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Job description

JOB DESCRIPTION

JOB TITLE: Clinical Coder

BASED Ash Trees Surgery but covering the work of all sites

REPORTS TO: Clinical Coding Manager – Catherine Lawrence

JOB SUMMARY: In this role you will be working as part of a team of dedicated, clinical coders who convert clinical information from patients’ medical records to classification codes. To work accurately and methodically, in a timely manner whilst paying attention to detail and demonstrating a good knowledge of medical terminology. Displaying excellent IT and organisational skills, is essential to this role as is the ability to remain professional under pressure and have the ability to be able to remain calm when faced with the more challenging parts of this role. Working effectively within the team, using your own initiative, whilst supporting and helping the wider practice teams is pivotal.

KEY DUTIES AND RESPONSIBILITIES

• Analysing patient records and recording all the relevant information on Emis Web Healthcare System.
• Opening post, both internal and external, and scanning all documents onto our document management system.
• Ensuring that all clinical codes are appropriate in relation to letter detail and QOF (Quality and Outcomes Framework).
• Collaborating with physicians to ensure information accuracy.
• Summarising newly registered patients’ records. Ensuring all clinical information is documented correctly.
• Dealing with electronic transfers of patient notes from other practices and rectification and re-coding of data.
• Ensuring all emails are read and actioned as appropriate.
• Use the clinical system to task and resolve coding queries and take appropriate instruction from clinicians.
• Following up and requesting of outstanding clinic letters, results.
• To be accessible for and provide support to other teams within the practice as required.

Person Specification details are attached below:

Personal Attributes

• Competent with word, outlook & excel, Emis Web and Docman (desired but not essential).
• Attention to detail a methodical approach and accuracy is of key importance.
• Desire to learn and develop, willingness to attend training and online workshops.
• Have excellent communication skills both written and verbal, with good spelling and use of grammar, typing skills must be of a good standard.
• Have the ability to work under pressure and prioritise workload, calmly and confidently.
• Demonstrate an excellent knowledge of medical terminology.
• Be flexible and a team player supporting colleagues as required.
• To be respectful and supportive of colleagues and those in the wider practice
• Demonstrate the ability to work on your own initiative.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include:

• Using personal security systems within the workplace according to practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills.
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
• Actively reporting of health and safety hazards and infection hazards immediately when recognised.
• Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder’s role .
• Undertaking periodic infection control training (minimum annually).
• Reporting potential risks identified.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
• Work effectively with individuals in other agencies to meet patient’s needs.
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognize people’s needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services:

The post-holder will:

• Apply practice policies, standards and guidance.
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Participate in audit where appropriate.

This job description provides a broad outline of the main responsibilities of the post. The post holder will be required to undertake any other tasks and responsibilities commensurate with the position.

Job Type: Full-time

Salary: £20,103.00-£21,415.00 per year

Benefits:

• Company pension

Schedule:

• Day shift
• Monday to Friday
• No weekends

Ability to commute/relocate:

• Carnforth, LA5 9JU: reliably commute or plan to relocate before starting work (required)

Work Location: In person

Application deadline: 12/05/2023