Medical Coder and Summariser
Bevan Community Benefit Society
This job is now closed
Job summary
The Summariser & Medical Coder will support on the development and delivery of a continual quality improvement plan, to improve the quality and safety for our population. This plan will be based on local intelligence and regional direction. To be responsible for the read coding of relevant information into patients electronic healthcare records on SystmOne clinical system, adhering to the organisation coding policy. In addition, the post holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the organisation.
The post holder will also work with the Nursing and Quality Team to deliver the quality assurance processes across all commissioned care, under the leadership the Quality Lead and Lead Primary Care Nurse.
Main duties of the job
The post holder will also work with the Nursing and Quality Team to deliver the quality assurance processes across all commissioned care, under the leadership the Quality Lead and Lead Primary Care Nurse.
About us
Bevan are a pioneering social enterprise established in 2011 and now widely regarded as being at the forefront of health and wellbeing services for highly vulnerable groups who face social barriers to accessing care. Bevan operate across West Yorkshire and our patients include:
- Refugees and Asylum Seekers
- People experiencing homelessness or who are insecurely housed
- Sex workers
- Gypsy Romany and Traveller groups
Many Bevan patients have complex needs, have experienced trauma and or have addiction and or mental health issues. We take a holistic approach to healthcare and our work is informed by the social determinants of health model pictured here.
We pride ourselves in a responsive and person led approach finding compassionate solutions for individuals that benefit both the individual and the system as a whole.
We are a social enterprise which enables us to respond to the needs of our patients in a responsive way and to evolve our services with the changing needs of the patients we serve. As a social enterprise any profits we make are invested back into services for our patients.
Date posted
29 November 2023
Pay scheme
Other
Salary
£21,410 to £24,560 a year
Contract
Permanent
Working pattern
Full-time
Reference number
B0221-23-0059
Job locations
14 Piccadilly
Bradford
West Yorkshire
BD1 3LS
St. Annes Resource Centre
66 York Street
Leeds
LS9 8AA
Job description
Job responsibilities
The Summariser & Medical Coder will support on the development and delivery of a continual quality improvement plan, to improve the quality and safety for our population. The plan will be based on local intelligence and regional direction. To be responsible for the read coding of relevant information into patients electronic healthcare records on SystmOne clinical system, adhering to the organisation coding policy. In addition, the post holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the organisation.
The post holder will also work with the Nursing and Quality Team to deliver the quality assurance processes across all commissioned care, under the leadership the Quality Lead and Lead Primary Care Nurse.
The following are core responsibilities.There may be, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
a. Reviewing records and accurately producing a summary of the patients medical history
b. Accurately read coding data on SystmOne
c. Reviewing progress of summarising, ensuring practice targets are achieved
d. Review all clinical letters ensuring they are processed appropriately in line with extant protocols
e. File and store records as required
f. Photocopy documentation as required
g. Action all incoming correspondence, emails and mail in a timely manner
h. Review patient related documentation and attach scanned documents to patients healthcare records
i. Input data into patients healthcare records as necessary
j. Reviewing records and accurately producing a summary of the patients medical history
k. Reviewing records and accurately producing a summary of the patients medical history
l. Accurately read coding data on SystmOne
m. Reviewing progress of summarising, ensuring practice targets are achieved
n. Review all clinical letters ensuring they are processed appropriately in line with protocols
o. File and store records as required
p. Photocopy documentation as required
q. Action all incoming correspondence, emails and mail in a timely manner
r. Input data into patients healthcare records as necessary
s. Answer incoming phone calls, transferring calls or dealing with the callers request appropriately
t. Conduct system searches as requested
u. Maintain a clean, tidy, effective working area at all times
v. Support all clinical staff with general administrative tasks as requested
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
The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control 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 (but will not be limited to):
Using personal security systems within the workplace according to practice guidelines
Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangement
Making effective use of training to update knowledge and skills
Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of cleansing and decontamination equipment is sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate
Safe management of sharps procedures including training, use, storage and disposal
Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial or corrective action where needed or escalation to responsible management
Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
Undertaking annual infection control training as per practice policy
Waste management including collection, handling, segregation, container management, ordering storage and collection
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises 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
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 and quarterly one-to-one review with line manager
Quality Improvement programmes and training
Taking responsibility for own professional development and learning needs, maintaining own records of learning and development
Train and assist clinicians with coding of diagnosis and episodicity
The post-holder will strive to maintain quality within the practice, and will:
Commitment to creating a quality conscious culture.
