Clinical Coder & Summariser

Job summary

The Clinical Coder and Summariser plays a vital role in maintaining accurate, high-quality patient records. The postholder is responsible for coding and summarising clinical information from patient records, hospital correspondence and other clinical documentation onto the Practice clinical system.

Working in line with Practice policies, NHS Digital guidance and information governance requirements, the role supports safe clinical care, accurate data reporting and effective population health management.

The role requires excellent communication skills, sound judgement, empathy, confidentiality and the ability to remain calm whilst managing competing priorities within a busy healthcare environment.

Main duties of the job

To support high-quality patient care by:

• Ensuring accurate and timely coding of clinical information onto patient records
• Summarising patient records in a clear, concise and clinically meaningful format
• Supporting clinicians with accessible, well-structured patient histories
• Maintaining data quality standards in line with NHS and Practice requirements
• Contributing to improved patient outcomes through accurate record keeping and reporting

About us

Mortimer Medical Practice is a friendly, well-established GP practice located in the heart of rural Kingsland in Herefordshire, serving a diverse and supportive patient population. The practice has two branch sites in nearby Orleton and Leintwardine, all of which are dispensing. With nearly 9,000 patients, we are proud of our reputation for delivering high-quality, patient-centred care within a welcoming and inclusive environment.

Our multidisciplinary team works collaboratively and values mutual respect, professionalism and kindness. We foster a positive workplace culture where every team member is recognised for their contribution and encouraged to develop their skills and interests. Staff wellbeing is important to us, and we strive to maintain a supportive atmosphere where colleagues feel valued.

We are committed to continuous improvement, innovation and providing excellent clinical care. Our team benefits from strong clinical and managerial leadership, regular communication and opportunities for ongoing professional development. We encourage learning, share expertise across the practice and support career progression wherever possible.

As a group of smaller community-focused practices, we offer the opportunity to build meaningful relationships with patients and colleagues alike. We take pride in knowing our patients well and delivering personalised care that makes a real difference to their health and wellbeing.

Details

• Date posted: 02 September 2026
• Pay scheme: Other
• Salary: £25,080 to £27,010 a year
• Contract: Permanent
• Working pattern: Full-time, Part-time
• Reference number: A6023-26-0010
• Job locations: Leintwardine Surgery, High Street, Leintwardine, Shropshire, SY7 0LQ, United Kingdom

Job responsibilities

Principal Duties and Responsibilities

Clinical Coding

• Extract relevant clinical information from hospital letters, discharge summaries and other correspondence
• Apply accurate clinical coding using SNOMED CT and other recognised coding systems
• Code diagnoses, procedures, medications, allergies and other relevant clinical data
• Ensure all coding is completed in a timely and accurate manner
• Identify and escalate any discrepancies or concerns within clinical documentation

Summarising Patient Records

• Review and summarise new patient records and existing records where required
• Produce concise and clinically relevant summaries of patient histories
• Ensure key information such as diagnoses, medications, allergies and significant past history is clearly recorded
• Maintain consistency and accuracy in summarisation standards
• Liaise with clinicians where clarification is required

Data Quality and Information Governance

• Maintain high standards of data accuracy and completeness within the clinical system
• Undertake regular data quality audits as directed
• Support the Practice in achieving QOF, IIF and other reporting requirements
• Ensure compliance with GDPR, NHS Confidentiality Code of Practice and Information Governance policies
• Maintain strict confidentiality at all times

Administrative Responsibilities

• Process incoming clinical correspondence via electronic workflow systems
• Manage coding-related tasks within EMIS Web or equivalent clinical systems
• Support document management processes and workflow allocation where required
• Liaise with clinicians and administrative staff regarding coding queries

Team Working

• Work collaboratively with clinicians, administrative staff and management
• Provide support and cover for colleagues during periods of absence
• Participate in Practice meetings and contribute to service improvement initiatives
• Demonstrate flexibility to meet the changing needs of the Practice

Training and Personal Development

• Participate in mandatory and statutory training
• Undertake ongoing training in clinical coding and summarisation
• Maintain up-to-date knowledge of SNOMED CT and NHS coding standards
• Participate in annual appraisal and personal development planning

General Responsibilities

The duties outlined above are not exhaustive and may change in line with the needs of the Practice. The postholder is expected to undertake any reasonable duties appropriate to the role.

Health, Safety and Security

• Maintain a safe and tidy working environment
• Adhere to all Health & Safety and Infection Prevention and Control policies
• Report hazards, incidents or risks promptly
• Follow Practice security procedures

Confidentiality

The postholder will have access to sensitive patient information and must:

• Maintain strict confidentiality at all times
• Only disclose information in accordance with Practice policies and legal requirements
• Handle all data securely and appropriately

Equality and Diversity

The postholder will:

• Act in a way that supports equality, diversity and inclusion
• Respect the dignity, needs and beliefs of patients and colleagues
• Promote a non-judgemental and inclusive working environment

Quality

• Maintain high standards of work and accuracy
• Contribute to continuous improvement within the Practice
• Identify and report risks or issues relating to data quality or patient safety

Communication

• Communicate effectively with clinicians and colleagues
• Respond appropriately to queries regarding coding and summarisation
• Recognise and adapt to different communication needs

The duties outlined above are not exhaustive and may change to meet the evolving needs of the Practice. All employees are expected to undertake any reasonable duties consistent with the grade and nature of the post.

Place of Work:

The main place of work will be based at Leintwardine, but there may be times where travel is required to the practices branch surgeries at Orleton and Leintwardine.