25 Discharge Summary Jobs

As a Registrar in Pune, your key responsibilities will include: - Informing the concerned consultant promptly upon patient admission. - Conducting and documenting history & physical examinations. - Formulating a differential diagnosis. - Developing and documenting the initial plan of care based on the labor room PROTOCOL book. - Modifying the daily plan of care as needed. - Writing daily progress notes to track patient status. - Obtaining and documenting informed consent from patients. - Performing preoperative workups for patients scheduled for procedures. - Ordering appropriate investigations and interpreting hemodynamic parameters in critically ill patients. - Analyzing and interpreting laboratory & radiology results. - Ordering transfusions of blood and blood products when necessary. - Ordering appropriate medications and other necessary treatments. - Preparing comprehensive discharge summaries and explaining post-discharge orders to patients. - Recording duty reports in the duty register and ensuring proper handover and takeover procedures are followed daily. - Completing insurance forms for patient billing purposes. - Conducting pelvic examinations, Pap smears, and cardio-pulmonary resuscitation as required. - Ordering and adjusting artificial feeding modalities. - Performing nasogastric intubations and inserting urethral catheters. To be eligible for this position, you should hold an MBBS degree with MD/ DNB/ DGO qualifications and have 0-4 years of relevant experience. This is a full-time role that requires a high level of clinical expertise and attention to detail.,

Role & responsibilities Adhere to all functional and service SoPs - Deal with all general inquiries, explain procedures and make new and follow-up appointments. - Smoothly facilitate, in a non-disruptive manner, patients without appointment needing urgent consultation. May require politely requesting patients with appointments to wait longer. - Explain requirements to new patients to ensure procedures are completed without delay. - Proactively communicate with waiting patients; keep them updated and help them when required. - Receive and make telephone calls as required. Divert calls and take messages, ensuring accuracy of detail and prompt appropriate delivery. - Patient notes and correspondence: w Accurately capture and ensure complete data updated on system; w Accuracy of ultrasound, X-RAY, Echo, HSG & discharge summary reports. - Ensure 100% report dispatch. - Coordinate with related department for smooth patient transfers. - Maintain required register and data, Online PNDT application - Maintain stock and reorder and monitor cost saving. Fulfilling the Service Vision & Inter-department Coordination: - Is well-groomed as per standard; maintains discipline and decorum. - Responsible for the implementation of the Service Vision ensures personalized care while delivering service. - Collects customer feedback as per SoP. - Engages well with Clinicians and colleagues, builds respect and rapport. - Coordinates with support departments to ensure customers are comfortable and services are as per standard. - Maintains a cordial interpersonal relationship with all colleagues. Personal Development: - Attends in-service programs and trainings to enhance knowledge. - Ensures is up to date with latest protocols and practices. Preferred candidate profile - Strong functional knowledge. Good understanding of customer service skills - Competence in:- computer skills , understands software. -Eye for detail; meticulous; accurate and thorough in completion of tasks; - Good Interpersonal Skills , team player; patient and helpful; - Capable of communicating effectively and with empathy; - Fluency in English and Regional language; - Works well under pressure, maintains calm; seeks to resolve situations gracefully; - Logical thinker, makes decisions smartly and quickly Process adherence; audit compliance; documentation accuracy Quality indicators re-do scan; mistakes in typing, despatch of reports as per TAT Ensure department feedback scores are above the target. Appreciation for department services @ 90% of all feedback received. Less than 5 written complaints for Billing per 100 Out-patients.

As a Registrar in Kolkata, your main responsibilities will include informing the concerned consultant promptly upon patient admission, conducting and documenting history & physical examinations, formulating a differential diagnosis, and developing an initial plan of care in accordance with labor room PROTOCOL book guidelines. You will be expected to modify the daily plan of care as needed, write daily progress notes, and obtain and document informed consent from patients. Additionally, your role will involve performing preoperative work-ups, interpreting hemodynamic parameters in critically ill patients, interpreting laboratory and radiology results, ordering and overseeing transfusions of blood and blood products, ordering appropriate investigations and medications, and preparing discharge summaries while explaining post-discharge instructions to patients. It will also be your responsibility to write the duty report in the duty register, receive and provide written handovers and takeovers daily, and complete insurance forms to be signed by the concerned consultant. Furthermore, you will be required to perform pelvic examinations, Pap smears, cardio-pulmonary resuscitation, nasogastric intubation, urethral catheter insertions, and order and adjust artificial feeding modalities as necessary. Candidates for this position are expected to hold an MBBS degree along with MD, DNB, or DGO qualifications and have 0-4 years of relevant experience. This is a full-time role that demands attention to detail, strong communication skills, and the ability to work effectively within a medical team.,

