Medical Records Summariser

NHS; Leeds; On-site; GBP 40,000 - 60,000; Part time

Job summary

A healthcare practice in Kippax, Leeds is seeking a part-time Medical Records Summariser for 25 hours a week. The role involves reviewing and summarising medical records, coding data accurately in the clinical IT system, and ensuring the achievement of practice targets. Previous experience in summarising medical records and knowledge of medical terminology are essential. Flexible working hours are offered.

Qualifications

• Knowledge of working with System 1 is essential.
• Previous medical records summarisation experience required.
• Familiarity with medical terminology necessary.

Responsibilities

• Review and summarise patients' medical history.
• Accurate SNOMED CT coding on the clinical IT system.
• Ensure practice targets for summarisation are met.
• Process clinical letters in line with protocols.
• Store and file records securely.
• Action correspondence and documentation promptly.
• Attach scanned documents to patient records.
• Handle incoming calls and respond appropriately.
• Conduct system searches as necessary.
• Maintain an effective work area.
• Support clinical staff with administrative tasks.

Skills

Knowledge of working with System 1

Previous experience of summarising medical records

Medical terminology knowledge

Job description

Overview

Gibson Lane Practice requires a part time medical records summariser for 25 hours per week on a fixed term basis for 3 months. Working hours can be flexible

Main duties of the job

The following are the core responsibilities of the Medical Summariser. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• Reviewing records and accurately producing a summary of the patients medical history
• Accurately SNOMED CT coding data on the clinical IT system
• Reviewing progress of summarising, ensuring practice targets are achieved
• Review all clinical letters ensuring they are processed appropriately in line with extant protocols
• File and store records as required
• Photocopy documentation as required
• Action all incoming correspondence, emails and mail in a timely manner
• Scan patient related documentation and attach scanned documents to patients health care records
• Input data into patients health care records as necessary
• Answer incoming phone calls, transferring calls or dealing with the callers request appropriately
• Conduct system searches as requested
• Maintain a clean, tidy, effective working area at all times
• Support all clinical staff with general administrative tasks as requested

About us

We are friendly GP practice with 10 doctors, 4 nurses and large admin and reception team.

Based in Kippax Leeds. We have 3 sites one of which is a dispensing practice.

Job responsibilities

The following are the core responsibilities of the Medical Summariser. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• Reviewing records and accurately producing a summary of the patients medical history
• Accurately SNOMED CT coding data on the clinical IT system
• Reviewing progress of summarising, ensuring practice targets are achieved
• Review all clinical letters ensuring they are processed appropriately in line with extant protocols
• File and store records as required
• Photocopy documentation as required
• Action all incoming correspondence, emails and mail in a timely manner
• Scan patient related documentation and attach scanned documents to patients health care records
• Input data into patients health care records as necessary
• Answer incoming phone calls, transferring calls or dealing with the callers request appropriately
• Conduct system searches as requested
• Maintain a clean, tidy, effective working area at all times
• Support all clinical staff with general administrative tasks as requested

Person Specification

Experience

• Knowledge of working with System 1
• Previous experience of summarising medical records.
• Medical terminology knowledge.

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.