Clinical Coder

NHS; Melton Mowbray; On-site; GBP 25,000 - 35,000; Full time

Job summary

A prominent healthcare provider in Melton Mowbray is seeking a committed Clinical Coder. The successful candidate will manage incoming medical records, ensuring accurate filing and summarization of patient notes. A strong educational background and experience with GP clinical systems are essential. This role offers a chance to contribute significantly to patient care in a semi-rural setting.

Qualifications

• Good standard of education with 5 GCSEs or equivalent.
• Experience working with GP clinical information and systems.
• Broad knowledge of anatomy and medical terminology.

Responsibilities

• Screen incoming medical letters and summarize patient notes.
• File documents and enter data into electronic records.
• Ensure medical records are organized and accurate.

Skills

Effective communication

Analytical skills

Attention to detail

Time management

Problem-solving

Education

5 GCSEs or equivalent

Tools

EMIS

SystmOne

Microsoft Office Suite

Job description

Latham House Medical Practice,one of the UKs largest doctors surgeries, are looking for a committed, innovative,and enthusiastic Clinical Coder to join our semi-rural Practice based in the towncentre of Melton Mowbray.

Main duties of the job

The successful candidate shouldbe self-motivated, highly organised and methodical. As a member of thePractices Coding Team, the post-holder will screen all incoming medicalletters and electronically file and summarise patients medical notes,highlighting clinician action where relevant.

About us

We are conveniently situated within 30-50 minutes ofNottingham, Leicester and Peterborough; Melton Mowbray is a large market townin the fortunate position of being surrounded by picturesque villages,beautiful countryside, and local activities.

Job responsibilities

It is the responsibility of each Clinical Coder toscreen all incoming medical letters, entering key data and selecting anddirecting appropriate information for GPs attention adhering to the practicepolicy. The role will involve electronically filing and summarising patientsmedical notes. The roles and responsibilities, along with the potential for remote working, may change according to the businessrequirements.

Clinical

Reviewingall incoming correspondence, sorting clinical letters, filing documents andentering pertinent information into the patients electronic medical record inaccordance with the Practice Protocol

Ensuringall QOF related data is captured

Highlightingclinician action and workflow to appropriate clinician or team as per PracticeProtocol

Tocorrect errors in filing and ensure corresponding records are amendedaccurately

Ensuringmedical records are kept organised and up to date

Summarising new patient records to a high standardand according to set protocols and timescales agreed by the Practice.

Recognisingown knowledge limits and seek advice from clinical or administrative colleaguesas appropriate.

To carryout administrative related tasks as delegated by the Clinical Lead and OperationsManager

Toundertake any other reasonable tasks as allocated by the line manager and/orPartners. This job description reflects the immediate requirements andobjectives of the post and is not exhaustive

Policy& Procedures

Thepost-holder will acquire and maintain an acceptable level of knowledge andunderstanding of the Practices protocols, policies and procedures

Havingacquired the required level of knowledge and understanding of the Practicesprotocols, policies and procedures; the post-holder is required to support,promote and adhere to all of the Practices policies

Confidentiality

In theperformance of the duties outlined in this Job Description, the post-holder mayhave access to confidential information relating to patients and their carers,practice staff and other healthcare workers. They may also have access toinformation relating to the practice as a business organisation. All suchinformation from any source is to be regarded and managed as strictlyconfidential. Additionally, the post-holder will be respectful and courteous tocolleagues and patients, for example knocking on doors prior to entry.

Health & Safety

Inaddition to being a Fire Marshal/Fire Warden, the post-holder will promote andmaintain the health, safety and security of self and others by:

Usingpersonal security systems within the workplace according to practice guidelines

Identifyingand report risks and potential risks involved in work activities and managesuch risks in accordance with agreed procedures

Maintaining a level of knowledge, understanding and skillsto meet the Practices expectations

Adheringto the Practices fire safety and infection control policies and procedures

Maintainingwork areas, so that work areas are tidy, safe and free from hazards andinfection

Equality & Diversity

Thepost-holder will support the equality, diversity and rights of patients, carersand colleagues, by:

Acting ina way that recognises the importance of peoples rights, interpreting them in away that is consistent with practice procedures and policies, and currentlegislation

Respectingthe privacy, dignity, needs and beliefs of patients, carers and colleagues

Behavingin a manner which is welcoming, is non-judgmental and respects thecircumstances, feelings priorities and rights of others

Quality

Thepost-holder is required to adhere to agreed, required and registered standardsof quality within the Practice, and will:

Alertother team members to issues of quality and risk

Assesstheir own performance and take accountability for their own actions, eitherdirectly or under supervision

Contributeto the effectiveness of the Practice by reflecting on their own and theirteams activities/performance and making suggestions to improve and enhance theteams and Practices performance

Workeffectively with individuals in other agencies to meet patients needs

Effectivelymanage their time, workloads and resources to meet the standards expected bythe Line Manager and Practice.

Communication

Thepost-holder should recognise the importance of effective communication withinthe team and will strive to:

Communicateeffectively with patients and carers, team members, clinical and non-clinicalstaff, partners and representatives ofexternal organisations;

Recogniseand accommodate peoples needs for alternative methods of communication.

Person Specification

Qualifications

• Good standard of education with 5 GCSEs or equivalent or experience in a similar post

Skills

• Able to establish, maintain and develop effective communications across the Practice and with external organisations.
• Excellent oral and written communication skills; able to engage effectively with a wide range of audiences.
• Ability to analyse and interpret information.
• Methodically and accurate approach to work with attention to detail.
• Excellent time management skills, capable of prioritising and managing competing demands and workloads.
• Able to work under pressure
• Good problem-solving skills.

Experience

• Experience of working with GP clinical information and systems such as EMIS, SystmOne, or hospital coding environment.
• Recent and relevant experience of primary care
• Evidence of capacity to work in an office autonomously and as part of a team.

Knowledge

• Possess a broad knowledge of anatomy and physiology, and medical terminology.
• Good, knowledge of IT programs such as Microsoft Office, Excel, Word, Powerpoint, Outlook and databases.
• A good knowledge of working with GP clinical systems such as EMIS/SystmOne, Docman.
• Understanding of the NHS/Primary Care Services
• Knowledge of confidentiality in the workplace/information governance.

Additional requirements

• Commitment to continuing professional development of self and others.
• A flexible and adaptable approach to maintain the consistent delivery of high-quality services
• Satisfactory completion of an enhanced check through the Vetting and Barring Service (this will be taken up if offered the post).
• Legal right to work in the UK
• Hep B/MMR - vaccinated or willing to be vaccinated.
• A commitment to anti-discriminatory practices in employment, training and service delivery.
• An understanding of Health and Safety responsibilities.
• Flexibility in working hours.

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.