CLINICAL CODING ADMINISTRATOR - Maternity Cover - 8 hours per week

You will process and code incoming clinical

correspondence accurately and safely. Your work will include:

Reading hospital letters,

clinic letters and discharge summaries in full

Identifying diagnoses,

procedures, results and information that must be added to the patient record

Entering accurate coded

information in SystmOne using the correct date, severity and summary status

Checking for existing problems

and linking new information to the correct patient problem

Linking procedures to the

relevant diagnosis or condition

Identifying medication changes,

appointment requests, referrals and other actions

Highlighting and forwarding

actions to the correct GP, clinician or administration team

Recording clear notes so the

recipient understands what action is required

Processing documents that

require no further action and filing them safely

Following practice coding

guides, templates and document-management procedures

Recognising unclear,

conflicting or unfamiliar information and asking for advice rather than

guessing

Maintaining accurate, timely

and confidential patient records

The post-holder will support the safe and

timely management of incoming clinical correspondence. They will work within

their training, competence, practice protocols and information-governance

requirements at all times.

processing and coding

Open and process correspondence

received through SystmOne Document Management and the agreed team workflow

Read the complete document

before deciding what information or action it contains

Use the practice Document

Processing template and enter the correct clinic, admission, discharge and

scanned dates

Code relevant diagnoses,

conditions, procedures, results, observations and lifestyle information

accurately

Apply the correct problem

status, severity and patient-summary settings in line with the practice coding

guide

Check for existing coded

problems to avoid unnecessary duplication and link information appropriately

Make problems inactive when the

correspondence confirms that this is appropriate and permitted by local

guidance

Follow specific practice routes

for documents that must be sent to a named clinician or team

and escalation

Identify and clearly mark

medication changes, GP actions, appointment requests and referral requests

Forward each action to the

correct person with a clear explanation of what is required

Send a document to more than

one recipient when separate actions are required

Check again for outstanding

actions before filing any document

Do not code or file information

when its meaning, date, diagnosis or required action is unclear

Escalate urgent, unexpected or

clinically significant information promptly using the agreed process

Report errors, near misses and

recurring document-quality problems to the appropriate manager

confidentiality and teamwork

Maintain accurate, clear and

timely electronic patient records

Protect patient and practice

information and follow confidentiality, data-protection and

information-governance requirements

Work closely with GPs,

clinicians and administrative colleagues to resolve queries

Manage the allocated workload

in priority order and communicate promptly if work is delayed

Attend induction, mandatory

training, appraisal and relevant team meetings

Undertake other reasonable

administrative duties appropriate to the role

The Cornerstone Practice is based in the

centre of March and cares for approximately 9,500 patients. We use SystmOne and

Anima.

Our team includes GP partners, salaried

GPs, advanced practitioners, treatment-room nurses, healthcare assistants, a

mental health practitioner and experienced reception and administration

colleagues. We also work with pharmacy, physiotherapy and social-prescribing

colleagues.

The clinical administration team helps turn

a large amount of incoming information into accurate, useful patient records.

The work is detailed and sometimes complex, but you will have clear local

guidance and colleagues to ask when something is not straightforward.

Experience