Clinical Coder including reception support

Accurately code diagnoses, symptoms, procedures, investigations and clinical information using SNOMED CT and other relevant coding systems.

Review and code information from patient consultations, clinical letters, hospital correspondence, test results and discharge summaries.

Ensure patient records are complete, accurate, up to date and appropriately coded.

Identify missing or unclear clinical information and liaise with GPs and other clinicians where clarification is required.

Maintain confidentiality and comply with GDPR, information governance and practice policies.

Identify coding discrepancies or duplicate/inaccurate entries and make appropriate corrections.

Support the practice in achieving high-quality clinical data and accurate reporting.

Keep up to date with changes to coding standards, NHS requirements and primary care contractual requirements.

Work closely with GPs, practice nurses, administrators and the wider practice team to improve the quality of clinical records.

Contribute to continuous improvement of clinical coding processes and data quality within the practice.

Correspond with patients and hospital trusts regarding relevant clinical and administrative matters.

Reception support, including booking nursing appointments, responding to patient enquiries, signposting patients to appropriate healthcare services, and providing guidance and support with the use of AskMyGP.

The post holder will work as part of the practice team, responsible for the accurate and timely summarising and clinical coding of patient correspondence. The role will involve reviewing incoming correspondence, identifying relevant clinical information, taking appropriate action, and ensuring that items requiring clinical input are promptly forwarded to the appropriate member of the Clinical Team.

The post holder will contribute to maintaining accurate, up-to-date and high-quality patient records, while ensuring that all correspondence is processed efficiently, confidentially and in accordance with practice procedures and NHS requirements.

The post holder will be responsible for ensuring all correspondence is dealt with in an efficient and timely manner and within our service level agreements.

Key duties include

Accurately code diagnoses, symptoms, procedures, investigations and clinical information using SNOMED CT and other relevant coding systems.

Review and code information from patient consultations, clinical letters, hospital correspondence, test results and discharge summaries.

Ensure patient records are complete, accurate, up to date and appropriately coded.

Identify missing or unclear clinical information and liaise with GPs and other clinicians where clarification is required.

Support the practice with QOF, enhanced services, IIF and other contractual reporting requirements.

Maintain confidentiality and comply with GDPR, information governance and practice policies.

Identify coding discrepancies or duplicate/inaccurate entries and make appropriate corrections.

Support the practice in achieving high-quality clinical data and accurate reporting.

Keep up to date with changes to coding standards, NHS requirements and primary care contractual requirements.

Work closely with GPs, practice nurses, administrators and the wider practice team to improve the quality of clinical records.

Contribute to continuous improvement of clinical coding processes and data quality within the practice.

Correspond with patients and hospital trusts regarding relevant clinical and administrative matters.

Reception support, including booking nursing appointments, responding to patient enquiries, signposting patients to appropriate healthcare services, and providing guidance and support with the use of AskMyGP.

Take opportunities (make every contact count MECC) as appropriate to remind patients to book checks, for example chronic disease annual reviews, childhood immunisations, cervical screening

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 will have access to confidential information relating to patients and their carers, 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 and 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, to 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

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 recognises the importance of peoples 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:

Overview of your organisation

Located on the outskirts of Ipswich town centre, Cardinal Medical Practice is the largest medical practice in Suffolk and was formed as a result of a merger between Chesterfield Drive, Deben Road and Norwich Road Surgeries. The practice is vastly dedicated to offering high quality care to a population of approximately 28,500 patients.

The practice has a clinical team of 4 GP Partners, 11 Salaried GP's, 3 GP Registrars, Advanced Nurse Practitioners, Paramedics, Physicians Associates, Practice Nurses, Nurse Associates, Healthcare Assistants, Care Co-ordinators and additional healthcare professionals. The team is supported by Management and a large administrative team.

If you would like any further information about the role, please contact Andrew Preston General Manager in the first instance - andrew.preston3@nhs.net

Qualifications