Job Description
Must have experience of clinical coding in General Practice.
Wideopen Medical Centre
Job Title: Scanner / Coder / Administrator
Job Purpose:
To ensure that all incoming and internal patient correspondence is stored on/in the patients’ medical record and relevant information is coded.
To be able to locate documents as needed by the clinical and non-clinical staff
To carry out administrative related tasks as delegated by the doctors and non- clinical staff
Key Working Relationships
The range of individuals and organisations the post holder has contact with, how regularly and for what purpose:
- Doctors, Nurses, HCA - Daily, where relevant to documents scanning
- Prescriptions Team - Daily, where relevant to documents scanning
- Administration Team - Daily, where relevant to documents scanning
Duties / Tasks and Responsibilities
- Act as directed by other team members
- Follow practice protocols to ensure consistent and high-quality care is provided to our patients
- Carry out administrative tasks relating to patient records, including filing, document management, prescriptions and ad-hoc general admin including task from other organisations
- Run clinical reports and breakdown data as directed
- Deduction of registrations
- Reviewing medical records and producing an accurate summary of the patient’s medical history
- Read Coding the information into the practice clinical system
- Auditing data collection standards in the practice
- Monitoring progress of notes summarising against practice targets
- Monitoring patient call and recall systems
- Filing and retrieving paperwork
- Extraction of necessary data from clinical correspondence and input into electronic patient record
- File hospital letters
- Scanning of letters and relevant correspondence into patient’s notes.
- Summarisation of patient’s notes when requested
- To ensure the efficient running of the practice computer system, carrying out searches, audits and recalls as required by the doctors, nurses and manager.
- Troubleshoot clinical database
- Load updates where appropriate
- Report faults to software supplier and track progress
- Pro-actively initiate data quality improvement projects
- Set up and run clinical searches
- Ensure accurate report output
- Interrogate data for audit purposes
- Maintain the appointments system
- Book patient appointment reviews
- Opening and closing premises
- Cold chain
- Support the workload undertaken by admin / call handers as required (see JD)
Call Handler &
Administrator.pdf
Scanning duties:
- Sort and direct all incoming patient-related mail
- Scan patient-related documents onto their medical record
- Add any additional information about the source of the document
- Forward the document to the doctor or nurse who initiated the referral or who is most appropriate to receive the information
- Ensure incoming letters are scanned onto the patient record within a 48/72-hour timescale
- Scan all internal paper documents on to the relevant patients’ record and then store the documents in line with surgery procedures
- Set up clinic templates
- User management
- Support and guide members of staff in the use of the computer system
- Ensure security of data at all times
Coding:
- Identify / highlight relevant clinical information contained in patient correspondence
- Code or free text (where appropriate) the clinical information on to the patient record
- Deal with queries relating to coding
- Forward actions to appropriate teams e.g., Pharmicus, secretary, safeguarding etc… this list is not exhaustive
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
- The post-holder must maintain the confidentiality of information about patients’ staff and practice business in accordance with the Data Protection Act 1998 and Caldicott principles.
- Employees must be aware of the responsibilities placed upon them under the Health and Safety at Work Act (1974), to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees and visitors.
- All members of staff have a responsibility to report all clinical and non-clinical accidents, incidents or near-misses promptly and when requested to co-operate with any investigations undertaken.
- All members of staff have a responsibility to demonstrate due regard for safeguarding and promoting the welfare of children.
- The practice has adopted an equal opportunities policy and all employees must be aware of their obligations to abide by the spirit and nature of the policy to avoid direct and indirect discrimination.
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
- Demonstrate due regard for safeguarding and promoting the welfare of children.
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
- Attend mandatory training as identified by the practice
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 patients needs
- Effectively manage own time, workload and resources
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:
- Communicate effectively with other team members
- Communicate effectively with patients and carers
- Recognise 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
Job Type: Full-time
Salary: £15,000.00-£21,500.00 per year
Schedule:
Ability to commute/relocate:
- Newcastle Upon Tyne: reliably commute or plan to relocate before starting work (required)
Experience:
- coding: 1 year (required)
Work Location: In person
Application deadline: 29/04/2023
Reference ID: WMC001