS.
  • Experience of dealing with the public.
  • Experience of working with Emis and workflow

Personal Skills and Abilities

Essential

  • A friendly and approachable manner, with good people skills, showing understanding, care, and assertiveness when appropriate.
  • The ability to communicate clearly and effectively (both verbal and written) with a wide range of individuals.
  • Good administrative and organisational skills, with the ability to prioritise work.
  • A conscientious approach and commitment to working in an adaptable and flexible manner.
  • The ability to work calmly and effectively and deal with multiple demands even when busy.
  • The ability to cope with occasional exposure to challenging behaviour, distressing circumstances, or emotional events.
  • The ability to deal with personal information sensitively and respect people's right to confidentiality.
  • The ability to work positively as a member of a busy team.
  • The ability to give good and regular attendance.
  • The ability to work on own initiative.

Qualifications

Desirable

  • Training or qualifications in customer service, IT, or other related areas.

General

Essential

  • A commitment to support the delivery of the best possible service to a diverse inner-city population.
  • We require applicants whose native language is not English to demonstrate their competence in the English language. This can be demonstrated by:
  • -Providing Certification of English proficiency
  • -During interview should you be invited to attend
Person Specification

Experience

Essential

  • Coding & Summarising experience
  • Clear understanding of Emis & Workflow
  • A sound general education to GCSE level or equivalent, or equivalent working experience.
  • A good standard of grammar and spelling in the English language.
  • The ability to produce accurate and thorough work, including alphabetical filing.
  • Experience of using computers, with good keyboard skills.
  • Excellent attention to detail.

Desirable

  • Experience of summarising and read coding in the NHS.
  • Experience of dealing with the public.
  • Experience of working with Emis and workflow

Personal Skills and Abilities

Essential

  • A friendly and approachable manner, with good people skills, showing understanding, care, and assertiveness when appropriate.
  • The ability to communicate clearly and effectively (both verbal and written) with a wide range of individuals.
  • Good administrative and organisational skills, with the ability to prioritise work.
  • A conscientious approach and commitment to working in an adaptable and flexible manner.
  • The ability to work calmly and effectively and deal with multiple demands even when busy.
  • The ability to cope with occasional exposure to challenging behaviour, distressing circumstances, or emotional events.
  • The ability to deal with personal information sensitively and respect people's right to confidentiality.
  • The ability to work positively as a member of a busy team.
  • The ability to give good and regular attendance.
  • The ability to work on own initiative.

Qualifications

Desirable

  • Training or qualifications in customer service, IT, or other related areas.

General

Essential

  • A commitment to support the delivery of the best possible service to a diverse inner-city population.
  • We require applicants whose native language is not English to demonstrate their competence in the English language. This can be demonstrated by:
  • -Providing Certification of English proficiency
  • -During interview should you be invited to attend

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.

Employer details

Employer name

Brownlow Group Practice

Address

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Employer's website

https://www.brownlowhealth.co.uk/ (Opens in a new tab)

Employer details

Employer name

Brownlow Group Practice

Address

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Employer's website

https://www.brownlowhealth.co.uk/ (Opens in a new tab)

For questions about the job, contact:

HR Department

brownlowhr@livgp.nhs.uk

01513885366

Date posted

10 January 2023

Pay scheme

Other

Salary

£21,730 to £23,177 a year Whole time equivalent

Contract

Permanent

Working pattern

Full-time

Reference number

A1812-23-3212

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Supporting documents

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