About This Role
This Medical Coder role is an important part of a friendly and established team at Fernville Surgery, helping to ensure that patients' medical records are accurate, up to date, and contain relevant clinical information to support their ongoing care. The position suits a meticulous, well-organised, and conscientious individual who shares the surgery's values and takes pride in their work.
Responsibilities
- Accurately code medical diagnoses, procedures, and consultations from clinical notes, hospital letters, and discharge summaries
- Translate clinical information into appropriate SNOMED CT codes within the EMIS clinical system
- Maintain accurate up-to-date electronic summaries for all patients registered with the Practice
- Identify relevant information that is appropriate for inclusion in the patient
- Review and assess information contained within the paper records (Lloyd George notes)
- Attend Coding Team meetings and contribute ideas to improve the accuracy, consistency, and effectiveness of the coding process
- Assist with general administrative duties and undertake other reasonable tasks appropriate to the role, as required
- Maintain strict patient confidentiality and comply with data protection legislation and Practice policies at all times
Requirements
- Ability to review clinical letters and medical records quickly and accurately
- Ability to identify significant clinical information within documents
- Good attention to detail and the ability to recognise unclear or questionable information and raise concerns appropriately
- Ability to learn to use the Practice
- Ability to learn and apply the hierarchical structure of SNOMED CT codes
- Good written communication skills and the ability to maintain accurate records
- A professional, helpful approach when representing the Practice
- An understanding of the importance of patient confidentiality and data protection
- A commitment to equality, diversity, and non-discriminatory practice
- Ability to follow written procedures, instructions, and Practice policies
- Good judgement, resourcefulness, and common sense
- Ability to work effectively as part of a team
- A willingness to ask questions, seek clarification, and learn new skills
- Has a reliable means of travel to work
- Available for work throughout the year
- Can make robust and reliable arrangements to address any other responsibilities (e.g. childcare)
- Likely to remain at Fernville for sufficient time to justify the necessary investment in training
Nice to have:
- Previous clinical or healthcare experience, with an understanding of medical terminology and procedures