Job summary
A fantastic opportunity has arisen to join our friendly practice as a Medical Records Summariser in the heart of the Lake District.
The ideal candidates will be forward thinking, self-motivated and reliable. We are prepared to invest in training for the right candidate.
This is for a fixed term contract, to be reviewed after 12 months.
Closing date August 1st 2024, with interviews taking place on Wednesday August 7th 2024. Successful candidates will be notified by email.
Main duties of the job
The
practice is moving towards all medical records being fully electronic and the
main responsibilities of the post holder will be to check, summarise and code any
relevant information from the patients paper Health Record into the practice EMIS
clinical computer system. Both paper and electronic notes will form a full
Electronic Health Record accurately coded in accordance with the practice notes
summarising protocol, data quality and record keeping policy.
About us
We are a well-established GP training practice of 6 GP Partners, 2 Salaried GPs, Nurse Prescriber, Practice Nurse, a Nurse Associate and a Health Care Assistant supported by Managers, Administrators and Receptionists who provide excellent clinical care to our patients.
Job description
Job responsibilities
Main Duties
-
Cull
and sort patient paper Health Record and
letters in preparation for summarising
-
Scan
and code relevant documents to Electronic Health Record
-
Producing
an accurate summary of the patients medical history in an efficient and timely
manner
-
Ensure
that all patient information is accurately input to the practice clinical
system and clearly amend any inaccuracies in accordance with Good Records
Guidance
-
Audit
data collection standards within the practice
-
Monitor
the progress of summarising against practice targets
-
Filing
and retrieving paperwork as required
-
Monitoring
receipt of notes to the computer workflow system
-
Code
workflow documents received either electronically or by mail when needed to
cover the any absence of the Medical Records Data Administrator to keep their
work up to date.
-
Code
patient records accurately and liaise with the Operational Manager and clinical
staff in maximising QOF/QIS/PCN targets.
-
Prioritise
work accordingly to ensure patient safety is paramount
-
Complete
all mandatory training applicable to role
Job description
Job responsibilities
Main Duties
-
Cull
and sort patient paper Health Record and
letters in preparation for summarising
-
Scan
and code relevant documents to Electronic Health Record
-
Producing
an accurate summary of the patients medical history in an efficient and timely
manner
-
Ensure
that all patient information is accurately input to the practice clinical
system and clearly amend any inaccuracies in accordance with Good Records
Guidance
-
Audit
data collection standards within the practice
-
Monitor
the progress of summarising against practice targets
-
Filing
and retrieving paperwork as required
-
Monitoring
receipt of notes to the computer workflow system
-
Code
workflow documents received either electronically or by mail when needed to
cover the any absence of the Medical Records Data Administrator to keep their
work up to date.
-
Code
patient records accurately and liaise with the Operational Manager and clinical
staff in maximising QOF/QIS/PCN targets.
-
Prioritise
work accordingly to ensure patient safety is paramount
-
Complete
all mandatory training applicable to role
Person Specification
Experience
Essential
- Previous proven job specific experience in an administration role or a Clinical role (at least 12months experience) Experience of working as part of a team
Desirable
- Experience of Medical coding Experience of working in the Health Care Sector Experience of working in a continuous developing environment and adapting to change
Qualifications
Essential
- GCSE Grade 4 or above in Maths and English (or equivalent)
Desirable
- A Level or NVQ Administration Level 3 or equivalent experience IT qualification
Knowledge and Skills
Essential
- IT skills: Intermediate/Advanced. Ability to use Microsoft Word, Excel and Outlook Literacy skills (spelling, comprehension etc) Keyboard skills: Proficient Numeracy skills Verbal communication skills ability to deal with staff, patients, general public and allied professionals in person and on the telephone with a strict understanding acceptance and adherence to the need of patient and staff confidentiality at all times
Desirable
- Clinical software skills EMIS, Open Exeter, and PCSE. Organisational / problem solving skills Report / Letter writing skills Statistical / data analysis skills Knowledge of local demographics, health inequalities and well-being priorities Awareness of local Primary Care Network Direct Enhanced Services Ability to use Microsoft Powerpoint
Person Specification
Experience
Essential
- Previous proven job specific experience in an administration role or a Clinical role (at least 12months experience) Experience of working as part of a team
Desirable
- Experience of Medical coding Experience of working in the Health Care Sector Experience of working in a continuous developing environment and adapting to change
Qualifications
Essential
- GCSE Grade 4 or above in Maths and English (or equivalent)
Desirable
- A Level or NVQ Administration Level 3 or equivalent experience IT qualification
Knowledge and Skills
Essential
- IT skills: Intermediate/Advanced. Ability to use Microsoft Word, Excel and Outlook Literacy skills (spelling, comprehension etc) Keyboard skills: Proficient Numeracy skills Verbal communication skills ability to deal with staff, patients, general public and allied professionals in person and on the telephone with a strict understanding acceptance and adherence to the need of patient and staff confidentiality at all times
Desirable
- Clinical software skills EMIS, Open Exeter, and PCSE. Organisational / problem solving skills Report / Letter writing skills Statistical / data analysis skills Knowledge of local demographics, health inequalities and well-being priorities Awareness of local Primary Care Network Direct Enhanced Services Ability to use Microsoft Powerpoint
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.