Medical Secretary - Thirsk, United Kingdom - Lambert Medical Centre

Lambert Medical Centre

Verified Company

Thirsk, United Kingdom

3 weeks ago

Posted by:

Tom O´Connor

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Description

JOB TITLE:
Medical Records Summariser /Clinical coder/ Typist

REPORTS TO:
Practice Manager

HOURS:
15-25 hours per week (2 posts)

Job Summary:

To be responsible for the provision of an efficient, comprehensive secretarial and administrative support service to the Practice.

The main responsibilities of the post-holder will be to enter Read Code relevant information from patients' clinical records into the practice computer system, processing of patient referrals, and summarising patient notes.

Main Duties/Key Tasks:

Audio and Copy typing of hospital referrals and letters
Processing referrals onto Electronic Referral System following practice protocols and procedures.
Liaising with external agencies such as hospitals and community services, ensuring referrals are processed efficiently
Reviewing medical records and producing an accurate summary of the patient's medical history.
Entering correct Read Code information from paper records into the practice clinical system (SystmOne)
Scanning of patient related documentation and attaching scanned documents to patient's healthcare records
Coding clinical information from letters, discharge summaries, notes etc.
Prepare medical reports and generate letters of correspondence relating to the management of patient care.
Submit & Process Advice & Guidance requests.
Monitor and track referrals ensuring all criteria is met.
Monitoring progress of notes summarising against practice targets
Maintaining awareness of clinical code changes and introduction of new codes
Prioritise and Complete tasks received in a timely manner
Perform any reasonable administrative tasks as requested

Skills

Computer literate and proficient in using Microsoft Office Package
Have a good understanding of Medical Terminology

Confidentiality:

In the course of 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
In the performance of the duties outlined in this Job Description, the postholder will 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.

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 identified.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of people's rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is nonjudgmental 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.

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.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

Liaise and communicate efficiently with people external to the organisation
Work with clinicians to raise Clinical Coding Data Quality and summarising issues.
Recogn