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Invicta Health has an exciting opportunity for a Clinical coder and summariser to join the team on a part time basis,30 hours per week. We reserve the right to close this vacancy early if we receive sufficient applications for the role. As a Clinical Coder and Summariser, you will support the practice in becoming a paper-light environment by summarising and read coding relevant information from patients clinical records onto the practice computer system in adherence to the Practice Summarising Protocol. You will extract information from patients notes and enter it onto their digital record, displaying and significant medical problems prominently.
Job Responsibility
Summarise and code patient records onto their digital records using read code/SNOWMED codes to a high standard and according to set protocols and timescales agreed by the practice
Review medical records and extract information to produce an accurate summary of the patients medical history
Use DOCMAN to enter QOF data, ensuring correct SNOMED clinical codes are used
Checking and integrating medical records received electronically
Examining records and documentation for missing information, using medical knowledge to correct mistakes found in existing patient records, including degraded codes
Identify and highlight any read coding problems to the GP and/or Practice Manager
Adhere to the Summarising Protocol and keep update with any changes
Safeguarding
Attend clinical meetings where required, communication any safeguarding updates and review of safeguarding registers
Manage and maintain safeguarding record
Communicating with other practices and healthcare professionals regarding patient documents
Collaborating with clinical colleagues and other healthcare professionals to ensure information accuracy
Ensuring that the practice complies with clinical coding guidelines including alerting other users of new guidelines or changes to coding protocols
Process E-Letters as required on DOCMAN
Undertake filing and retrieving of paperwork ensuring up-to-date maintenance
Analyse patient records, extracting and accurately recording all relevant clinical information
Accurately code information, following coding protocol and using industry recognised codes
Examine records and documentation for missing information and ensure correct coding
Collaborate with clinical colleagues and other healthcare professionals to ensure information accuracy
Use DOCMAN to enter QOF data, ensuring correct SNOMED clinical codes are used
Carry out administrative tasks relating to patient records, including filing, and document management
To work collaboratively and professionally with colleagues across Invicta Health, building and maintaining relationships
To contribute to the development of services, including processes, templates and principles
To take part in any statutory and mandatory training or other training and development programmes as requested
Requirements
Understand the importance of maintaining patient and data confidentiality
Able to use judgement and experience in helping to determine the relevant urgency of requests for information received from patients and other external organisations
Experience of setting up and maintaining effective administrative filing systems
Experience of work involving regular and accurate data inputting
Able to communicate effectively and collaboratively across varied disciplines
Able to work in a well-organised and professional manner, maintaining concentration and accuracy
Able to manage conflicting priorities
Possess an aptitude for dealing with potentially difficult or demanding situations
Good telephone manner
Willingness to learn and adapt to change
Highly customer focused
Understanding and approachable
Strives for excellence
Honest and fair
Leads by example
Positive can do attitude
Good level of education including competent levels of numeracy and literacy
Nice to have
Knowledge of office management systems and procedures
Experience of working with Microsoft packages including, word, excel and power point
Experience of working with EMIS and DOCMAN
Previous administration experience within a medical environment
Knowledge and understanding of the National Health Service