Job summary
We are looking for a Clinical Coder to join our friendly team. The role will be part-time, around 18 hours per week, and can involve remote working from home.We are looking to expand our team due to increasing workload and ideally seek someone with previous experience in GP admin, specifically clinical coding. The role will be fairly autonomous, as you will be required to manage your own time to ensure work is completed efficiently and to a high standard. A 'can do' and conscientious attitude is a must, as is an understanding of the importance of accuracy when it comes to inputting clinical information into notes, both for safety and quality purposes.
Main duties of the job
The role includes:
· Utilising the Docman and EMIS Web clinical software systems
· Ensuring that all incoming patient correspondence is correctly coded to ensure the integrity of patient records and any necessary actions followed up
· Accurately summarising new patient records
We are aiming towards rolling out 'workflow optimisation' and the ideal candidate would enable us to move towards this. If successful, this would entail the post-holder being the initial person who receives all incoming correspondence: they would read it, decide if a GP needs to review it, undertake any necessary actions required, code and file the document.
Therefore this role could develop in time, and we would be particularly interested in interviewing candidates who may have experience in workflow optimisation, particularly when it has been new to their previous Practice.
About us
New Dover Road Surgery is a busy, city-centre Practice serving around 10,800 patients from Canterbury and its environs. We have a very varied patient population, from care home residents, to students; young families to elderly housebound patients; patients with social care needs and chronic illnesses.
Our GPs favour as much as possible a traditional family doctor feel, and we know our patients well. Despite how busy we are, especially in the current climate, we try to provide good continuity of care, and a friendly environment. We value our staff and pride ourselves in good staff retention rates and an enjoyable atmosphere in which to work.
Job description
Job responsibilities
JOB DESCRIPTION
JOB TITLE: CLINICAL CODER
LINE MANAGER: RECEPTION MANAGER
ACCOUNTABLE TO: PRACTICE MANAGER AND PARTNERS
16 – 20 HOURS PER WEEK, FLEXIBLE WORKING
Job Overview:
The Clinical Coder is primarily responsible for ensuring that all external and internal patient correspondence is accurately coded in the patients’ medical record. A sound professional working relationship will be required with the GPs and staff working within the Practice.
The role includes:
- Familiarity with Docman and EMIS Web clinical software systems
- Ensuring that all incoming patient correspondence is correctly coded to ensure the integrity of patient records and any necessary actions followed up
- Accurately summarising new patient records
Job summary:
The main responsibilities of the post-holder will be to receive and read clinical correspondence that has been added to Docman, and code into the EMIS notes any relevant clinical information, including test results, diagnoses and procedures. Correspondence may have already been looked at by a GP, in which case this will be adding codes for information, or it may not need GP review, in which case the letter will need to be checked, any relevant information coded, and then the correspondence filed.
Job responsibilities:
- Scanning practice documentation and correspondence into clinical systems (EMIS & Docman) alongside the wider admin team.
- Working from an inbox, analyse and extract clinical information from incoming correspondence, and translate clinical terminology into a coded format onto patient records
- Identifying any documents that need to be seen by a Doctor or other member of the Practice team and forwarding these where necessary
- To correct errors in filing and ensure corresponding records are amended accurately
- Assisting other staff in the management of actions arising following review by a Doctor e.g. sending out letters asking patients to come in.
- To summarise new incoming patient records, to produce a comprehensive summary of the patients medical history. Enter any known allergies and smear history of patients newly registered to the Practice.
- Ensure all clinical coding is maximising Practice QOF potential.
- Be involved in developing and reviewing the workflow management protocol to ensure the process is safe and efficient.
- Follow practice protocols to ensure consistent and high quality care is provided to our patients including data accuracy
- Deal with queries relating to coding
- Helping to solve day-to-day issues with IT, systems, workloads, etc as they arise
- To be flexible to support wider work of admin team as necessary
- To assist in the training of new staff as necessary.
- Keep up-to-date with necessary mandatory training.
General Expectations:
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 and 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 holder’s 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 people’s 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 team’s 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 people’s needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
- Apply practice policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate
Job description
Job responsibilities
JOB DESCRIPTION
JOB TITLE: CLINICAL CODER
LINE MANAGER: RECEPTION MANAGER
ACCOUNTABLE TO: PRACTICE MANAGER AND PARTNERS
16 – 20 HOURS PER WEEK, FLEXIBLE WORKING
Job Overview:
The Clinical Coder is primarily responsible for ensuring that all external and internal patient correspondence is accurately coded in the patients’ medical record. A sound professional working relationship will be required with the GPs and staff working within the Practice.
The role includes:
- Familiarity with Docman and EMIS Web clinical software systems
- Ensuring that all incoming patient correspondence is correctly coded to ensure the integrity of patient records and any necessary actions followed up
- Accurately summarising new patient records
Job summary:
The main responsibilities of the post-holder will be to receive and read clinical correspondence that has been added to Docman, and code into the EMIS notes any relevant clinical information, including test results, diagnoses and procedures. Correspondence may have already been looked at by a GP, in which case this will be adding codes for information, or it may not need GP review, in which case the letter will need to be checked, any relevant information coded, and then the correspondence filed.
Job responsibilities:
- Scanning practice documentation and correspondence into clinical systems (EMIS & Docman) alongside the wider admin team.
- Working from an inbox, analyse and extract clinical information from incoming correspondence, and translate clinical terminology into a coded format onto patient records
- Identifying any documents that need to be seen by a Doctor or other member of the Practice team and forwarding these where necessary
- To correct errors in filing and ensure corresponding records are amended accurately
- Assisting other staff in the management of actions arising following review by a Doctor e.g. sending out letters asking patients to come in.
- To summarise new incoming patient records, to produce a comprehensive summary of the patients medical history. Enter any known allergies and smear history of patients newly registered to the Practice.
- Ensure all clinical coding is maximising Practice QOF potential.
- Be involved in developing and reviewing the workflow management protocol to ensure the process is safe and efficient.
- Follow practice protocols to ensure consistent and high quality care is provided to our patients including data accuracy
- Deal with queries relating to coding
- Helping to solve day-to-day issues with IT, systems, workloads, etc as they arise
- To be flexible to support wider work of admin team as necessary
- To assist in the training of new staff as necessary.
- Keep up-to-date with necessary mandatory training.
General Expectations:
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 and 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 holder’s 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 people’s 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 team’s 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 people’s needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
- Apply practice policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate
Person Specification
Experience
Essential
- Experience of working in General Practice administration
- Experience and understanding of clinical coding
Desirable
- Experience of flexible working
- Knowledge and experience of workflow optimisation processes
Knowledge and skills
Essential
- Good interpersonal and communication skills
- Strong IT skills
- Good understanding of medical terminology
Desirable
Person Specification
Experience
Essential
- Experience of working in General Practice administration
- Experience and understanding of clinical coding
Desirable
- Experience of flexible working
- Knowledge and experience of workflow optimisation processes
Knowledge and skills
Essential
- Good interpersonal and communication skills
- Strong IT skills
- Good understanding of medical terminology
Desirable
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.