Job summary An excellent opportunity has arisen to join our friendly, existing Clinical Coding team, at our busy, forward thinking GP Practice. The successful candidate will be responsible for summarising and coding medical information onto patients electronic healthcare records using the NHS system, SystmOne. Main duties of the job The duties and responsibilities to be undertaken by members of the clinical coding may be varied from time to time under the direction of the Management team. This will include: Scanning of any clinical letters received from all external organisations and filing all electronically received mail into patient records and to be coded in accordance with practice policy. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions. Input and extract data as required to support practice reports. File and store records as required. Input data into the patients healthcare records as necessary. Carry out system searches as requested and conduct audits and coding reviews to ensure all documentation is accurate and precise. To attend regular coder meetings for updates and sharing of information. Maintain a clean, tidy, effective working area at all times. Support all clinical staff with general administrative tasks as requested. To adhere to the practices clinical coding and summarising policy. About us Mowbray Group surgeries comprise of Mowbray House Surgery in Northallerton and a branch surgery in Hutton Rudby. Our dedicated doctors are supported by a full support team of health and administrative professionals including practice, district and specialist nurses, health care assistants, dispensers, and a physiotherapist. Our aim is to to provide high quality primary care services to the registered patients at the practice. These services will be provided in a safe and secure environment with the patients well-being our top priority. We will endeavour to ensure all team membersare appropriately trained, well-motivated and appraised on an annual basis. As a training organisation for Registrars and F2 doctors, the practice will endeavour to promote clinical excellence and a proper educational experience for these future GPs and doctors in other specialities. We are an accredited Veteran Friendly Practice.This means we have dedicated clinicians who have specialist knowledge and experience of service related health conditions. Date posted 09 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time, Job share, Flexible working Reference number A3150-25-0000 Job locations Mowbray House Surgery Malpas Road Northallerton North Yorkshire DL7 8FW Job description Job responsibilities Mowbray House Surgery Job Description Job Title - Clinical Coder Responsible to - Office Team Leader Hours - Up to full time Job Summary The purpose of the role is to Be responsible for the clinical coding of relevant information into the patient's electronic healthcare record using SystmOne Support our multidisciplinary team, providing administrative support as required, in line with the needs of the practice. Summarise medical records. Duties and Responsibilities The duties and responsibilities to be undertaken by members of the clinical coding team may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Management team Scanning of any clinical letters received from all external organisations and filing all electronically received mail into patient records and to be coded in accordance with practice policy. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions. Input and extract data as required to support practice reports. File and store records as required. Input data into the patients healthcare records as necessary. Carry out system searches as requested and conduct audits and coding reviews to ensure all documentation is accurate and precise. To attend regular coder meetings for updates and sharing of information. Maintain a clean, tidy, effective working area at all times. Support all clinical staff with general administrative tasks as requested. To adhere to the practices clinical coding and summarising policy. 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 & 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, to 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. 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 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. 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 teams 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 peoples 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. Review annually and implement risk assessments This job description is intended as a guide to the main duties and responsibilities for the post and should not be considered an exhaustive list. Job description Job responsibilities Mowbray House Surgery Job Description Job Title - Clinical Coder Responsible to - Office Team Leader Hours - Up to full time Job Summary The purpose of the role is to Be responsible for the clinical coding of relevant information into the patient's electronic healthcare record using SystmOne Support our multidisciplinary team, providing administrative support as required, in line with the needs of the practice. Summarise medical records. Duties and Responsibilities The duties and responsibilities to be undertaken by members of the clinical coding team may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Management team Scanning of any clinical letters received from all external organisations and filing all electronically received mail into patient records and to be coded in accordance with practice policy. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions. Input and extract data as required to support practice reports. File and store records as required. Input data into the patients healthcare records as necessary. Carry out system searches as requested and conduct audits and coding reviews to ensure all documentation is accurate and precise. To attend regular coder meetings for updates and sharing of information. Maintain a clean, tidy, effective working area at all times. Support all clinical staff with general administrative tasks as requested. To adhere to the practices clinical coding and summarising policy. 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 & 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, to 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. 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 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. 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 teams 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 peoples 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. Review annually and implement risk assessments This job description is intended as a guide to the main duties and responsibilities for the post and should not be considered an exhaustive list. Person Specification Experience Essential Essential criteria Excellent communication skills, written and oral. Excellent IT skills. An understanding, acceptance and adherence to the need for strict confidentiality Time management and the ability to work to effectively multitask. Ability to use own initiative and problem solve. Hard working, adaptable, reliable and resourceful. Willing to work flexible hours as necessary across both surgery sites. Educated to GCSE level or equivalent. Own transport Ability to work as a team member as well as autonomously Be entitled to live and work within the UK as we are unable to sponsor. Satisfactory DBS Check. Satisfactory references (at least 2) Desirable Desirable criteria Experience of working in a healthcare or Social care setting (desirable) Experience of working in General Practice (desirable) Experience of clinical systems such as SystmOne Full, clean driving licence Person Specification Experience Essential Essential criteria Excellent communication skills, written and oral. Excellent IT skills. An understanding, acceptance and adherence to the need for strict confidentiality Time management and the ability to work to effectively multitask. Ability to use own initiative and problem solve. Hard working, adaptable, reliable and resourceful. Willing to work flexible hours as necessary across both surgery sites. Educated to GCSE level or equivalent. Own transport Ability to work as a team member as well as autonomously Be entitled to live and work within the UK as we are unable to sponsor. Satisfactory DBS Check. Satisfactory references (at least 2) Desirable Desirable criteria Experience of working in a healthcare or Social care setting (desirable) Experience of working in General Practice (desirable) Experience of clinical systems such as SystmOne Full, clean driving licence 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 Mowbray House Surgery Address Mowbray House Surgery Malpas Road Northallerton North Yorkshire DL7 8FW Employer's website http://mowbraygroupsurgeries.co.uk/ (Opens in a new tab)