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Job description

Looking for something different from traditional general practice?

Would you like to become a member of our Primary Care Services coder summariser team providing innovative care to our patient population as part of an outstanding CQC organisation?

We are looking to appoint a highly motivated and committed Coder/Summariser to join our team at Moorcroft Medical Centre and Moss Green Surgery.

This is an essential role in the delivery of quality and innovative primary care services to our patients. We are a friendly and well organised team with a forward-thinking approach.

Moorcroft Medical Centre is the leading practice for North Staffordshire Combined Healthcare NHS Trust's integrated Primary Care Services and operates from two sites within Stoke-on-Trent. We are a high achieving, patient centred practice and have implemented an exciting new care model to improve patient experience.

This is a part time appointment of 20 hours per week over 3 days.

To gather and process clinical information within the Primary Care Directorate into a coded and retrievable electronic format. To retrieve and analyse clinical information and present this data in established formats. This role is to support the Administration and Clerical function across Primary Care.

Being part of the Team at Combined is fantastic in itself. But apart from the teamwork, the fulfilment, the support and the enjoyment you’ll gain, there are also some specific benefits which we think make it a great idea to join Combined Healthcare.

Not only would you be joining an Outstanding Trust that offers excellent training, development and support, we commit to our employee's well-being through work life balance, on-going development, support and reward.

CLINICAL CODING OF MEDICAL INFORMATION:

• Supporting administrative staff as required with the preparation and processing of daily post which includes dating, highlighting actions required, coding of significant clinical events and information, appropriate channelling of specific requests or instructions received via written application.
• Maintaining an accurate Patient Electronic Record (EPR), including the conversion of expired conditions logged as a current problem into past history.

CODING OF THE ELECTRONIC PATIENT RECORD (EPR):

• Responsible for the accurate, chronological and timely coding of clinical information contained within the patient paper records on to the EPR, both for existing and new patients.
• Responsible for the management of and achievement, where possible, of agreed standards and targets contained within national and local requirements.
• Management of personal daily workloads to include Docman, new patient questionnaires, diabetic retinopathy and neuropathy screening, mammography, pharmacy medication checks and general coding enquiries.

PREPARATION AND PRESENTATION OF PATIENT INFORMATION IN REPORT FORM:

• Responsible for the accurate retrieval of patient information and its presentation to clinicians in a suitable format in response to requests for personal medical attendance reports and such like.

CHRONIC DISEASE MONITORING:

• Contributing towards QOF and QIF targets via accurate and appropriate clinical coding. This will include accepting responsibility for specific projects as agreed with the practice manager, and identifying patients who require validation of their existing chronic disease management diagnosis using search processes available.
• Acting upon major alert messages for patients regarding recall, coding, monitoring issues.
• Entering future diary dates onto the EPR for recall of chronic disease and patient management recall systems to ensure adequate recall is in place for both new and existing patients.

AUDITS:

• To collaborate with the clinical and administrative staff in the setting up and running of any clinical audits and associated searches and software packages as required.
• To lead on such projects where agreed, and to implement agreed action plans devised as a result of such clinical audit in collaboration with the practice manager.
• Responsible for review of any clinical audit for which the post holder has taken the lead, in order to complete the audit cycle.
• Responsible for presenting recommendations which have been identified as part of the audit cycle.

MAINTENANCE OF SAFEGUARDING CHILDREN AND VULNERABLE ADULTS REGISTER.

QUALITY CONTROL OF SCANNING AND CLINICAL CODING SYSTEMS:

• To monitor the scanning system within the practice in order to maintain accuracy and identify scanning errors.
• To initiate a correction procedure as necessary.
• To identify procedures and/or system faults and bring these to the attention of the practice manager. To work in collaboration with the management team to rectify such faults and produce a recovery plan.
• To act as advisor for administrative staff regarding the scanning of third party references on to the EPR.
• To act as advisor for administrative staff regarding the scanning and coding of clinical information onto the EPR.

IT TRAINING OF PCS STAFF

• To offer clinical IT training for new PCS staff as part of their induction and to offer continuing support and guidance as necessary.
• To familiarise all staff with EMIS where appropriate and to ensure that coding, use of templates and data entry is appropriate and standardised where ever possible.

SUPERVISION AND TRAINING OF ADDITIONAL CODERS/SUMMARISERS:

• To train and supervise staff required to support the coding and summarising requirements of the practice, up to the agreed standards.
• To monitor their performance and act as a resource when necessary.
• To familiarise all staff with EMIS where appropriate and to ensure that coding, use of templates and data entry is appropriate and standardised where ever possible.

CLINICAL CODING LIAISON WITH PRACTICE TEAM MEMBERS:

• To act as a guide and act as an interface with both clinical and administrative staff for clinical coding queries and the identification and facilitating of audit action points within the team.