About this role
Job summary
To accurately review, interpret and code clinical information within the practice's clinical system, ensuring patient records are complete, consistent, up to date and compliant with NHS clinical coding standards.
The Clinical Coder will support GPs and the wider multidisciplinary practice team by ensuring that diagnoses, procedures, investigations, consultations and other relevant clinical information are recorded using appropriate clinical terminology and SNOMED CT codes. The role contributes to patient safety, continuity of care, quality improvement, accurate reporting and the delivery of NHS contractual requirements.
Main duties of the job
- Clinical Coding and Patient RecordsReview clinical correspondence, including hospital letters, discharge summaries, diagnostic reports and referrals. Accurately code clinical information using SNOMED CT and update patient records in line with practice protocols. Ensure records are accurate, complete and confidential, identifying duplicate or incorrect entries. Maintain high standards of clinical record accuracy and completeness. Identify missing or unclear information and refer queries to the appropriate clinician. Support data validation, audits, disease registers and the correction of coding discrepancies in line with NHS requirements and practice policies. Clinical Administration and Workflow ManagementProcess clinical documents and coding worklists within agreed timescales. Prioritise urgent or clinically significant information and escalate concerns promptly. Ensure documents are correctly coded, filed and workflowed, directing information requiring clinical review or follow-up to the appropriate team.
- Quality Assurance and Data Quality
About us
Hampton Medical Centre sits at the very heart of the new township for Peterborough. The Hamptons are a series of villages sitting less than 4 miles from Peterborough City centre, Cambridgeshire. With 6 villages delivered to date and developments ongoing for Hampton Woods and Hampton Beach.
The practice size is around 13,000 patients, working from a dedicated surgery based within Serpentine Green shopping centre. There are 2 GP partners, 5 GPs, various nurse practitioners, pharmacists, social prescribers, care coordinators and administration staff. Hampton Medical Centre is a teaching practice, hosting medical students, FY2 and GP registrars.
Job description
Job responsibilities
The Clinical Coder is responsible for accurately recording information supported by the available clinical documentation and working within agreed practice protocols.
The postholder must not independently make clinical diagnoses, interpret results to reach clinical conclusions, or make treatment decisions. Where documentation is unclear, conflicting or suggests a potential clinical risk, the matter must be referred to an appropriately qualified clinician.
Person Specification
Experience
Essential
- Experience in clinical coding, medical records, healthcare administration or a related role.
- Good understanding of clinical terminology and medical abbreviations.
- Knowledge of SNOMED CT coding or the ability to develop competence through appropriate training.
- Strong attention to detail and a high level of accuracy.
- Good IT skills and the ability to learn and use clinical systems, such as EMIS Web or SystmOne.
- Ability to interpret clinical correspondence and identify relevant information for coding.
- Understanding of patient confidentiality, data protection and information governance.
- Good organisational skills and the ability to manage workloads and meet deadlines.
- Ability to work independently while recognising when to seek clinical advice.
- Clear communication skills and the ability to work effectively as part of a multidisciplinary team.
Desirable
- Previous experience working in a UK GP practice or NHS primary care setting.
- Relevant clinical coding training or a recognised clinical coding qualification.
- Experience using EMIS Web, SystmOne or another GP clinical system.
- Knowledge of QOF, GP contract requirements, disease registers and primary care data quality.
- Experience supporting clinical audits, searches, reporting and data validation.
- Understanding of NHS primary care workflows and clinical correspondence management.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Hampton Medical Centre
Address
Unit 6B, Serpentine Green
Shopping Centre, Hampton
Peterborough
PE7 8DR
United Kingdom
Employer's website
https://hampton-medical-centre.co.uk/ (Opens in a new tab)