Clinical Coder

Key Responsibilities 1. Review incoming correspondence from external providers (e.g. hospitals, UHL, private services, community, and other GP Practices). 2. Use Anima software to: Code relevant clinical information using SNOMED embedded into Anima. Forward tasks to the appropriate clinician or team where required. Escalate urgent or clinically significant information appropriately in line with Practice procedures. File correspondence that does not require further action or escalation. 3. Ensure all correspondence is processed accurately, safely, and in a timely manner. 4. Identify any unclear, incomplete or potentially significant information and escalate appropriately. 5. Apply accurate and consistent SNOMED codes within SystmOne using Anima. 6. Ensure key clinical information is recorded clearly within the patient record. 7. Avoid duplication and maintain structured, easy-to-read records. 8. Manage and prioritise daily workflow to ensure correspondence is processed within agreed timelines as per Practice protocol. 9. Maintain oversight of workload and escalate any capacity concerns to management. 10. Ensure appropriate handover of outstanding work during periods of leave or absence. 11. Maintain accurate, up-to-date and complete patient records. 12. Ensure all work is carried out in line with practice protocols, policies and GDPR requirements. 13. Support general data quality improvements within the practice. 14. Work collaboratively with the Practice Manager, GPs, Pharmacists, Nurses and Administrative staff. 15. Seek clarification where required and escalate appropriately to ensure patient safety. 16. Contribute to consistent and safe approach to coding and correspondence handling across the team. 17. Maintain up-to-date knowledge of clinical coding and practice systems. 18. Participate in training, and team meetings as and when required. 19. Engage in continuous professional development relevant to the role. 20. Provide support to the wider administrative and reception team when required. This may include: Answering telephone calls Handling patient queries General administrative duties (Clinical coding will remain the primary focus of the role. The above may only be required if short staffed and immediate cover is necessary). The duties outlined are not exhaustive and may be amended in line with the needs of the surgery. Confidentiality In the course of your duties, you may have access to sensitive information relating to patients, their carers, and practice staff. This information is provided in confidence, and it is your responsibility to ensure that such data is protected and handled with the utmost discretion. You must not disclose any information to unauthorised persons unless it is necessary as part of your role and in accordance with practice policies. Patient Information: All information relating to patients and their care is confidential and must not be disclosed to third parties without the patients consent, except in specific circumstances where there is a legal or professional obligation to do so. Staff and Business Information: Information regarding practice staff and the business operations of the practice must also be treated as confidential. GDPR Compliance: You must adhere to the General Data Protection Regulation (GDPR) and other relevant laws governing the use of personal data. Any breaches of confidentiality may lead to disciplinary action, up to and including dismissal. Health and Safety You have a personal responsibility to promote and maintain your own health and safety, as well as the health and safety of others within the practice. You are required to familiarise yourself with and follow the practices health and safety policies and procedures. Risk Management: Identify and manage risks associated with your work activities, ensuring that these are undertaken in a safe manner. Incident Reporting: Promptly report any accidents, incidents, or near misses to your line manager, and participate in any subsequent investigations or remedial actions. Workplace Safety: Use all equipment, tools, and materials safely and appropriately, and ensure that work areas are kept tidy, clean, and free from hazards. Infection Control: Adhere to infection control procedures to prevent the spread of illnesses and infections within the practice, ensuring a safe environment for both staff and patients. Premises The company has a no smoking policy throughout its premises, including buildings and grounds. Equality and Diversity We are committed to creating an inclusive environment where all individuals are treated with respect and dignity. We value the diverse backgrounds, perspectives, and skills that each person brings to the practice and strive to foster a workplace that is free from discrimination. Respect for All: Treat all patients, carers, and colleagues with respect, regardless of their age, gender, race, ethnicity, disability, sexual orientation, religion, or any other characteristic protected by law. Non-Discrimination: Ensure that your actions and decisions are free from any form of discrimination and promote equality of opportunity for all. Inclusive Practice: Actively support and contribute to the development of an inclusive culture within the practice by challenging discriminatory behaviour and promoting positive attitudes. Legal Compliance: Adhere to all relevant equality and diversity legislation, including the Equality Act 2010, and follow practice policies designed to promote diversity and inclusion. Professional Conduct Staff are expected to adhere to the following guidelines regarding uniform and professional behaviour: Uniform Standards: All staff members must wear the designated uniform while working. Uniforms should be clean, neat, and presentable always. Any additional items, such as name badges, must be worn as required by the practice. Footwear: Shoes should be practical, comfortable, and in line with health and safety requirements, providing both support and a professional appearance. Jewellery and Accessories: For safety and hygiene reasons, the wearing of excessive jewellery or accessories is discouraged. Only minimal, non-dangling jewellery is permitted during working hours. Behaviour and Conduct: All staff are expected to behave in a manner that upholds the dignity and respect of the practice. This includes being courteous and respectful to patients, visitors, and colleagues always, and maintaining a calm and professional demeanour, even in challenging situations. Training and Supervision Our practice prides itself on being a training practice and is dedicated to supporting the development of current and future health professionals. As such, staff are expected to actively participate in the guidance, training, and supervision of both junior members of staff and primary care placement students when necessary. Mentorship: You may be required to mentor or supervise less experienced colleagues, providing them with the knowledge and support needed to develop their skills and confidence in their roles. Training Support: Participate in the delivery of in-house training sessions and workshops, sharing your expertise and experience to help build a knowledgeable and competent team. Student Placements: Engage with primary care placement students, offering guidance and support during their training period within the practice. This may include providing feedback on their performance, assisting them with practical tasks, and helping them integrate into the practice environment. Continuous Learning: As part of our commitment to ongoing professional development, you are encouraged to seek out opportunities for your own learning and development. This may include attending training courses, workshops, and seminars relevant to your role. Role Model: Act as a role model to both staff and students, demonstrating the highest standards of practice, professionalism, and patient care. The above list of duties is not exhaustive and may include additional tasks and responsibilities as required by the needs of the practice.