Medical Records Summariser/ Administrator

Main

Duties/key tasks

Reviewing medical records and producing

an accurate summary of the patients medical history.

Read coding the information accurately into

the practice clinical system

data collection standards in the practice

progress of notes summarising against practice targets

and retrieving paperwork

electronic summary care record data.

immunisation data and dealing with immunisation data requests.

with documentation that arrives via the post/internally/externally and

electronically.

as required.

medical records into the practice and storing and coding them

appropriately.

Lead, as part of a team of Safeguarding Administrator.

and use knowledge of how to code and summarise various safeguarding

documents from different agencies, and to manage the list of patients and

review these regularly.

This list is not exhaustive and may be subject

to change in line with the needs of the organisation

SUMMARISER/ADMINISTRATOR- JOB DESCRIPTION TOLLGATE MEDICAL

CENTRE

JOB TITLE: MEDICAL RECORDS

SUMMARISER/ADMINISTRATOR

REPORTS TO: HR & Operations Manager

HOURS: 24 hours per week

The practice is moving towards

becoming a paper-light environment, and the main responsibilities of the post-holder

will be to summarise and read code relevant information from the patients

clinical records into the practice computer system, working strictly in accordance

with the practice notes summarising protocol.

Main

Duties/key tasks

Reviewing medical records and producing

an accurate summary of the patients medical history.

Read coding the information accurately into

the practice clinical system

data collection standards in the practice

progress of notes summarising against practice targets

and retrieving paperwork

electronic summary care record data.

immunisation data and dealing with immunisation data requests.

with documentation that arrives via the post/internally/externally and

electronically.

as required.

medical records into the practice and storing and coding them

appropriately.

documents as required.

Lead, as part of a team of Safeguarding Administrators.

and use knowledge of how to code and summarise various safeguarding

documents from different agencies, and to manage the list of patients and

review these regularly

This list is not exhaustive and may be subject

to change in line with the needs of the organisation

Confidentiality

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

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

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 & 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:

security systems within the workplace according to practice guidelines

risks involved in work activities and undertaking such activities in a way

that manages those risks

use of training to update knowledge and skills

infection control procedures, maintaining work areas in a tidy and safe

way and free from hazards

reporting of health and safety hazards and infection hazards immediately

when recognised

areas and general / patient areas generally clean, assisting in the

maintenance of general standards of cleanliness consistent with the scope

of the job holders role

periodic infection control training (minimum annually)

potential risks identified

Equality and diversity

The

post-holder will support the equality, diversity and rights of patients, carers

And colleagues, to include

that recognizes the importance of peoples rights, interpreting them in a

way that is consistent with practice procedures and policies, and current

legislation

privacy, dignity, needs and beliefs of patients, carers and colleagues

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:

an annual individual performance review, including taking responsibility

for maintaining a record of own personal and/or professional development

responsibility for own development, learning and performance and

demonstrating skills and activities to others who are undertaking similar

work

Quality

The

post-holder will strive to maintain quality within the practice, and will:

members to issues of quality and risk

performance and take accountability for own actions, either directly or

under supervision

effectiveness of the team by reflecting on own and team activities and

making suggestions on ways to improve and enhance the teams performance

with individuals in other agencies to meet patients needs

manage own time, workload and resources

Communication

The post-holder

should recognize the importance of effective communication within the team and

Will strive to

with other team members

effectively with patients and carers

peoples needs for alternative methods of communication and respond

accordingly

Tollgate

Medical Centre is a busy GP practice caring for close on 18000 patients in

Beckton in the London Borough of Newham. We are looking for someone with

experience of working with the public who is cheerful, polite, able to multi

task, and who is a good team player.

Experience