Job summary
The temporary role of the Medical Summariser & Coder
(MRSC) is
to manage the clinical
correspondence sent to the practice making sure it is entered correctly on the
patient record and forwarded on to the correct member of the team for action.
They also summarise all records received at the surgery whether on paper or
electronically via GP2GP transfer, according to the practice protocol.
Additionally, the MRSC may assist the tidying up of computer-held records in
preparation for patients open access to records.
The role will
also include coding on patient medical records to fulfil contractual
obligations. For example, Primary Care Network and Quality and Outcomes
Framework (QOF).
Depending on the successful candidates availablity, this temporary position may last up to 12 months.
Main duties of the job
- Medical records and clinical data entry.
Summarising both paper and electronic medical records according to the practice
protocol.
- To code on to patients records to fulfil
contractual requirements.
- Enter clinical data from
letters and other information received from care providers, according to the
practice protocol and as specified by the clinical team.
- To tidy up existing patient
computer-held records in accordance with the practice protocol.
- Communicate with clinical
staff regarding documentation as required.
- Ensure that all codes are
current and active.
- To be responsible for
scanning, coding and summarising the incoming clinical and non-clinical
information and make sure it is correctly linked to or embedded in the patient
records. Ensuring patient records are updated accurately and in a timely
fashion.
- To work as part of the
Practice team and become involved in staff training of IT skills as necessary.
- To work as a positive and
supportive team member, providing cover for similar posts as required.
- To identify areas for
quality improvement, risk avoidance or development and take an active part in
delivering the business objective.
- To keep up to
date with practice information including policy and procedure changes, staff
rotas, alerts and service provisions.
- To ensure implementation and
adherence to practice policy including; Equality and Diversity, Information
Governance (including Data Protection Legislation), Confidentiality and Health
and Safety.
About us
GPS Healthcare is a high
achieving single practice PCN with six sites based in central/south Solihull.
Working with over 40,000 patients, we collaborate with our local PCNs, UHB, Solihull
Council, UHB community services and the Birmingham and Solihull ICB to focus on
local health needs and population health. Solihull is a semirural town,
boasting excellent connections to Birmingham, the NEC and Birmingham Airport, a
growing thriving town centre, glorious countryside, and great people.
Job description
Job responsibilities
The Medical Records Summariser summarises all records received at the surgery whether on paper or electronically, according to the practice protocol. Additionally the MRS may assist with data entry of hospital correspondence and the tidying up of computer-held records in preparation for patients open access to records. Other summarising tasks as required.
Duties and responsibilities
- Medical records summarising & clinical data entry
- Summarising both paper & electronic medical records according to the practice protocol.
- Code letters & other information received from care providers using the agreed practice protocols. Enter clinical data from letters & other information received from care providers, according to the practice protocol and as specified by the clinical team.
- Tidy up existing patient computer-held record in accordance with the practice protocol.
- To identify, together with the line manager, any personal training needs and to be prepared to undertake any relevant training courses where necessary.
- To work continually to improve the services offered by the practice, by constantly examining your own work, and that of the practice, and identifying areas that need improvement.
Other
- To work flexibly according to the needs of the practice,
- Any other duties, appropriate to the post, as required by your manager or the Site Manager or Partners.
Competencies
- Ability to use Systmone clinical system, and to learn new software easily
- Accuracy and efficiency in all areas of work
Personal Skills required for this post:
- Trustworthy and discreet you will see a great deal of highly sensitive information and the maintenance of absolute patient confidentiality is essential
- IT literate you will be comfortable operating with standard MS Office software (fully competent in MS Word and MS Excel) and have some knowledge and skill in the use of specialist medical, scanning, document management and coding software. However training will be provided
- Diligent - a high level of accuracy is required as the data inputting relates to vital clinical and other confidential information used in patient care. Errors could result in harm to patients.
- Literate - A high standard of written English will be demonstrated and you should have a knowledge of medical terminology and have working knowledge of some of the concepts behind the words. However training will be provided
- Self-management You will manage your own workload efficiently and alert your line manager if any backlogs develop. You will work in a timely manner and prioritise appropriately.
- Flexibility you may be required to work at other sites or from home on occasions and cover for holiday and sickness periods.
Job description
Job responsibilities
The Medical Records Summariser summarises all records received at the surgery whether on paper or electronically, according to the practice protocol. Additionally the MRS may assist with data entry of hospital correspondence and the tidying up of computer-held records in preparation for patients open access to records. Other summarising tasks as required.
Duties and responsibilities
- Medical records summarising & clinical data entry
- Summarising both paper & electronic medical records according to the practice protocol.
- Code letters & other information received from care providers using the agreed practice protocols. Enter clinical data from letters & other information received from care providers, according to the practice protocol and as specified by the clinical team.
- Tidy up existing patient computer-held record in accordance with the practice protocol.
- To identify, together with the line manager, any personal training needs and to be prepared to undertake any relevant training courses where necessary.
- To work continually to improve the services offered by the practice, by constantly examining your own work, and that of the practice, and identifying areas that need improvement.
Other
- To work flexibly according to the needs of the practice,
- Any other duties, appropriate to the post, as required by your manager or the Site Manager or Partners.
Competencies
- Ability to use Systmone clinical system, and to learn new software easily
- Accuracy and efficiency in all areas of work
Personal Skills required for this post:
- Trustworthy and discreet you will see a great deal of highly sensitive information and the maintenance of absolute patient confidentiality is essential
- IT literate you will be comfortable operating with standard MS Office software (fully competent in MS Word and MS Excel) and have some knowledge and skill in the use of specialist medical, scanning, document management and coding software. However training will be provided
- Diligent - a high level of accuracy is required as the data inputting relates to vital clinical and other confidential information used in patient care. Errors could result in harm to patients.
- Literate - A high standard of written English will be demonstrated and you should have a knowledge of medical terminology and have working knowledge of some of the concepts behind the words. However training will be provided
- Self-management You will manage your own workload efficiently and alert your line manager if any backlogs develop. You will work in a timely manner and prioritise appropriately.
- Flexibility you may be required to work at other sites or from home on occasions and cover for holiday and sickness periods.
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Experienced with medical terminology
- Excellent attention to detail and data entry skills
- Excellent time management skills
- Team Player
- Experience of working in Primary Care previously
Desirable
- Previous Summarising experience
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Experienced with medical terminology
- Excellent attention to detail and data entry skills
- Excellent time management skills
- Team Player
- Experience of working in Primary Care previously
Desirable
- Previous Summarising experience
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.