Monitor the protocol /compliance for all medical services in the unit. Set up & ensure the regular functioning of the following clinical committees, in consultation with the supervisor - Hospital Infection Control Committee, Academic Council, Monthly Medical Forum, Pharmacy and therapeutic Council and Quality Management Services. Facilitate clinical audit. Coordinate with Infection Control Department to ensure efficient functioning. Ensure adequate coverage through rostering of junior doctors and technicians. Track and maintain medical equipment maintenance requirement and utilization. Manage interdepartmental communication, resolve disputes and / or operational working issues. Ensure proper upkeep& confidentiality of medical records & patient documentation. Work closely with the nursing superintendent and take all necessary steps to ensure high standards of patient care. Ensure that proper procedures are in place for the efficient admission, care & discharge of patients. Coordinate with the Emergency team for all medico-legal cases received at the hospital. Assess and Ensure performance level of staff People-assessment, efficiency etc. Promote continuing professional education of medical, nursing & paramedical staff Management reserves the right to revise JD at any point of time.

Responsibilities: * Maintain confidentiality at all times * Accurately transcribe medical dictation from physicians * Collaborate with healthcare team on discharge summaries * Meet deadlines for document submission

Preferred candidate profile : Graduate with Minimum 3+ Years experience as Medical Transcriptionist in Non Invasive Cardiology For inquiries, kindly reach out to - Mr. Hament, at 7011324972 or via email at hament.gautam@fortishealthcare.com

You will be responsible for performing and documenting history & physical examination, formulating a differential diagnosis, developing and documenting the initial plan of care, modifying daily plan of care, writing daily progress notes, obtaining and documenting informed consent, ordering appropriate referrals and investigations, interpreting hemodynamic parameters in critically ill patients, interpreting laboratory & radiology results, ordering transfusions of blood and blood products, ordering appropriate medication and other necessary orders, and preparing an appropriate discharge summary. In terms of administrative duties, you will be required to perform cardio-pulmonary resuscitation and actively participate in teaching and academic activities both intradepartmentally and interdepartmentally. Your role will also involve clinical invasive management which includes administering General & Regional anaesthesia and appropriate interventions. This is a full-time position with health insurance benefits and a fixed shift schedule. The ideal candidate should have a Bachelor's degree (Preferred) and a minimum of 1 year of experience as a Physician (Preferred) with a total of 1 year of work experience. The work location for this position is in person.,

Responsibilities: * Meet deadlines consistently * Maintain confidentiality at all times * Ensure accuracy through proofreading and editing * Collaborate with healthcare providers on discharge summaries

Responsibilities: * Meet deadlines consistently * Maintain confidentiality at all times * Ensure accuracy through proofreading and editing * Collaborate with healthcare providers on discharge summaries

Job Summary Managing patient records and documentation Coordinating admissions, discharges, Maintaining ward supplies and inventory Providing administrative support to healthcare staff Must be proficient in typing discharge summaries Required Candidate profile 2 to 5 Years of experience in Ward Secretary Good experience in Summary discharge

1. Radiology, USG, Cardiology reports and discharge typing. 2. Coordination with doctors and medical officers for reports 3. Assisting doctors in investigation. 4. Maintaining clinical documentation ensure timely delivery of reports . Required Candidate profile Must be proficient in English. Must have good knowledge in computer operating. Must have good typing skills and speed. Smart and eager to learn and develop. Perks and benefits Annual increment and bonus

Listening to recordings of doctor's dictations and typing them into a document Reviewing and editing records that were created using speech-to-text software Using their knowledge of medical terminology to proofread reports Curating and filing the finished documents according to their employer's policies Following confidential guidelines for the patient's privacy Performing audits to check the quality of work Getting health records approved by physicians Updating patient's health records into EHR (Electronic Health Record) systems Ensuring the transcription is complete, consistent and correct. Contact@ 9771471971

Roles and Responsibilities Provide medical care to patients in emergency situations. Conduct investigations such as ECG and other diagnostic tests as needed. Prepare discharge summaries for patients who have been admitted to the hospital. Assist doctors with OPD consultations and provide general medicine services. Participate in IP rounds and assist with critical cases.

Role & responsibilities Inpatient/Outpatient Billing Overseas/Corporate/Insured/TPA billing Payment Tracking and collecting inpatient deposits. Charge Posting at regular basis OT and Endoscopy Charge posting as per the attached sheet and verify the same on day to day basis. Cross checking the files before the final Bill to be approved by Authorized Person for all bills. TPA files follow-up and closure by generating outstanding amount in coordination with TPA/Insurance officer. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages Service Recovery in the billing Area. Training of the HIMS modules in billing with the proper guide line. To check pharmacy bills during final billing. To inform ward nurse and Manager Operations regarding completion of billing formality of discharging patients. To store the IPD file safely in MRD. Preferred candidate profile

