The Manor Street Surgery

Medical Records Summariser

Information:

This job is now closed

Job summary

You will work as part of the administrative team under the guidance of the Practice Manager, providing comprehensive administrative support to the Practice. To summarise and Read Code patient records into the Practice’s computer system to a high standard and in accordance with the Practice’s protocol. To scan documents onto patients record. Electronic health care system is EMIS.

Main duties of the job

Key Responsibilities

Medical Record Summarising:

  • To maintain an accurate medical summary of patient notes on the computer record.
  • Summarising new patient records to a high standard and according to set protocols and timescales agreed by the Practice.
  • Checking and ensuring the integrity of electronically received records from other GP Practices.
  • Restructuring existing computerised records.
  • Maintaining structure in the computerised record when recording new information.
  • Ensuring that information from letters and other notifications received are coded onto the clinical computer system accurately and in a timely fashion.
  • Assisting GPs with queries related to medical records.
  • Supporting colleagues within the administration team with other duties as appropriate and required.
  • To record sensitive information e.g. HIV status, child protection register.
  • Scanning and matching of patient related documentation and attaching scanned documents to patient’s healthcare records followed by proper read code where applicable.

About us

Manor Street surgery is run by a partnership of 4 Doctors serving 12,000 patients.

Manor Street surgery ensures that patients are central to everything they do which has been evidenced in the most recent patient survey results. Even during an extremely challenging time, 96% of Manor Streets patients describe their overall experience of the surgery as Good. This puts Manor Street in the top 3 surgeries of Hertfordshire and significantly above the local and national averages of 85% and 83% respectively.

Manor Street Surgery are part of the alpha Primary Care Network (PCN) and one of twenty practices within the Dacorum Healthcare Providers Federation.The surgery is within the Hertfordshire Valley Clinical Commissioning Group (CCG).

There is a strong training ethos at the practice who support two registrars annually with one of the recent registrars remaining as a partner after completing her training.

The team are very patient focussed to deliver care and services to their patients which includes a local care home and a residential service for those with a learning disability.

Details

Date posted

23 November 2021

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

A4832-21-5522

Job locations

Manor Street

Berkhamsted

HP4 2DL


Job description

Job responsibilities

Medical Record Summarising:

  • To maintain an accurate medical summary of patient notes on the computer record.
  • Summarising new patient records to a high standard and according to set protocols and timescales agreed by the Practice.
  • Checking and ensuring the integrity of electronically received records from other GP Practices.
  • Restructuring existing computerised records.
  • Maintaining structure in the computerised record when recording new information.
  • Ensuring that information from letters and other notifications received are coded onto the clinical computer system accurately and in a timely fashion.
  • Assisting GPs with queries related to medical records.
  • Supporting colleagues within the administration team with other duties as appropriate and required.
  • To record sensitive information e.g. HIV status, child protection register.
  • Scanning and matching of patient related documentation and attaching scanned documents to patient’s healthcare records followed by proper read code where applicable.

General Administration

  • To take and process telephone calls in an appropriate manner which will involve contact with patients, carers and health professionals.
  • Filing and retrieving paperwork as necessary.
  • Photocopying paperwork / patient notes as required.
  • QOF and recall patients for their reviews.

General Practice

  • Ensure the Practice’s ongoing compliance with the CQC’s (Care Quality Commission) essential standards of quality and safety.
  • Take an active part in the appraisal process.
  • Comply with all relevant Health and Safety regulations and assist the practice in the implementation of its own Health and Safety Policy.
  • Comply with and actively promote the Practice’s Equality and Diversity Policy.
  • Support sustainability practices and recognise the shared responsibility of carrying out duties in a resource efficient way.
  • Undertake any other duties as appropriate.
  • Communication effectively with other team members, patients and carers.

Educational Responsibilities

  • Ensure an up to date knowledge of practice policy and procedures relating to this post.
  • Attend relevant training courses as requested by the management team.
  • Participate in the training and induction of any new or existing staff.
  • Participate in further personal or practice development of I.T.

Personal Responsibilities

  • Observe confidentiality at all times.
  • Present and conduct yourself in a professional manner at all times.
  • Wear the required uniform/business dress.
  • Attend any practice meetings thought to be appropriate.
  • Ensure an up to date knowledge of data protection issues relating to the post.

Job description

Job responsibilities

Medical Record Summarising:

  • To maintain an accurate medical summary of patient notes on the computer record.
  • Summarising new patient records to a high standard and according to set protocols and timescales agreed by the Practice.
  • Checking and ensuring the integrity of electronically received records from other GP Practices.
  • Restructuring existing computerised records.
  • Maintaining structure in the computerised record when recording new information.
  • Ensuring that information from letters and other notifications received are coded onto the clinical computer system accurately and in a timely fashion.
  • Assisting GPs with queries related to medical records.
  • Supporting colleagues within the administration team with other duties as appropriate and required.
  • To record sensitive information e.g. HIV status, child protection register.
  • Scanning and matching of patient related documentation and attaching scanned documents to patient’s healthcare records followed by proper read code where applicable.

General Administration

  • To take and process telephone calls in an appropriate manner which will involve contact with patients, carers and health professionals.
  • Filing and retrieving paperwork as necessary.
  • Photocopying paperwork / patient notes as required.
  • QOF and recall patients for their reviews.

General Practice

  • Ensure the Practice’s ongoing compliance with the CQC’s (Care Quality Commission) essential standards of quality and safety.
  • Take an active part in the appraisal process.
  • Comply with all relevant Health and Safety regulations and assist the practice in the implementation of its own Health and Safety Policy.
  • Comply with and actively promote the Practice’s Equality and Diversity Policy.
  • Support sustainability practices and recognise the shared responsibility of carrying out duties in a resource efficient way.
  • Undertake any other duties as appropriate.
  • Communication effectively with other team members, patients and carers.

Educational Responsibilities

  • Ensure an up to date knowledge of practice policy and procedures relating to this post.
  • Attend relevant training courses as requested by the management team.
  • Participate in the training and induction of any new or existing staff.
  • Participate in further personal or practice development of I.T.

Personal Responsibilities

  • Observe confidentiality at all times.
  • Present and conduct yourself in a professional manner at all times.
  • Wear the required uniform/business dress.
  • Attend any practice meetings thought to be appropriate.
  • Ensure an up to date knowledge of data protection issues relating to the post.

Person Specification

Experience

Essential

  • Knowledge of Medical terminology

Desirable

  • Previous experience of medical record summarising and read-coding
Person Specification

Experience

Essential

  • Knowledge of Medical terminology

Desirable

  • Previous experience of medical record summarising and read-coding

Employer details

Employer name

The Manor Street Surgery

Address

Manor Street

Berkhamsted

HP4 2DL


Employer's website

https://manorstreetsurgery.org/ (Opens in a new tab)

Employer details

Employer name

The Manor Street Surgery

Address

Manor Street

Berkhamsted

HP4 2DL


Employer's website

https://manorstreetsurgery.org/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

David Brammer

d.brammer1@nhs.net

01442875935

Details

Date posted

23 November 2021

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

A4832-21-5522

Job locations

Manor Street

Berkhamsted

HP4 2DL


Privacy notice

The Manor Street Surgery's privacy notice (opens in a new tab)