We have a vacancy for a Coder and Summariser, due to retirement, for 20 hours per week over 4 days.
We are looking for a well-motivated, enthusiastic applicant to join our proactive team.
Main duties of the job
The main duties include:
* Adding information to patients' records from hospital letters, discharge letters or other correspondence received, via EMIS Web
* Actioning all incoming Out Of Hours reports that come in on a daily basis
* Summarising incoming notes or updating historical information within patients records
There will also be other data entry work or data entry checking included in the role.
Job responsibilities
Key areas:
* Work as a member of our coding and summarising
* Inputting coded data into EMIS Web (clinical system) from clinical letters, discharge letters and a variety of other sources
* Maintain clinical coding skills and participate in training programmes as required to work towards a high standard of coding
* Extract, interpret and independently code clinical information from clinical letters and discharge summaries from hospitals and other organisations
* Summarise existing and new patient records to a high standard and in accordance with practice policies and procedures
* Assist practice colleagues with queries relating to medical records
* Run searches and assist in data cleansing when required or instructed, including participating in quality improvement and identifying areas where coding processes may be improved.
* Communicate effectively with patients, carers and other agencies when required through their employment
* Maintain effective communication within the Practice team and attend appropriate scheduled meetings e.g. Practice and coding meetings
* Use appropriate infection control procedures, maintaining work areas in a tidy and safe way
The applicant is expected to follow confidentiality procedures according to practice policies and procedures throughout their employment.
Information that relates to staff, patients, carers or the business may only be divulged to authorised persons in accordance with practice policies or procedures that relate to confidentiality and protection of personal/sensitive data.
Any confidentiality incidents will be reportable and follow the practice disciplinary procedures.
The applicant will be expected to promote and manage their own and others' health, safety and security as per practice procedures.
The applicant will be expected to support the equality, diversity and rights of patients, carers and also colleagues throughout their employment.
The applicant will be expected to complete any training that is appropriate to their role and the development of their role.
The applicant will participate in annual appraisals and take responsibility for their own development, learning and performance.
The applicant will be expected to manage their own workload.
Person Specification
Qualifications
* Experience of using Emis Web alongside Docman Application.
* GCSE Grades in English and maths or equivalent qualification.
* Clinical Readcode training e.g. Snomed or Emis.
* Experience of summarising records.
* Experience of working in a Health Care setting.
* Excellent communication skills (written and oral).
* Ability to prioritise and work to deadlines.
* Effective time management.
* Polite and confident.
* Motivated and pro-active.
* Experience of reviewing medical records and assigning specific codes to diagnoses, procedures, and treatments.
* Experience of working with General Practice.
Experience
* Read-coding clinical documents and summarising
* Managing own workload.
* Previous experience in NHS/Primary Care
* Knowledge of Quality Outcomes Framework and quality improvement processes
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.
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