Coder and Summariser

Job description

Job responsibilities

Key areas:

• Work as a member of our coding and summarising
• Inputting coded data into EMIS Web (clinical system) from clinical letters, discharge letters and variety of other sources
• Maintain clinical coding skills and participate in training programmes as required to work towards a high standard of coding
• Extract, interpret and independently code clinical information from clinical letters and discharge summaries from hospitals and other organisations
• Summarise existing and new patient records to a high standard and in accordance with practice policies and procedures
• Assist practice colleagues with queries relating to medical records
• Run searches and assisting in data cleansing when required or instructed- This includes participating in quality improvement and indentifying areas where coding processes may be improved.
• Communicate effectively with patients, carers and other agencies when required through their employment
• Maintain effective communication within the Practice team and attend appropriate scheduled meetings e.g. Practice and coding meetings
• Use appropriate infection control procedures, maintaining work areas in a tidy and safe way

The applicant is expected to follow confidentiality procedures according to practice policies and procedures throughout their employment.

Information that relates to staff, patients, carers or the business may only be divulged to authorised persons in accordance to practice policies or procedures that relate to confidentiality and protection of personal/ sensitive data.

Any confidentialty incidents will be reportable and follow the practice disciplinary procedures.

The applicant will be expect to promote and manage their own and others health, safety and security as per practice procedures.

The applicant will be expected to support the equality, diversity and rights of patients, carers and also colleagues throughout their employment.

The applicant will be expected to complete any training that is appropriate to their role and the development of their role.

The applicant will participate in annual appraisals and take responsibility of their own development, learning and performance.

The applicant will be expected to manage their own workload.

Person Specification

Qualifications

Essential

• Experience of using Emis Web alongside Docman Application.
• GCSE Grades in English and maths or equivalent qualification.
• Clinical Readcode training e.g. Snomed or Emis.
• Experience of summarising records.
• Experience of working in a Health Care setting.
• Excellent communications skills (written and oral).
• Strong IT skills.
• Ability to prioritise and work to deadlines.
• Effective time management.
• Polite and confident.
• Motivated and pro-active.

Desirable

• Experience of reviewing medical records and assigning specific codes to diagnoses, procedures, and treatments.
• Experience of working with General Practice

Experience

Essential

• Read-coding clinical documents and summarising
• Managing own work load.
• Previous experience in NHS/Primary Care

Desirable

• Knowledge of Quality Outcomes Framework and quality improvement processes

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

Mount Road Practice

Address

Kidsgrove Medical Centre

Mount Road

Kidsgrove

Stoke-on-trent

ST7 4AY

Employer's website

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