Job summary
New River Health is a busy GP
Practice with 17,500 registered patients across two sites in Hertford and Ware.
We require a Clinical Coder with a commitment to high
quality patient care to support with workflow and coding of relevant information into patients' electronic healthcare records on the clinical system, in an accurate, timely, safe and efficient manner.
Main duties of the job
Clinical Coding & Data Entry
Accurately clinically coding data on the clinical system
into the patient record
Identifying relevant clinical
information documented in patient correspondence, coding appropriately and
completing any detailed action
Ensure that all incoming medical records and
correspondence are reviewed, summarised, and coded into the clinical
system (SystmOne)
File electronic documents and enter key data
following the established Coding Protocol and Quality and Outcomes
Framework (QOF) guidelines.
Organise and update medical records, linking
problem titles appropriately.
Workflow & Communication
Highlight and direct critical clinical information
to GPs and healthcare professionals as per the Workflow Protocol.
Ensure timely and accurate submission of clinical
coding data to meet NHS and National Submission deadlines.
Work collaboratively with clinicians,
administrative staff, and external healthcare organisations to improve
coding accuracy.
Identify knowledge gaps and seek advice from
clinical or administrative colleagues when necessary.
Compliance & Quality
Assurance
Ensure coding accuracy meets national clinical
coding standards and NHS regulations.
Maintain confidentiality and comply with Data
Protection (GDPR) and NHS Information Governance standards.
Support the team in identifying and resolving
coding discrepancies.
About us
New River Health is a busy
teaching and training practice that provide medical services across two sites
in Hertford and Ware. It is a busy but supportive environment, and we value our
colleagues in all teams.
Job description
Job responsibilities
Job Summary:
The Clinical Coder plays a crucial role in ensuring the accurate entry and maintenance of patient medical records. The primary responsibility includes reviewing, summarising, and coding patient information from medical correspondence and clinical documentation while adhering to national clinical coding standards and practice protocols.
This position requires a detail-oriented professional with knowledge of medical terminology, strong organisational skills, and the ability to work independently while liaising with healthcare professionals. Must know how to use SystmOne.
Main duties of the job
Key Responsibilities: Clinical Coding & Data Entry
Accurately clinically coding data on the clinical system into the patient record
Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed action
Inputting and extracting data as required to support practice reports
- Ensure that all incoming medical records and correspondence are reviewed, summarised, and coded into the clinical system (SystmOne)
- File electronic documents and enter key data following the established Coding Protocol and Quality and Outcomes Framework (QOF) guidelines.
- Organise and update medical records, linking problem titles appropriately.
Workflow & Communication
- Highlight and direct critical clinical information to GPs and healthcare professionals as per the Workflow Protocol.
- Ensure timely and accurate submission of clinical coding data to meet NHS and National Submission deadlines.
- Work collaboratively with clinicians, administrative staff, and external healthcare organisations to improve coding accuracy.
- Identify knowledge gaps and seek advice from clinical or administrative colleagues when necessary.
Compliance & Quality Assurance
- Ensure coding accuracy meets national clinical coding standards and NHS regulations.
- Maintain confidentiality and comply with Data Protection (GDPR) and NHS Information Governance standards.
- Participate in internal audits and training sessions to enhance coding quality.
- Support the team in identifying and resolving coding discrepancies.
Skills & Competencies:
- High accuracy and attention to detail in coding and data entry.
- Ability to work independently.
- Strong organisational and time management skills to handle a large volume of medical records.
- Excellent communication skills (verbal and written) to interact with clinicians and administrative staff.
- Understanding of confidentiality and information governance in a healthcare environment.
Job description
Job responsibilities
Job Summary:
The Clinical Coder plays a crucial role in ensuring the accurate entry and maintenance of patient medical records. The primary responsibility includes reviewing, summarising, and coding patient information from medical correspondence and clinical documentation while adhering to national clinical coding standards and practice protocols.