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 the organisation and other agencies to meet patient needs.
Effectively manage own time, workload, and resources
Actively involve patients in their own care and promote patients to be involved in their own safety. Listen to patients and consider all issues from a patient perspective.
Have audit process understanding, and to participate in internal and external audits, undertaking quality improvement audit and reviews regular on a basis with support from Quality Lead
Support the Quality Lead and Operational Lead Nurse in ensuring continuous improvement across all aspects of the organisation through audit, patient questionnaires and service improvements initiatives. Give expert advice on system audits and develop a program of quality assurance around these audits.
Support the Data Lead with monitoring of clinical significant events collation and themes with patient data held in records
Promote and support the effective use of data, information, knowledge and technology to continually improve, inform and support a portfolio of projects, services, and initiatives in order to improve the quality and safety of our population.
Alert other team members to issues of quality and risk.
Work collaboratively with the Quality Team, provider organisations, stakeholders, co -commissioners and service users to meet organisational and system needs and focus on transformation, sustainability, and improvement.
Working alongside the Quality Team to be effective and efficient in ensuring deadlines are met and completed to a high and accurate professional standard.
Where analysis identifies areas of concern the post holder will work with the Quality lead and Operational Lead nurse to support the necessary improvement.
Design and deliver specialist training as required to ensure effective implementation of the breadth of the clinical quality improvement agenda.
Ensure accuracy of own records and processes of the team by undertaking regular audit
Work within the organisational visions and values to promote quality improvement through the contribution of performance dashboards and other information tools using experience and knowledge to highlight any key quality issue.
The post-holder will strive to:
Communicate effectively with other team members
Communicate effectively with the wider MDT and partnership organisations
Communicate effectively with patients and carers
Recognise peoples needs for alternative methods of communication and respond accordingly
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
The Summariser & Medical Coder will support on the development and delivery of a continual quality improvement plan, to improve the quality and safety for our population. The plan will be based on local intelligence and regional direction. To be responsible for the read coding of relevant information into patients electronic healthcare records on SystmOne clinical system, adhering to the organisation coding policy. In addition, the post holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the organisation.
The post holder will also work with the Nursing and Quality Team to deliver the quality assurance processes across all commissioned care, under the leadership the Quality Lead and Lead Primary Care Nurse.
The following are core responsibilities.There may be, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
a. Reviewing records and accurately producing a summary of the patients medical history
b. Accurately read coding data on SystmOne
c. Reviewing progress of summarising, ensuring practice targets are achieved
d. Review all clinical letters ensuring they are processed appropriately in line with extant protocols
e. File and store records as required
f. Photocopy documentation as required
g. Action all incoming correspondence, emails and mail in a timely manner
h. Review patient related documentation and attach scanned documents to patients healthcare records
i. Input data into patients healthcare records as necessary
j. Reviewing records and accurately producing a summary of the patients medical history
k. Reviewing records and accurately producing a summary of the patients medical history
l. Accurately read coding data on SystmOne
m. Reviewing progress of summarising, ensuring practice targets are achieved
n. Review all clinical letters ensuring they are processed appropriately in line with protocols
o. File and store records as required
p. Photocopy documentation as required
q. Action all incoming correspondence, emails and mail in a timely manner
r. Input data into patients healthcare records as necessary
s. Answer incoming phone calls, transferring calls or dealing with the callers request appropriately
t. Conduct system searches as requested
u. Maintain a clean, tidy, effective working area at all times
v. Support all clinical staff with general administrative tasks as requested
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
The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control 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 (but will not be limited to):
Using personal security systems within the workplace according to practice guidelines
Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangement
Making effective use of training to update knowledge and skills
Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of cleansing and decontamination equipment is sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate
Safe management of sharps procedures including training, use, storage and disposal
Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial or corrective action where needed or escalation to responsible management
Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
Undertaking annual infection control training as per practice policy
Waste management including collection, handling, segregation, container management, ordering storage and collection
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises 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
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 and quarterly one-to-one review with line manager
Quality Improvement programmes and training
Taking responsibility for own professional development and learning needs, maintaining own records of learning and development
Train and assist clinicians with coding of diagnosis and episodicity
The post-holder will strive to maintain quality within the practice, and will:
Commitment to creating a quality conscious culture.
