Job responsibilities
SUMMARISER/ADMINISTRATOR- JOB DESCRIPTION TOLLGATE MEDICAL
CENTRE
JOB TITLE: MEDICAL RECORDS
SUMMARISER/ADMINISTRATOR
REPORTS TO: HR & Operations Manager
HOURS: 37 hours per week
Job summary:
The practice is moving towards
becoming a paper-light environment, and the main responsibilities of the post-holder
will be to summarise and read code relevant information from the patients
clinical records into the practice computer system, working strictly in accordance
with the practice notes summarising protocol.
Main
duties/key tasks:
Reviewing medical records and producing
an accurate summary of the patients medical history.
Read coding the information accurately into
the practice clinical system
- Auditing
data collection standards in the practice
- Monitoring
progress of notes summarising against practice targets
- Filing
and retrieving paperwork
- Managing
electronic summary care record data.
- Recording
immunisation data and dealing with immunisation data requests.
- Dealing
with documentation that arrives via the post/internally/externally and
electronically.
- Scanning
as required.
- Receiving
medical records into the practice and storing and coding them
appropriately.
- Faxing
documents as required.
- Provide administrative support to the Safeguarding
Lead, as part of a team of Safeguarding Administrators.
- To learn
and use knowledge of how to code and summarise various safeguarding
documents from different agencies, and to manage the list of patients and
review these regularly
This list is not exhaustive and may be subject
to change in line with the needs of the organisation
Confidentiality:
- In the course of
seeking treatment, patients entrust us with, or allow us to gather,
sensitive information in relation to their health and other matters. They do so in confidence and have the
right to expect that staff will respect their privacy and act
appropriately
- In the
performance of the duties outlined in this job description, the
post-holder may have access to confidential information relating to patients
and their carers, practice staff and other healthcare workers. They may also have access to information
relating to the practice as a business organisation. All such
information from any source is to be regarded as strictly confidential
- Information relating
to patients, carers, colleagues, other healthcare workers or the business
of the practice may only be divulged to authorised persons in accordance
with the practice policies and procedures relating to confidentiality and
the protection of personal and sensitive data
Health & safety:
The
post-holder will assist in promoting and maintaining their own and others
health, safety and security as defined in the practice Health & Safety
Policy, the practice Health & Safety manual, and the practice Infection
Control policy and published procedures. This will include:
- Using personal
security systems within the workplace according to practice guidelines
- Identifying the
risks involved in work activities and undertaking such activities in a way
that manages those risks
- Making effective
use of training to update knowledge and skills
- Using appropriate
infection control procedures, maintaining work areas in a tidy and safe
way and free from hazards
- Actively
reporting of health and safety hazards and infection hazards immediately
when recognised
- Keeping own work
areas and general / patient areas generally clean, assisting in the
maintenance of general standards of cleanliness consistent with the scope
of the job holders role
- Undertaking
periodic infection control training (minimum annually)
- Reporting
potential risks identified
Equality and diversity:
The
post-holder will support the equality, diversity and rights of patients, carers
and colleagues, to include:
- Acting in a way
that recognizes the importance of peoples rights, interpreting them in a
way that is consistent with practice procedures and policies, and current
legislation
- Respecting the
privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a
manner which is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Personal/Professional development:
The
post-holder will participate in any training programme implemented by the practice
as part of this employment, such training to include:
- Participation in
an annual individual performance review, including taking responsibility
for maintaining a record of own personal and/or professional development
- Taking
responsibility for own development, learning and performance and
demonstrating skills and activities to others who are undertaking similar
work
Quality:
The
post-holder will strive to maintain quality within the practice, and will:
- Alert other team
members to issues of quality and risk
- Assess own
performance and take accountability for own actions, either directly or
under supervision
- Contribute to the
effectiveness of the team by reflecting on own and team activities and
making suggestions on ways to improve and enhance the teams performance
- Work effectively
with individuals in other agencies to meet patients needs
- Effectively
manage own time, workload and resources
Communication:
The post-holder
should recognize the importance of effective communication within the team and
will strive to:
- Communicate effectively
with other team members
- Communicate
effectively with patients and carers
- Recognize
peoples needs for alternative methods of communication and respond
accordingly
