Job summary
Our busy and friendly Coding team requires an enthusiastic and keen person able to work efficiently under pressure, keen on learning and able use their own initiative, and have good lateral thinking. Support is provided by the Management and coding team.
Main duties of the job
The Lodge Health Partnership maintains excellent electronic medical records and the main responsibility of this post within the Coding/Summarising Team is to ensure that both new and existing patient records are up-to-date and accurately coded and recorded on within EMIS Web, the Practice clinical system. This will be carried out in accordance with the Practice Summarising Protocol. In addition, this post is required support patient recall systems, service campaigns and any other duties that may be deemed appropriate by management.
About us
The Lodge Health Partnership is a 3 site practice with 1 surgery based in Redbourn and 2 in the St Albans area. We have over 20,000 patients.
Job description
Job responsibilities
Main Duties/Key Tasks
Receive patient information and communication via various methods to include post, emails, electronic document management and any others as appropriate.
Scan, input and accurately code daily communications to record appropriate medical information in patient records.
Prioritise and distribute, via electronic document management, appropriate patient information and correspondence.
Ensure S17/S47 safeguarding forms are completed filed and sent to specific team in the appropriate timeframe.
Ensure safeguarding issues are raised with the Practice Safeguarding Lead or Practice Manager.
Ensure any other important correspondence is prioritised and distributed to the appropriate people in accordance with training and guidance.
Produce and maintain an accurate coded medical summary.
Ensure that all essential history held in paper records is recorded in the electronic records.
Accurately code and prioritise information to aid:
* Patient consultations, referrals and prescribing.
* Practice audit and targets.
* Patient recall systems for screening, immunisations, chronic disease management or any other relevant purpose.
File and retrieve information as required.
Ensuring that all QOF related data is captured
Examining records and documentation for missing information
To be able to manage own workload to ensure work is accurate and complete.
To resolve any coding queries by consulting with line manager, colleagues and medical staff.
As the business requires, undertake system searches to improve data quality and coding accuracy for disease registers.
Utilising a range of computer software may be required to deliver the requirements of the post including emis, Open Exeter and more. Training will be given.
Any other duties requirement by management.
Person Specification
Qualifications
Essential
1. Good sound secondary education.
2. Medical experience.
3. Medical information or medical secretarial experience.
4. Good English language and writing ability.
5. Computer-literate with keyboard skills.
6. Basic understanding and ability to recognise significant medical history and problems.
7. Efficient, organised and methodical.
8. Supportive team worker.
9. Able to work by self and use own initiative.
10. Discreet and confidential.
11. Attention to detail.
12. Able to work under pressure and meet deadlines.
13. Keen learner and able to support others.
14. Professional and friendly person.
Desirable
15. Medical qualification.
16. Medical coding qualification.
17. IT qualification.
18. Worked in General Practice or NHS Trust information team.
19. Computerised record-keeping.
20. GP information searches, audit and/or supporting patient service recall systems.
21. emisWeb or other GP clinical system.
22. Read and/or Snomed coding.
23. Open Exeter IT system.