Medical Records Assistant inLancaster inLancaster PUBLISHED
FRI 29 NOV 2024
Lancaster Medical Practice raEfhAso
The Medical Records Assistant will be responsible for managing and processing patient medical records in compliance with established protocols. Key duties include summarizing and coding clinical information, coordinating patient registrations and record amendments, handling incoming correspondence, and administering medical records both incoming and outgoing. The role requires diligent organization, accurate summarization of patient histories, and adherence to confidentiality regulations.
Additional responsibilities include electronic filing, monitoring summarization progress against practice targets, and ensuring proper transportation of records within the practice. The post-holder must promote health and safety, respect patient and colleague rights and diversity, and participate in personal and professional development efforts. Overall, the role emphasizes quality management, effective teamwork, and accountability in handling sensitive information.
The post-holder will summarise and read code relevant information from and into patients clinical records, working strictly in accordance with the agreed protocol.The post-holder will be responsible for the management of incoming correspondence in relation to medical records.The post-holder will be responsible for the coordination of patient registrations and amendments to patient records in-line with the agreed policy.The post-holder will be responsible for the administration of medical records arriving in the practice and those being returned to the agency.
- Culling and sorting patient records and letters in preparation for summarising
- Reviewing medical records and producing an accurate summary of the patients medical history.
- Read coding the information into the practice clinical system
- Monitoring progress of notes summarising against practice targets
- Filing and retrieving paperwork
- Electronic filing and work-flowing of correspondence in line with agreed protocols
- Registration of patients into the EMIS system
- Deduction of patients from the EMIS system
- Administration of the registration links portal
- Administration of FP 69s
- Administration of amendments to records
- Receipt of medical records and associated administration
Coordinate the transportation of medical records within Lancaster Medical Practice
About us
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include
Using personal security systems within the workplace according to Practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Equality and Diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with the Practice policies and procedures, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development
The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include
Participation in an annual individual performance review, including taking responsibility for maintaining a record of their own personal and/or professional development
Taking responsibility for their own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality
The post-holder will strive to maintain quality within the Practice, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
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