Job summary
Previous coding experience highly desirable.
To review all incoming correspondence and enter, using SNOMED codes, pertinent information into the patients electronic medical record in accordance with the coding protocol. This will include data highlighted by clinicians as well as data required to meet contractual obligations.
To organise the medical record of patients whom you are coding, to group problem titles, group symptom development and assign the appropriate status to medical information. To recognise own knowledge limits and seek advice from clinical or administrative colleagues as appropriate.
Main duties of the job
a) Read 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 members (GP, pharmacists, admin).
b) Use SNOMED coding into Emis to ensure the information is attached to the relevant correspondence.
c) Sort and date stamp all incoming patient-related mail.
d) Scan patient-related documents onto their medical record using filing codes as agreed by the clinical team.
e) Ensure incoming letters are scanned onto the patient record within a 48/72-hour timescale.
f) To email blood test, or other relevant information to outside agencies and Secondary care to ensure the continuity and safe care of the patients.
h) To move the relevant lab reports, prescriptions and documents to the appropriate doctors to ensure that no results are missed due to annual leave etc.
i) To deal with Out of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
j) To manage admin emails, action and complete forward as appropriate
k) To summarise and read code relevant information from patients clinical records into the practice computer system, working strictly in accordance with the Note Summarising Protocol.
About us
We are a rural practice with 8400 practice population. We have 5 GP Partners and a wider clinical team. We are within South East Shropshire PCN
Job description
Job responsibilities
Job responsibilities
Main tasks of the job:
a) Work as a member of the clinical coding team, sharing the coding workload via the Docman Team workflow, this is to ensure a highly professional, and technically proficient clinical coding service is maintained within the remit of workflow optimisation.
b) Read 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 members (GP, pharmacists, admin).
c) Use Snomed coding into Emis, to ensure the information is attached to the relevant correspondence.
d) Sort and date stamp all incoming patient-related mail.
e) Scan patient-related documents onto their medical record using filing codes as agreed by the clinical team.
f) Add any additional information about the source of the document.
g) Ensure incoming letters are scanned onto the patient record within a 48/72-hour timescale.
h) To email blood test, or other relevant information to outside agencies and Secondary care to ensure the continuity and safe care of the patients.
i) To move the relevant lab reports, prescriptions and documents to the appropriate doctors to ensure that no results are missed due to annual leave etc.
j) To deal with Out of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
k) To manage admin emails, action and complete forward as appropriate
l) To summarise and read code relevant information from patients clinical records into the practice computer system, working strictly in accordance with the note summarising protocol.
m) To assist with any other duties as may be required to meet the needs of the practice.
n) To work with own initiative and care yet be involved in ideas, brainstorming and training to help the practice to develop and improve efficiencies.
o) To work closely with the Managers and administrators to improve practice process and develop new technology and initiatives.
The above is not an exhaustive list of duties and you will be expected to perform different tasks as necessitated by your changing role within the organisation and the overall business objectives of the organisation.
Job description
Job responsibilities
Job responsibilities
Main tasks of the job:
a) Work as a member of the clinical coding team, sharing the coding workload via the Docman Team workflow, this is to ensure a highly professional, and technically proficient clinical coding service is maintained within the remit of workflow optimisation.
b) Read 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 members (GP, pharmacists, admin).
c) Use Snomed coding into Emis, to ensure the information is attached to the relevant correspondence.
d) Sort and date stamp all incoming patient-related mail.
e) Scan patient-related documents onto their medical record using filing codes as agreed by the clinical team.
f) Add any additional information about the source of the document.
g) Ensure incoming letters are scanned onto the patient record within a 48/72-hour timescale.
h) To email blood test, or other relevant information to outside agencies and Secondary care to ensure the continuity and safe care of the patients.
i) To move the relevant lab reports, prescriptions and documents to the appropriate doctors to ensure that no results are missed due to annual leave etc.
j) To deal with Out of Hours reports, BCS FOB results, Cytology and GP2GP records as appropriate.
k) To manage admin emails, action and complete forward as appropriate
l) To summarise and read code relevant information from patients clinical records into the practice computer system, working strictly in accordance with the note summarising protocol.
m) To assist with any other duties as may be required to meet the needs of the practice.
n) To work with own initiative and care yet be involved in ideas, brainstorming and training to help the practice to develop and improve efficiencies.
o) To work closely with the Managers and administrators to improve practice process and develop new technology and initiatives.
The above is not an exhaustive list of duties and you will be expected to perform different tasks as necessitated by your changing role within the organisation and the overall business objectives of the organisation.
Person Specification
Qualifications
Essential
- Qualifications
- GCSE grade A to C in English and maths
- Experience:-
- Experience of working in general Practice
- Experience of coding into medical records
Person Specification
Qualifications
Essential
- Qualifications
- GCSE grade A to C in English and maths
- Experience:-
- Experience of working in general Practice
- Experience of coding into medical records
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.