Clinical Coder and Administrative Support

• To undertake clinical coding and associated patient record management to support the delivery of high-quality patient care.
• To provide medical secretarial and administrative support to the clinical team.
• To ensure work is completed accurately, efficiently and within required timescales.
• To work collaboratively with colleagues across the Practice and contribute to a positive team environment.
• To maintain confidentiality and comply with Practice policies, procedures and information governance requirements.
• To manage and prioritise workload effectively, using initiative and demonstrating a flexible approach.
• To contribute to the ongoing development and improvement of Practice processes and services.
• To undertake training and professional development relevant to the role.

• Summarise and code patient records into the Practice computer system to a high standard.
• Read and process incoming correspondence, accurately coding relevant diagnoses, procedures and other clinical information within patient records.
• Review clinical correspondence and determine whether information or follow-up actions need to be brought to the attention of a GP or other appropriate member of the clinical team.
• Analyse patient records and extract and accurately record relevant clinical information to produce an accurate summary of the patient's medical history.
• Scan patient-related documents and attach them to the appropriate patient healthcare record, using codes as agreed by the clinical team.
• Ensure incoming clinical correspondence is processed and scanned within the Practice's required timescales.
• Assign appropriate, industry-recognised clinical codes.
• Ensure all relevant QOF-related data is accurately captured.
• Maintain and develop knowledge of anatomy, physiology and medical terminology relevant to the role.

• Type letters, reports and associated documentation as required.
• Process referrals efficiently and accurately, including referrals through the Electronic Referral Service.
• Liaise with hospitals, secondary care, community services and other external agencies regarding patient referrals and associated queries.
• Process incoming correspondence and emails in a timely manner.
• Process requests for information, including Subject Access Requests (SARs), insurance and solicitor's letters and DVLA forms, in accordance with Practice procedures.
• Support clinical staff with general administrative and secretarial duties as required.
• Produce meeting agendas and accurately record meeting minutes where required.

• Work effectively as part of a multidisciplinary team.
• Support colleagues and contribute positively to the wider Practice team.
• Prioritise workload and use effective time-management strategies.
• Provide administrative and reception support during periods of staff absence or increased workload.
• Undertake other reasonable duties as required to maintain effective service delivery.

• The post holder will have access to confidential and sensitive information relating to patients, carers and Practice staff and must maintain strict confidentiality at all times.
• Respect patients' rights to privacy and confidentiality.
• Adhere to all Practice policies and procedures relating to the protection of personal and sensitive information.
• Ensure confidential information is only disclosed to authorised persons and in accordance with Practice procedures and relevant legislation.
• Ensure patient records and correspondence are handled securely and appropriately.

• Identifying risks associated with work activities and undertaking work in a manner that manages those risks.
• Reporting potential risks, incidents or concerns to the appropriate manager or Practice Partner.
• Taking appropriate action to minimise risks within the scope of the role.

• Acting in accordance with Practice procedures, policies and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Maintaining a welcoming, non-judgemental and respectful approach.
• Recognising and responding appropriately to individual circumstances, needs, feelings and priorities.
• Ensuring statutory requirements relating to equality and diversity are met.

• Alerting colleagues and managers to issues relating to quality, accuracy or risk.
• Taking responsibility for the accuracy and quality of their own work.
• Managing time, workload and resources effectively.
• Contributing to audits and quality improvement activities as required.
• Reflecting on individual and team processes and suggesting ways in which performance and patient services could be improved.
• Supporting the Practice in maintaining accurate clinical records and achieving relevant quality requirements, including QOF-related data capture.

• Participate in training programmes implemented by the Practice.
• Participate in an annual individual performance review.
• Take responsibility for their own learning, development and performance.
• Maintain knowledge and skills appropriate to clinical coding, medical terminology, referrals, Practice systems and administrative processes.
• Share knowledge and skills with colleagues where appropriate.
• Undertake additional training where required to support the needs of the role.

• Ability to work effectively as part of a multidisciplinary team.
• Excellent organisational and time-management skills.
• Ability to work independently and use initiative.
• Ability to prioritise workload effectively and work to tight deadlines.
• Excellent attention to detail and accuracy.
• Effective written and verbal communication skills.
• Ability to communicate professionally with patients, colleagues and external healthcare organisations.
• Good knowledge and understanding of Microsoft Office, including Word and Excel.
• Ability to work effectively under pressure while maintaining accuracy.
• Good understanding of confidentiality and the importance of protecting patient information.
• Willingness to develop and maintain knowledge of clinical terminology, coding and Practice administrative procedures.

• 3 GP Partners, 1 Salaried GP, 1 Clinical Pharmacist, 3 Nurse Practitioners, 1 Practice Nurse, 1 Nursing Associate, 1 GP Assistant
• Full administrative support from a Practice Manager, Data & Quality Lead, Clinical Governance Support Officer plus other Administrators
• Long standing training practice with an excellent reputation & support for continuing medical education and CPD time
• CQC rating of Good
• Research practice with good links to Keele University
• High achiever in QoF/QIF

Desirable

• Relevant qualification or training in clinical coding.
• Qualification or training in medical administration or medical terminology.
• Knowledge or training in anatomy and physiology.

Essential

• Experience of working in an administrative role within a busy environment.
• Experience of working with confidential and sensitive information.
• Experience of managing and prioritising a varied workload and working to deadlines.
• Experience of using computerised systems and maintaining accurate records.
• Experience of working effectively as part of a team.

Desirable

• Previous experience of working within a GP practice or other primary care setting.
• Previous experience of clinical coding or summarising patient medical records.
• Experience of working with clinical correspondence.
• Experience of medical secretarial or healthcare administration.
• Experience of processing referrals or communicating with hospitals and other healthcare organisations.
• Experience of using EMIS or another primary care clinical system.