Responsibilities and day to day duties of the role:
* Assess patient records and notes content
* Identify and apply medical terminology terms into code
* Allocate diagnosis and procedural codes to patients records
* Extract information from all types of clinical documentation and assess relevant health record content
* Input clinical codes onto Patient Administration Systems
* Work under pressure to local financial deadlines
* Communicate with a wide range of stakeholders to gather and share information
* Undertake background research as necessary
* Identify data quality issues and take appropriate action
Main duties of the job
Analysing patient records and extracting and accurately recording all relevant clinical information to produce an accurate summary of the patients medical history.
Checking and integrating medical records received electronically.
Examining records and documentation for missing information.
Assigning industry recognised codes.
Ensuring that all QOF related data is captured.
Maintain and improve a knowledge of anatomy, physiology and medical terminology.
Use medical knowledge to correct mistakes found in existing patient records.
Collaborating with clinical colleagues and other healthcare professionals to ensure information accuracy.
Ensuring that the practice complies with clinical coding guidelines.
Ensuring that all clinical codes are current.
Following practice protocols to ensure consistent and high-quality care is provided to our patients.
About us
Cotswold Medical Practice comprises of two surgeries, one at Moore Health Centre in Bourton in the Water and the other at Westwoods surgery in Northleach.
Job responsibilities
The main responsibilities of the post holder will be to triage all incoming documents (paper and electronic). You will be required to code any relevant information from clinical documents into our clinical system, which is Emis. You will work in accordance with practice protocols and will need to have high levels of accuracy and attention to detail.
Person Specification
Qualifications
* Strong communication skills and ability to interact with a variety of people.
* Patient-focused, with empathy and compassion when handling queries.
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