Medical Records Summariser

To be responsible for the readcoding of relevant information into patients' electronic healthcare records on Victoria Park Health Centre's clinical system, adhering to the organisation coding policy.

Main duties of the job:

• Reviewing records and accurately producing a summary of the patients' medical history
• Accurately SNOMED CT coding data on the clinical IT system
• Reviewing progress of summarising, ensuring practice targets are achieved
• Review all clinical letters ensuring they are processed appropriately in line with extant protocols
• File and store records as required
• Photocopy documentation as required
• Action all incoming correspondence, emails and mail in a timely manner
• Scan patient related documentation and attach scanned documents to patients' healthcare records
• Input data into patients' healthcare records as necessary
• Conduct system searches as requested
• Maintain a clean, tidy, effective working area at all times
• Support all clinical staff with general administrative tasks as requested

About us:

We are a large, dynamic, friendly practice consisting of 4 Partners, 13 Salaried GPs, 4 Clinical Pharmacists, 1 Pharmacy Technician, 2 Practice Nurses, 1 Nursing Associate, 1 Phlebotomist & 1 Social Prescriber. We serve 26,000 patients with a focus on clinical excellence and engagement with the modern NHS. Being located adjacent to the University of Leicester we do have a large student population. We have a very strong team ethos and are looking for a committed and enthusiastic Medical Summariser who can bring their own valuable knowledge and skills to our Practice. We are a teaching Practice with a regular allocation of trainees, we also demonstrate strong performance in QOF, CQC and we play a lead role within our PCN.

Job responsibilities:

The following are the core responsibilities of the Medical Summariser. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• Reviewing records and accurately producing a summary of the patients' medical history
• Accurately SNOMED CT coding data on the clinical IT system
• Reviewing progress of summarising, ensuring practice targets are achieved
• Review all clinical letters ensuring they are processed appropriately in line with extant protocols
• File and store records as required
• Photocopy documentation as required
• Action all incoming correspondence, emails and mail in a timely manner
• Scan patient related documentation and attach scanned documents to patients' healthcare records
• Input data into patients' healthcare records as necessary
• Answer incoming phone calls, transferring calls or dealing with the caller's request appropriately
• Conduct system searches as requested
• Maintain a clean, tidy, effective working area at all times
• Support all clinical staff with general administrative tasks as requested

In addition to the primary key responsibilities, the Medical Summariser may be requested to:

• Review and update the practice summarising policy as required (in conjunction with the management team)
• Partake in audit as directed by the audit lead
• Book appointments

Person Specification:

Experience:

• Medical Records summarising experience
• Clinical coding experience

Disclosure and Barring Service Check:

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.