Clinical coder
Job Description
Job summary
Job Overview
To be responsible for the read coding of relevant information into the patients electronic healthcare records on SystmOne clinical system, adhering to the practice coding policy.
In addition, the post-holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the practice.
Main duties of the job
The following are the core responsibilities of the clinical coder. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
a. Accurately read-coding data on SystmOne into the patient record
b. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions
c. Input and extract data as required to support practice reports
d. File and store records as required
e. Photocopy documentation as required
f. Action all incoming emails and mail in a timely manner
g. Scanning of patient related documentation and attaching scanned documents to patients healthcare records
h. Input data into the patients healthcare records as necessary
k. Maintain a clean, tidy, effective working area at all times
l. Support all clinical staff with general administrative tasks as requested
In addition to the primary responsibilities, the clinical coder may be requested to:
a. Review and update the practice coding policy as required (in conjunction with the Practice Manager)
c. Support reception staff, providing cover during staff absences
d. Book appointments, if action is required within the document
e. Complete opening and closing procedures in accordance with the duty rota
About us
We are a successful and cohesive team of 2 GP partners, 5 salaried GP and 4 prescribing ANPs with 10,500 patients. We also have an experienced pharmacist, pharmacy technician, extended scope physiotherapist, an active social prescriber and a bereavement advisor. All supported by a growing administrative team providing support in alleviating the administrative tasks of general practice.
We are situated East of Plymouth in Plymstock so perfectly situated to explore both Dartmoor and the sea and the area feeds into excellent primary and secondary schools.
Job responsibilities
The following are the core responsibilities of the clinical coder. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
a. Accurately read-coding data on SystmOne into the patient record
b. Identifying relevant clinical information documented in patient correspondence, coding appropriately and completing any detailed actions
d. File and store records as required
e. Photocopy documentation as required
f. Action all incoming emails and mail in a timely manner
g. Scanning of patient related documentation and attaching scanned documents to patients healthcare records
h. Input data into the patients healthcare records as necessary
k. Maintain a clean, tidy, effective working area at all times
l. Support all clinical staff with general administrative tasks as requested
In addition to the primary responsibilities, the clinical coder may be requested to:
a. Review and update the practice coding policy as required (in conjunction with the Practice Manager)
b. Partake in audit as directed by the audit lead
c. Support reception staff, providing cover during staff absences
d. Book appointments
e. Complete opening and closing procedures in accordance with the duty rota
Person Specification
Skills and Abilities
Essential
- Ability to prioritise workloads.
- Good interpersonal skills.
- Ability to meet tight deadlines.
- Ability to make decisions.
- Ability to work under pressure
- Ability to multi-task.
Qualifications
Essential
- Good knowledge of medical terminology
- GCSE grade A to C in English and Maths
- IT literate Word & Excel
Desirable
- Competent in the use of Office and Outlook
- 2 years experience of working in a Primary Care setting.
- Experience of using a clinical IT system.
Experience
Essential
- Knowledge of the NHS and other key agencies providing care
- Excellent communication and interpersonal skills including the ability to provide information in different formats
- Ability to work unsupervised
- Ability to cope in a stressful or emergency situation
- Evidence of collaborative working
- within teams
- Experience of dealing with difficult and/or sensitive situations involving staff or patients.
- Use of Windows-based software, Microsoft Office and internet
- Decision making and problem-solving skills
- Knowledge of health organisations and systems (preferably primary care)
- Knowledge of Confidentiality and Information Security issues
- Decision making and problem solving skills
- Experience of working within a Health or Social Care environment
Desirable
- Excellent interpersonal and communication skills
- Well-developed listening skills
- Ability to work flexibly providing cover to ensure that workload pressures and absences due to annual leave and sickness are dealt with appropriately
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.
Employer details
Employer name
Dean Cross Surgery
Address
21 Radford Park Road
Plymouth
PL9 9DL
