Clinical Coder

NHS; Melton Mowbray; Hybrid; GBP 26,000 - 38,000; Full time

Job summary

Latham House Medical Practice in Melton Mowbray seeks an experienced Clinical Coder on a 6 month fixed term contract. The role requires experience with SystmOne and involves screening medical letters, entering key data and summarising patient notes.

You will work as part of the Coding Team, ensuring data capture and proper clinician workflow while adhering to the Practice Policy. On-site work expected with flexible duties as needed.

Qualifications

• Experience of working with GP clinical information and systems.

Responsibilities

• Screen incoming medical letters and electronically file and summarise patient notes.
• Ensure all QOF related data is captured.
• Highlight clinician action and workflow to the appropriate clinician or team.
• Carry out administrative tasks as delegated by Clinical Lead and Operations Manager.

Tools

SystmOne

EMIS

Job description

Latham House Medical Practice,one of the UKs largest doctors surgeries, are looking for an experienced ClinicalCoder for a 6 month fixed term contract. Experience of using SystmOne isessential.

It is the responsibility of eachClinical Coder to screen all incoming medical letters, entering key data andselecting and directing appropriate information for GPs attention adhering tothe practice policy. The role will involve electronically filing andsummarising patients medical notes. The roles and responsibilities maychange according to the business requirements.

Main duties of the job

Asa member of the Practices Coding Team, the post-holder will screen allincoming medical letters and electronically file and summarise patientsmedical notes, highlighting clinician action where relevant.

About us

We are conveniently situated within 30 to 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

Mainresponsibilities are:

Clinical

• Reviewingall incoming correspondence, sorting clinical letters, filing documents andentering pertinent information into the patients electronic medical recordin accordance with the Practice Protocol
• Ensuringall QOF related data is captured
• Highlightingclinician action and workflow to appropriate clinician or team as perPractice Protocol
• 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 highstandard and according to set protocols and timescales agreed by thePractice.
• Recognisingown knowledge limits and seek advice from clinical or administrativecolleagues as appropriate.
• Tocarry out 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-holdermay have access to confidential information relating to patients and theircarers, practice staff and other healthcare workers. They may also haveaccess to information relating to the practice as a business organisation.All such information from any source is to be regarded and managed asstrictly confidential. Additionally, the post-holder will be respectful andcourteous to colleagues and patients, for example knocking on doors prior toentry.

Health & Safety

• Inaddition to being a Fire Marshal/Fire Warden, the post-holder will promoteand maintain the health, safety and security of self and others by:
• Usingpersonal security systems within the workplace according to practiceguidelines
• 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,carers and colleagues, by:
• Actingin a way that recognises the importance of peoples rights, interpreting themin a way that is consistent with practice procedures and policies, andcurrent legislation
• 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 registeredstandards of 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 enhancethe teams 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.

Other

• The post-holder will be expected and required toundertake and complete any other duties asdeemed relevant to position and the business needs of the Practice. This job description will besubject to periodic review and amendment in consultation with the postholder.
• Thepost holder must attend and participate in all mandatory practice-ledtraining events, team meetings, and staff briefings as required by thePractice. Attendance forms part of the role and is essential to maintainingknowledge, compliance, and effective teamwork.

Person Specification

Knowledge and Skills

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

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.

Qualifications

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

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.

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.