Medical Note Summariser

My client is seeking a Medical Notes Summariser to support their team and to be based in their Reading clinic.

Responsibilities

• The role will include checking coding on patient medical records fulfills contractual obligations.
• Experience in medical terminology, clinical coding and summarising is essential.
• All work must be carried out with strict adherence to patient confidentiality protocols.

This job description may change in the light of developments within the role and/or within the practice, national policies or personnel factors and will then be subject to amendments in consultation with the post-holder.

Main Duties/key Tasks

• Checking incoming paper and electronic medical records and producing an accurate summary of the patients medical history
• Coding the information into the practice clinical system in line with QoF (Quality and Outcomes Framework)
• Managing electronic records management workflow
• Checking and updating records in preparation for provision of data to other healthcare providers
• Tracking and chasing outstanding medical records
• Responding to requests from Primary Care Support England
• Organising workload to meet practice requirements
• Maintaining strict confidentiality in line with GDPR regulations & practice policy
• Follow and maintain practice policies, standards, and guidance
• Any other reasonable administrative task to assist the practice

Experience/Skills

This job will ideally be filled by someone with previous experience in this role or someone with clinical knowledge.

The ideal candidate will have the following key skills:

• Attention to detail
• Effective communicator written and verbal
• Methodical and organised
• Proficient use of computer & IT equipment
• A responsible attitude
• A supportive team member

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