Clinical coding summariser / medical secretary

Clinical coding summariser / medical secretary Clinical Coding Summariser / Medical Secretary Job Description Bevan Healthcare Health, Hope, Humanity Bevan is a specialist inclusion health GP practice dedicated to improving access to healthcare for some of the most vulnerable and marginalised people in our communities. As part of Bevan Healthcare, a not-for-profit social enterprise, we provide accessible, compassionate and high-quality NHS primary care to people who may experience significant barriers to accessing mainstream healthcare services. Our patients include people experiencing homelessness or insecure accommodation, refugees, people seeking asylum, individuals affected by substance misuse, people with complex physical and mental health needs, and those experiencing social exclusion. We recognise that good healthcare goes beyond treating medical conditions. Our approach is person-centred, trauma-informed and focused on addressing health inequalities, improving wellbeing and supporting people to access the care they need. Our multidisciplinary team brings together GPs, nurses, healthcare professionals, care coordinators, administrative colleagues, wellbeing services and outreach teams. We work closely with statutory, community and voluntary sector partners to provide coordinated support tailored to the needs of our patients. Working at Bevan Bradford Working at Bevan Bradford offers an opportunity to make a meaningful difference to people who often face the greatest challenges in accessing healthcare. We value compassion, respect, teamwork, flexibility and a commitment to delivering inclusive services without judgement. Every member of our team plays an important role in supporting safe and effective patient care, including those working behind the scenes in administrative, coding and medical secretarial roles. Our staff work in a busy, varied and rewarding environment where no two days are necessarily the same. We encourage collaborative working, professional development and continuous service improvement. Role Reports To Practice Manager Location Bevan sites across Bradford and Leeds, with occasional travel between sites as required. Working Relationships The post holder will work closely with: GPs and Advanced Practitioners Nursing Teams Patient Services Teams Social Prescribing Teams Healthcare Assistants Operational Managers External healthcare providers and partner organisations Secondary care providers Community and voluntary sector services Job Purpose To provide a high-quality clinical coding, summarising and medical secretarial service which supports safe, effective and responsive patient care. The post holder will ensure that patient records are accurately maintained, coded and summarised to support clinical decision-making, improve continuity of care and meet organisational and contractual requirements. The role is critical in ensuring information from hospitals, community providers and other healthcare organisations is reviewed, processed and recorded appropriately within clinical systems. The post holder will also provide medical secretarial support to clinicians and multidisciplinary teams as required. Main Duties and Responsibilities Clinical Coding and Summarising Review and summarise patient medical records received from previous healthcare providers. Accurately code clinical information using relevant clinical coding standards and practice protocols. Process clinical correspondence including hospital letters, discharge summaries, clinic outcomes and investigation reports. Ensure patient records are complete, accurate and up to date. Identify significant diagnoses, safeguarding concerns, long-term conditions and other relevant clinical information for coding and recording. Maintain consistency and quality within patient records. Escalate clinical concerns identified during record review in accordance with practice procedures. Support data quality improvement initiatives and clinical record audits. Assist with the identification and correction of coding anomalies and data quality issues. Medical Secretarial Duties Provide administrative and secretarial support to clinicians and clinical teams. Support referral processes, ensuring referrals are processed accurately and within required timescales. Manage incoming clinical correspondence and distribute appropriately. Assist with tracking referrals and outstanding actions where required. Prepare clinical documentation, reports and correspondence under direction. Support management of clinical workflows within electronic patient record systems. Liaise with hospitals, community services and external agencies regarding patient care and appointments. Information Governance and Confidentiality Maintain strict confidentiality of patient information at all times. Comply with Data Protection legislation, NHS standards and organisational policies. Ensure information is recorded accurately and securely. Report information governance incidents, breaches or concerns appropriately. Maintain professional standards when handling sensitive and confidential information. Quality and Improvement Contribute to maintaining high standards of patient record quality. Participate in audits, service reviews and quality improvement activities. Support organisational objectives relating to data quality, patient safety and service performance. Contribute to identifying opportunities to improve administrative systems and processes. Team Working Work collaboratively across multidisciplinary teams. Support colleagues during periods of absence or increased workload. Contribute to a positive, inclusive and supportive working environment. Share learning and best practice to improve team performance. What We Are Looking For We are looking for someone who: Has excellent attention to detail. Understands the importance of accurate clinical records. Can work independently whilst managing multiple priorities. Communicates professionally and effectively. Is organised and able to meet deadlines. Demonstrates discretion and professionalism when handling confidential information. Is committed to continuous improvement and learning. Shares Bevan's commitment to reducing health inequalities and improving access to healthcare for all. Living Our Values At Bevan, technical skills are important, but values matter just as much. We are looking for colleagues who: Treat people with dignity, kindness and respect. See the person behind the patient record. Are curious and willing to learn. Work collaboratively and support others. Champion inclusion, equality and fairness. Want to make a genuine difference to the lives of people who are often excluded from healthcare services. Why Join Bevan? Because this is more than an administrative role. It is an opportunity to contribute to life-changing healthcare for people who need it most. Every coded diagnosis, every accurately summarised record, every processed referral and every piece of information entered correctly helps our teams provide safer, better and more personalised care. This is not just any job. This is a Bevan job. Person specification Criteria Essential Desirable Qualifications Good general education including English and Maths (GCSE grade 4/C or equivalent); ability to demonstrate medical terminology and IT competence. Formal medical terminology, coding, medical administration or related qualification. Experience Relevant experience summarising medical records and/or coding clinical correspondence in general practice or equivalent NHS setting; experience handling confidential patient data and competing deadlines. SystmOne experience; medical secretarial, referral processing, NHS e-RS or primary care QOF experience. Knowledge Understanding of clinical record accuracy, common medical terminology, coding principles, confidentiality and appropriate escalation. SNOMED CT, long-term condition registers, QOF and inclusion health services. Skills Accurate data entry, attention to detail, written communication, organisation, ability to prioritise work independently and collaborate with clinicians. Ability to audit coding, support data-quality searches, streamline task flows and train colleagues. Values / behaviours Respectful, non-judgemental, dependable, discreet, adaptable; commitment to equality, safeguarding and trauma-informed care. Experience working with socially excluded or vulnerable groups. Other requirements Able to attend the Bradford practice as required; able to complete mandatory training and comply with information governance requirements. Experience working effectively within an approved hybrid model. Pre-employment checks and review Appointment is subject to satisfactory references, identity and right-to-work checks, occupational health requirements and an appropriate DBS eligibility assessment by the People Team. Safeguarding training level and DBS level will be confirmed based on actual duties. The role description may be reviewed in consultation with the postholder to reflect changing service requirements. #J-18808-Ljbffr NHS Jobs