Medical Note Summariser

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

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.

Responsibilities

• The role will include checking coding on patient medical records fulfills contractual obligations (e.g., Primary Care Network and Quality and Outcomes Framework) and other summarising tasks as required.
• 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.
• Strict adherence to patient confidentiality protocols.

Qualifications

• Experience in medical terminology, clinical coding and summarising is essential.
• Previous experience in this role or someone with clinical knowledge.
• 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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