Medical Records Summariser

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

• a.Reviewing records and accurately producing a summary of the patients medical history
• b.Accurately
  
  SNOMED CT coding data on the clinical IT system
• c.Reviewing progress of summarising, ensuring practice targets are achieved
• d.Reviewall clinical letters ensuring they are processed appropriately in line with extant protocols
• e.Fileand store records as required
• f.Photocopy documentation as required
• g.Actionall incoming correspondence, emails and mail in a timely manner
• h.Scan patient related documentation and attach scanned documents to patients healthcare records
• i.Inputdata into patients healthcare records as necessary
• j. Conduct system searches as requested
• k.Maintaina clean, tidy, effective working area at all times
• l.Support all clinical staff with general administrative tasks as requested

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.

The following are the core responsibilities ofthe 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:

• a.Reviewing records and accurately producing a summary of the patients medical history
• b.Accurately
  
  SNOMED CT coding data on the clinical IT system
• c.Reviewing progress of summarising, ensuring practice targets are achieved
• d.Reviewall clinical letters ensuring they are processed appropriately in line with extant protocols
• e.Fileand store records as required
• f.Photocopy documentation as required
• g.Actionall incoming correspondence, emails and mail in a timely manner
• h.Scan patient related documentation and attach scanned documents to patients healthcare records
• i.Inputdata into patients healthcare records as necessary
• j.Answer incoming phone calls, transferring calls or dealing with the callers request appropriately
• k.Conduct system searches as requested
• l.Maintaina clean, tidy, effective working area at all times
• m.Support all clinical staff with general administrative tasks as requested

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

• a.Reviewand update the practice summarising policy as required (in conjunction with the management team
• b.Partakein audit as directed by the audit lead
• d.Book appointments

• Medical Records summarising experience
• Clinical coding experience

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.