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 the organisation and other agencies to meet patient needs.
Effectively manage own time, workload, and resources
Actively involve patients in their own care and promote patients to be involved in their own safety. Listen to patients and consider all issues from a patient perspective.
Have audit process understanding, and to participate in internal and external audits, undertaking quality improvement audit and reviews regular on a basis with support from Quality Lead
Support the Quality Lead and Operational Lead Nurse in ensuring continuous improvement across all aspects of the organisation through audit, patient questionnaires and service improvements initiatives. Give expert advice on system audits and develop a program of quality assurance around these audits.
Support the Data Lead with monitoring of clinical significant events collation and themes with patient data held in records
Promote and support the effective use of data, information, knowledge and technology to continually improve, inform and support a portfolio of projects, services, and initiatives in order to improve the quality and safety of our population.
Alert other team members to issues of quality and risk.
Work collaboratively with the Quality Team, provider organisations, stakeholders, co -commissioners and service users to meet organisational and system needs and focus on transformation, sustainability, and improvement.
Working alongside the Quality Team to be effective and efficient in ensuring deadlines are met and completed to a high and accurate professional standard.
Where analysis identifies areas of concern the post holder will work with the Quality lead and Operational Lead nurse to support the necessary improvement.
Design and deliver specialist training as required to ensure effective implementation of the breadth of the clinical quality improvement agenda.
Ensure accuracy of own records and processes of the team by undertaking regular audit
Work within the organisational visions and values to promote quality improvement through the contribution of performance dashboards and other information tools using experience and knowledge to highlight any key quality issue.
The post-holder will strive to:
Communicate effectively with other team members
Communicate effectively with the wider MDT and partnership organisations
Communicate effectively with patients and carers
Recognise peoples needs for alternative methods of communication and respond accordingly
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
Skills
Essential
- Excellent communication skills
- Good standard of documentation
- IT skills
- Understanding of confidentiality
- Ability to work flexibly and respond to change.
- Able to work under own initiative.
- Ability to demonstrate initiative and think strategically and creatively to resolve problems
Desirable
- Ability to engage colleagues in change and Quality Improvement
- Evidence of effective facilitation/ training skills to clinical & Non -clinical colleagues
Qualifications
Essential
- GCSE English and Maths grade C or above (or other level 2 equivalent)
- Attended Medical Terminology Training (or equivalent experience
Experience
Essential
- Experience working with the public/patients
- Understanding of the health and social care system
- Experience using SystmOne
- Data Quality Knowledge
- Understanding of Snomed and Read Code hierarchy
Desirable
- Experience of working in primary healthcare
Person Specification
Skills
Essential
- Excellent communication skills
- Good standard of documentation
- IT skills
- Understanding of confidentiality
- Ability to work flexibly and respond to change.
- Able to work under own initiative.
- Ability to demonstrate initiative and think strategically and creatively to resolve problems
Desirable
- Ability to engage colleagues in change and Quality Improvement
- Evidence of effective facilitation/ training skills to clinical & Non -clinical colleagues
Qualifications
Essential
- GCSE English and Maths grade C or above (or other level 2 equivalent)
- Attended Medical Terminology Training (or equivalent experience
Experience
Essential
- Experience working with the public/patients
- Understanding of the health and social care system
- Experience using SystmOne
- Data Quality Knowledge
- Understanding of Snomed and Read Code hierarchy
Desirable
- Experience of working in primary healthcare
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
Bevan Community Benefit Society
Address
14 Piccadilly
Bradford
West Yorkshire
BD1 3LS
Employer's website
https://wearebevan.co.uk/ (Opens in a new tab)
Employer details
Employer name
Bevan Community Benefit Society
Address
14 Piccadilly
Bradford
West Yorkshire
BD1 3LS
Employer's website
https://wearebevan.co.uk/ (Opens in a new tab)
For questions about the job, contact:
Date posted
29 November 2023
Pay scheme
Other
Salary
£21,410 to £24,560 a year
Contract
Permanent
Working pattern
Full-time
Reference number
B0221-23-0059
Job locations
14 Piccadilly
Bradford
West Yorkshire
BD1 3LS
St. Annes Resource Centre
66 York Street
Leeds
LS9 8AA
Privacy notice
Bevan Community Benefit Society's privacy notice (opens in a new tab)