Job summary
East Lancashire Alliance (ELA) is a not-for-profit community interest company providing services to our GP practice members and offering a portfolio of patient services. All our clinical services are led by clinical leads who work as part of a team with Federation managers.
Main duties of the job
To extract the clinical information from the manual and computerised patients health records and then analyse that information to assign appropriate clinical codes, with adherence to the rules, regulations and protocols of clinical coding using the GPs clinical computer system.
To understand, and maintain, the need for accuracy of clinical coding as this has a direct impact on the revenue generation and funding for the Practice.
To provide cover for absence of coding staff, as required, ensuring continuity of data coding.
To possess sufficient knowledge once trained to work unsupervised on routine coding, taking advice from a supervisor when appropriate.
To effectively communicate with coding team, doctors, nursing staff and others concerning coding issues.
To resolve any coding queries by consulting with line manager, colleagues and by liaising with other medical staff.
To be able to manage own workload to ensure work is accurate and complete to meet targets and communicate any problems to the Line Manager.
To cover any Ad Hoc admin duties as required.
Please see Job Description attached for more information about this role.
About us
We are a network of nine PCNs which consist of 48 GP practices covering a population of over 390,000 patients across East Lancashire. Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when they may be feeling vulnerable. The Alliance are proud to represent our member practices and to champion our Primary Care Partners, by working with local general practice and other system partners in the provision of patient centred local healthcare services.
Each practice has a close-knit team of staff who collectively seek to improve the health of their patient populations.
Job description
Job responsibilities
This Job Description is solely a guide and an example of the kinds of job duties that the post holder is expected to undertake. This job description is not intended to be a complete list of duties and is subject to review as the work of the department develops and resources change.
Key Responsibilities
Toextract the clinical information from the manual and computerised patientshealth records and then analyse that information to assign appropriate clinicalcodes, with adherence to the rules, regulations and protocols of clinicalcoding using the GPs clinical computer system.
Tounderstand, and maintain, the need for accuracy of clinical coding as this hasa direct impact on the revenue generation and funding for the Practice.
Toprovide cover for absence of coding staff, as required, ensuring continuity ofdata coding.
Topossess sufficient knowledge once trained to work unsupervised on routinecoding, taking advice from a supervisor when appropriate.
Toeffectively communicate with coding team, doctors, nursing staff and othersconcerning coding issues.
Toresolve any coding queries by consulting with line manager, colleagues and byliaising with other medical staff.
Tobe able to manage own workload to ensure work is accurate and complete to meettargets and communicate any problems to the Line Manager.
Undertakeother duties as required commensurate with the post.
Towork mainly on own initiative but referring more complex issues to colleaguesor Line manager.
Toalways maintain confidentiality of all coded and other patient data in linewith the Data Protection Policy.
Toattend any meeting that is appropriate as necessary.
Tocomply with ELAs policies and procedures and implementing local policies whenrequired.
Toundertake the necessary training courses to develop a good knowledge ofClinical Coding and surrounding coding issues.
Toundertake all reasonable requests from Line Manager.
Confidentiality & Information Governance
1. Confidentiality is of prime importance. In the normal course of duties, the post holder will have access to confidential documents and information relating to patients, service users, staff, and contractors, as well as information of a commercially sensitive nature.
2. Such information should not be communicated to anyone outside or inside the NHS unless done in the normal course of carrying out the duties of the post. Disciplinary action will be considered where a breach of confidence has been established
3. All information obtained or held during the post-holders period of employment that relates to the business of the ELA and its service users and employees will remain the property of the ELA
4. Information may be subject to disclosure under legislation at the Trusts discretion and in line with national rules on exemption
5. The post holder must maintain high standards of quality in corporate and clinical record keeping ensuring information is always recorded accurately, appropriately and kept up to date.
6. The post holder must only access information, whether paper, electronic or in other media, which is authorised to them as part of their duties
7. The post holder must ensure compliance with the Data Protection Act 2018.
Health & Safety at Work
The post holder is required to take reasonable care of the health and safety of themselves and other persons who may be affected by their acts or omissions at work and to co-operate with the ELA in adhering to statutory and departmental safety regulations
8. The post holder is responsible for ensuring that they do not intentionally or recklessly misuse or interfere with anything provided in the interests of health safety or welfare, misuse of equipment
9. The post holder is required to contribute to the control of risk and must report immediately, using the ELA Incident reporting system, any incident, accident or near miss involving patients, service users, carers, staff, contractors, or members of the public
Quality
The post-holder will strive to maintain quality within the practice, and will:
10. Alert other team members to issues of quality and risk
11. Assess own performance and take accountability for own actions, both directly and under supervision
12. 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
13. Work effectively with individuals in other agencies to meet patients needs
14. Effectively manage own time, workload, and resources
Communication
The post-holder should recognise the importance of effective communication in the team and strive to:
15. Communicate effectively with colleagues, patients, carers, and anyone else associated with the role
16. Recognise peoples needs for alternative methods of communication and respond accordingly
Person Specification
Qualifications
Essential
17. Good general education or equivalent standard
Desirable
18. Medical Terminology qualifications
Experience
Essential
19. Proficient IT skills
20. Ability to accurately analyse and
21. extract relevant information and pay
22. attention to details
23. Ability to absorb complex training and
24. knowledge base
25. Ability to work under pressure
26. Ability to prioritise workload
27. Able to communicate clearly and
28. precisely (oral and written)
29. Able to work in a team
30. Ability to work under own initiative
31. Willing to receive and absorb
32. training
33. Flexible approach to work
Desirable
34. Knowledge of EMIS Web or
35. System One
36. Familiarity with clinical
37. terminology
38. Familiarity with read code hierarchy
39. note summarising
40. scanning/coding