Read Coder and Summariser

Job description

Job responsibilities

As Read coder and Summariser you are to support the data quality team in their work and as your knowledge, skills and experience progress you will undertake development across the varying responsibilities of the team.

You are required to maintain an up to date knowledge around QOF, Information Governance, Information Management, IG Toolkit, Data Protection, Caldicott, Freedom of Information legislation and implement these throughout your daily duties.

Primary Duties and Responsibilities

Key Responsibilities

• Responsible for read coding and linking to existing and new problems by marking it as a new episode/on-going and decide the appropriate place to attach it in the patient record.
• Responsible for coding complex medical documents and summarising Medical Record Envelopes when received into practice.
• Management of NHS Mail and daily incoming mail, this includes scanning and attaching all patient-related documents to patient records and distribution of other post appropriately.
• Ensure all patient records are maintained appropriately working to Information Governance standards and the provisions of Data Protection.
• Managing E-consults, subject access requests, death certificates and cremation forms.
• Responsible for assigning and dealing with unassigned tasks in a timely manner that have been received from internal and external sources to the appropriate members of the team or individuals in a timely manner.
• Support the team with Retinal Screening reports running and saving.
• Support the team on management of PNL and E-Cards on Open Exeter.
• Provide support across Affinity Care when required.

Training and Development

• Undertake all mandatory training in accordance with the Mandatory Training Policy.
• Attendance at PLT sessions for ongoing development.
• Implementation and achievement of Information Governance Toolkit; to assist line manager with the achievement of the IG Toolkit.

General

• To challenge in a constructive way and actively seek new ways of working, constantly looking for improved processes and procedures across whole systems.
• To reduce waste in all forms including ensuring best use of staff time and skill mix as well as the use of consumables/materials/equipment and other resources such as ensuring surgeries run to full capacity.
• To be an advocate of Affinity Care portraying a professional image at all times.
• To actively take part in relevant training and education sessions.
• Some duties may change in line with the needs of the practice. These will stay within reasonable scope to those outlined above and will be discussed with you at the time.

Safeguarding

Affinity Care is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment. Colleagues should ensure that they are aware of our policy and procedures for safeguarding and discharge their responsibilities for safeguarding effectively. It is each individual colleague’s responsibility to maintain competences with regards to levels of safeguarding training commensurate with individual roles. Colleagues should report any safeguarding concerns to appropriate agencies in line with the safeguarding policy.

Health, safety and security

• Wear at all times the appropriate Personal Protection Equipment and clothing at all times in accordance with the Infection Prevention and Control Standard Operating Procedure.
• Apply appropriate infection-control measures and maintain work areas that they are clean, safe and free from hazards reporting of any potential risks identified including:
• Following of hand washing protocols
• Universal hygiene procedures
• Cleaning of work surfaces
• Assist colleagues in adopting sound infection control measures.
• Use the personal security systems within the workplace according to Practice guidelines.
• Assess risk within the areas of responsibility, ensuring adequate measures are in place to protect colleagues and patients.
• Follow Health and Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk. Use safe working procedures and report incidents using the incident reporting system.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

Equality, Diversity and Inclusivity

• Act in ways that recognise the importance of people’s rights, interpreting them in a way that is consistent with Affinity Care’s values and procedures.
• Respect the privacy, dignity and beliefs of employees and stakeholders. They must be treated equally, irrespective of age, disability, gender reassignment, marriage or civil partnership, pregnancy and maternity status, race, religion or belief, sex, and sexual orientation.

Patient confidentiality and ensuring dignity and respect of patients

The jobholder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role. This includes written and verbally communicated information. The jobholder should at all times treat patients with dignity and respect and actively seek to assure an environment that facilitates this.

Communication & working relationships

To be responsible for one’s own behaviour, creating and sustaining a working environment that has good team spirit, is professional in orientation and has mutual respect amongst colleagues. Establishing and maintaining effective communication and constructive input to areas of service development and systems re-design.

Other

You will be required to work at other premises owned or associated to Affinity Care. This will be subject to reasonable request in terms of travel compared your routine site of work. You may also be asked from time to time to be flexible in your working hours as per the needs of the practice.

Person Specification

Experience

Essential

• An understanding, acceptance and adherence to the need for strict confidentiality.
• An understanding of data protection legislation.
• Experience using medical systems.
• General Practice or NHS experience.

Desirable

• Coding and summarising experience.
• Working knowledge of Microsoft Office Applications.

Qualifications

Essential

• GCSE English Language, Grade C or above (or equivalent).

Qualities/attributes/other

Essential

• Ability to deal confidently and courteously with people both in person and over the telephone.
• Ability to work flexibly as a team member.
• Able to work on own initiative and prioritise workload.
• High attention to detail and accuracy of work.
• Diplomatic and considered.
• Able to work under pressure.
• Empathetic, honest, caring.
• Evidence of willingness to learn and develop.
• Ability to multi-task.
• Adaptable, innovative, forward looking.
• Enthusiasm, with energy and drive.
• Willing to work flexible hours as necessary.

Desirable

• Competent with use of IT.
• Able to travel if required.

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

Affinity Care

Address

Shipley Health Centre

Alexandra Road

Shipley

West Yorkshire

BD18 3EG

Employer's website

https://shipleymedicalpractice.nhs.uk/ (Opens in a new tab)