This position requires a detail-oriented professional with knowledge of medical terminology, strong organisational skills, and the ability to work independently while liaising with healthcare professionals. Must know how to use SystmOne.
Main duties of the job
Key Responsibilities: Clinical Coding & Data Entry
Accurately clinically coding data on the clinical system into the patient record
Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed action
Inputting and extracting data as required to support practice reports
- Ensure that all incoming medical records and correspondence are reviewed, summarised, and coded into the clinical system (SystmOne)
- File electronic documents and enter key data following the established Coding Protocol and Quality and Outcomes Framework (QOF) guidelines.
- Organise and update medical records, linking problem titles appropriately.
Workflow & Communication
- Highlight and direct critical clinical information to GPs and healthcare professionals as per the Workflow Protocol.
- Ensure timely and accurate submission of clinical coding data to meet NHS and National Submission deadlines.
- Work collaboratively with clinicians, administrative staff, and external healthcare organisations to improve coding accuracy.
- Identify knowledge gaps and seek advice from clinical or administrative colleagues when necessary.
Compliance & Quality Assurance
- Ensure coding accuracy meets national clinical coding standards and NHS regulations.
- Maintain confidentiality and comply with Data Protection (GDPR) and NHS Information Governance standards.
- Participate in internal audits and training sessions to enhance coding quality.
- Support the team in identifying and resolving coding discrepancies.
Skills & Competencies:
- High accuracy and attention to detail in coding and data entry.
- Ability to work independently.
- Strong organisational and time management skills to handle a large volume of medical records.
- Excellent communication skills (verbal and written) to interact with clinicians and administrative staff.
- Understanding of confidentiality and information governance in a healthcare environment.
Person Specification
Qualifications
Essential
- Minimum GCSE Grade A to C in English and Maths or equivalent
Desirable
- Certification in medical terminology
- National Clinical Coding qualification
- The role could suit someone working towards a clinical qualification
Experience
Essential
- Experience working in NHS primary care (GP surgery, PCN)
- Proficiency in using clinical systems- SystmOne
- Ability to work accurately under pressure and meet strict deadlines
- Strong attention to detail and analytical skills.
- Familiarity with QOF and NHS reporting standards.
- Experience working in a GP practice or NHS environment.
- Ability to follow policy and procedure
- Ability to work as a team member and autonomously
Desirable
- Experience of administrative duties
- Experience working in a GP practice or in a healthcare setting
Skills and Competencies
Essential
- High accuracy and attention to detail in coding and data entry.
- Ability to work independently and as part of a team in a remote or in-person setting.
- Strong organisational and time management skills to handle a large volume of medical records.
- Excellent communication skills (verbal and written) to interact with clinicians and administrative staff.
- Understanding of confidentiality and information governance in a healthcare environment.
Person Specification
Qualifications
Essential
- Minimum GCSE Grade A to C in English and Maths or equivalent
Desirable
- Certification in medical terminology
- National Clinical Coding qualification
- The role could suit someone working towards a clinical qualification
Experience
Essential
- Experience working in NHS primary care (GP surgery, PCN)
- Proficiency in using clinical systems- SystmOne
- Ability to work accurately under pressure and meet strict deadlines
- Strong attention to detail and analytical skills.
- Familiarity with QOF and NHS reporting standards.
- Experience working in a GP practice or NHS environment.
- Ability to follow policy and procedure
- Ability to work as a team member and autonomously
Desirable
- Experience of administrative duties
- Experience working in a GP practice or in a healthcare setting
Skills and Competencies
Essential
- High accuracy and attention to detail in coding and data entry.
- Ability to work independently and as part of a team in a remote or in-person setting.
- Strong organisational and time management skills to handle a large volume of medical records.
- Excellent communication skills (verbal and written) to interact with clinicians and administrative staff.
- Understanding of confidentiality and information governance in a healthcare environment.
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.
