Clinical Coder role at Hampton Medical Centre, a teaching practice of around 13,000 patients, supporting GPs and the wider practice team. The work centres on reviewing hospital letters, discharge summaries and diagnostic reports, then recording them in SNOMED CT on the clinical system. The postholder records only what the documents support and cannot diagnose, interpret results or make treatment decisions. Familiarity with EMIS Web or SystmOne helps, though learning the system is expected.
What the job involves
- Review clinical correspondence, including hospital letters, discharge summaries, diagnostic reports and referrals
- Accurately code clinical information using SNOMED CT and update patient records in line with practice protocols
- Ensure records are accurate, complete and confidential, identifying duplicate or incorrect entries
- Identify missing or unclear information and refer queries to the appropriate clinician
- Support data validation, audits, disease registers and correction of coding discrepancies
- Process clinical documents and coding worklists within agreed timescales
- Prioritise urgent or clinically significant information and prioritize concerns promptly
- Ensure documents are correctly coded, filed and workflowed, directing items to the right team
What’s required
Experience
- Experience in clinical coding, medical records, healthcare administration or a related role
Skills & knowledge
- Good understanding of clinical terminology and medical abbreviations
- Knowledge of SNOMED CT coding, or ability to build it through training
- Strong attention to detail and a high level of accuracy
- Good IT skills and ability to learn clinical systems such as EMIS Web or SystmOne
- Ability to interpret clinical correspondence and identify information for coding
- Working independently while recognising when to seek clinical advice
Other
- Understanding of patient confidentiality, data protection and information governance
- Clear communication and effective working within a multidisciplinary team
- Good organisation and managing workloads to meet deadlines
Nice to have
- Previous experience in a UK GP practice or NHS primary care setting
- Relevant clinical coding training or a recognised clinical coding qualification
- Experience using EMIS Web, SystmOne or another GP clinical system
- Knowledge of QOF, GP contract requirements, disease registers and primary care data quality
- Experience supporting clinical audits, searches, reporting and data validation
- Understanding of NHS primary care workflows and clinical correspondence management