Medical Summariser/Data Coder

Salary: £20,900 – £24,400 – depending on experience and competencies

Full/Part Time, Mon-Fri available

Location: Flexible to travel across our 4 sites (Girlington, West Bowling, Allerton, Gt. Horton)

This role can be applied for via Indeed

We are a friendly, supportive, and innovative training Practice in inner city Bradford.  Kensington is based over 4 sites so even with a main base you would have the opportunity to work across the sites for some diversity at times. We have a patient list size of approximately 24,000 delivering high quality care to our diverse group of patients.

We have a dedicated team of 6 GP Partners, GP Registrars and Foundation Year Doctor, ANP, ACP, Clinical Pharmacists, Pharmacy Technicians, Practice Nurses, HCAs, Receptionists and Administration teams.

We are looking to recruit an experienced Medical Summariser/ Data Coder for our busy GP Practices at Kensington Partnership.

Applicants need to demonstrate a professional and friendly manner. Along with advanced computer skills and medical terminology knowledge is essential, for coding clinical and non-clinical letters onto the patient records. Applicants will have to have a good attention for detail and work with a high level of accuracy. Applicants need to demonstrate good organisational skills and willingness to work individually and as part of a team. Experience of medical summarising, read coding and SystmOne is essential.

Job Summary:

The Summarisers and Data Coders are the initial point of contact from secondary care, external agencies and for new patients records at the practice with the clinicians, other clinical and non-clinical staff. This encompasses sorting post and scanning all documentation, summarising new patients’ records, monitoring our NHS mailbox and faxes, coding clinical/non-clinical letters into SystmOne, and processing any actions from clinical letters and other communications, sending medial or legal documents to secondary care or external agencies.

Main Duties and Responsibilities for Summarising:

• Culling, sorting and scanning the post
• Scanning documents and matching to patients records and tasking the relevant departments
• Sorting paper records and letters in preparation for medical summarising.
• Read coding the information into the practice clinical system (systmone)
• Reviewing medical records and producing an accurate summary of the patient’s medical history.
• Being prepared to audit data collection standards
• Monitor progress of notes summarising against practice targets
• Producing subject access reports or medical reports for patients (private or NHS)
• Sorting and allocating online consultations to clinicians
• Dealing with patient requests via other departments within the practice

The practice works towards the principle of a paper light environment. The main task of the post holder is to summarise and read code the relevant priority information from clinical records and then to enter this information into the practice computer system. This is done with strict accordance to the practice note summarising protocol.

Main Duties and Responsibilities for Data Coding:

• Being instrumental in maintaining high standards of data quality practice wide, identifying and resolving any issues when coding communications into the practice onto the clinical system.
• Reviewing the letters as coded to ensure any action required i.e., appointments, medications or contact is sent to the correct departments to process.
• Professional pride in the quality of your work.
• A healthy dose of common sense and proven record of working autonomously. Our environment is dynamic and varied and common sense will guide your decision making.
• Proven ability to adapt to change – we are constantly improving and evolving our ways of working and new technologies.
• Proven track record of accurately processing and inputting large volumes of data whilst working to deadlines.
• Proven track record of accurately following a process or protocol provided to you whilst inputting information.
• Medical terminology knowledge for interpreting information

Flexibility of Working Hours:

You will be expected when appropriate, as part of your role, to cover some admin tasks during extended hours, sickness and annual leave, which is integral to the effective running of the Practice across sites. And you may be required to work/ travel at all 4 practices within this role.

 – 

Confidentiality:

• In the 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
• 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
• You will be required to follow all practice polices in relation to patient confidentiality, data protection, GDPR and Information Governance and safeguarding at all times.

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, 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 or hazards identified

Quality:

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

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
• Work effectively with individuals in other agencies to meet patients’ needs
• Effectively manage own time, workload and resources

Essential Skills:

The post holder will have:

• Knowledge of medical terminology
• A background in Notes Summarising (clinical or non-clinical)
• A background in medical coding information

Desirable Skills:

The post holder will ideally have:

• Previous experience of SystmOne/ EMIS
• Previous healthcare/ GP surgery experience
• Experience of producing medical reports
• Medical training background