The following are the core responsibilities of the clinical coder. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
Accurately read-coding data on EMIS into the patient record.
Identifying relevant clinical information documented in patient correspondence, coding appropriately in patient records and completing any detailed actions.
Being aware of QOF requirements when doing the above.
Record sensitive information accurately, e.g., HIV status, child protection register, safeguarding issues.
File and store records as required.
Photocopy documentation as required.
Action all incoming emails, online queries, and mail in a timely manner.
Scanning of patient-related documentation and attaching scanned documents to patients' healthcare records.
Input data into the patients' healthcare records as necessary.
Processing of incoming and outgoing medical records.
Start to finish management of new patient registrations.
In addition to the primary responsibilities, the clinical coder may be requested to:
Review and update the practice coding policy as required (in conjunction with the Admin Team Leader).
Partake in audit as required.
Book appointments.
Complete opening and closing procedures in accordance with the duty rota.
Support all clinical staff with general administrative tasks as requested.
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