Role & responsibilities Monitoring Room Preparedness and Room Availability in IP Room Upgradation and approval documentation Roster management for Duty Doctors Tracking timely preparation of Discharge summary and its completeness Monitoring and reducing TAT for Discharge Tracking Financial Clearance for OT/Discharge Monitoring F&B Services in IP along with Dietician Tracking Critical Value Reporting from Lab Tracking Diagnostic sample processing & Reports for IP patients IP Patient Feedback Collection / Patient Testimonials & Google Reviews Inventory Management for IP in coordination with Stores a. Linen b. Stationary c. Drugs and Consumables d. Instruments & Equipment e. Furniture & Fixtures Tracking IP Sub store consumption Medical Records Completion and Storage Charge sheet updation for IP Patients IP Billing adherence ( DCI ) and timely charging to reduce discharge time Tickets for Bill Discount in Adbhutam Tracking & Reducing Miscellaneous charging Tracking Open bills/ Reopening of bills/ Bill Cancellations in Insta Billing module Creation & Updation of Codes/ Rates in Insta for IP Billing Timely submission of TPA files Handling Queries from TPA for closure along with IP billing Capturing of Corporate Company Names in Insta Billing module Discharge kits handover to delivery patients and tracking inventory for reorder Coordination for Maintenance/ Biomedical / IT issues closure Monitoring H/K & Pest control services in IP Monitoring Laundry Services Infection Control & Safety Protocol Adherence in IP Adherence to Visitor Policy Complaint Management for IP Services Night MOD duties MIS Preparation and Reporting Preferred candidate profile To ensure that the Namaste Culture is the beginning of all service deliveries as an IP Manager Answer customer questions regarding billing, service problems, products and features. To ensure patients/customers are not disturbed by maintaining the noise levels at the nursing stations To proactively ensure that the coordination with insurance department is done for the benefit of the customer To attend a minimum of 2 workshops in service excellence in coordination with the L&D department and a minimum of 20 hours of trainings To maintain an Average Resolution time of 2 hours for escalations raised towards customer service provided. To ensure NPS scores are above 95 % and Google Rating Scores are above 4.5 rating. To ensure that the 3E (Empathy, Expertise and Excellence) concept and TLC (Tender Loving Care) concept is imbibed in practice at work The IP Manager is responsible for all employees under his/her department to follow the points mentioned above

Typing the details of medicines in a proper manner. Explain the position details and other prerequisites to the patient before carrying out the procedures. Understand the patient diagnostics background and carry out the procedure accordingly Maintain and check the equipments and accessories to be used. Upkeep of all technical equipments including imaging equipments. Coordinate with doctors and nurse in finalizing the list of patients undergoing the various procedures. Arrange the items for department from stores. Responsible for maintenance of quality of films . Maintain the equipment log book and inform the bio-medical engineer in case of any failures in the equipment. Interested candidates can contact at 8447435198

Managing patient records and documentation Coordinating admissions, discharges, Maintaining ward supplies and inventory Providing administrative support to healthcare staff Must be proficient in typing discharge summaries Required Candidate profile 2 to 5 Years of experience in Ward Secretary Good experience in Summary discharge Location : Chetpet , Chennai Contact : 7305057838(WhatsApp)

Responsibilities: Maintain confidentiality at all times Accurately transcribe medical records from dictated notes Collaborate with healthcare team on discharge summaries Ensure timely submission of documents Connect with us on:- monika.rathore@bmchrc.com +91 99830 00196

Role & responsibilities Enter and update patient information into the hospitals electronic health records (EHR) or management system. Review and verify data for accuracy and completeness. Maintain confidentiality and security of patient records and hospital data. Perform data clean-up and quality checks as needed. Coordinate with medical, billing, and administrative staff to ensure accurate documentation. Retrieve and process data for reports and audits. Manage digital and paper records efficiently. Assist in archiving and recordkeeping processes. Adhere to hospital policies, data protection laws (e.g., HIPAA), and compliance standards.

Candidate is responsible for transcribing medical imaging reports into accurate timely and precise documentation of patient diagnostic reports, Discharge summary , LAB Report Knowledge of medical transcription or health sciences (preferred).

To attend the patients on admission & inform the senior resident/ consultant immediately. To note the detailed history of the patient. To take rounds and inform seniors and consultants regarding patients condition as per defined frequency To confirm OT bookings. To receive the patient after surgery. To coordinate with blood bank and arrange for Blood Transfusion as and when necessary. To inform Nursing team about new admissions and coordinate with consultants about immediate care plan. To arrange for lab tests for the patient. To contact external doctor if needed after receiving necessary approvals from MCO/CMS. To accompany patient for investigations like imaging, procedures, etc. To visit patients as per defined frequency and record vitals. To inform patient about various diagnostics planned & preparation required for the same To help in shifting and positioning of the patient in some specific surgeries. To assist in preparing discharge summaries and complete all other discharge formalities To give necessary instructions about home care at the time of discharge To transcribe medication orders from progress notes to drug administrator chart and ensure that it is signed by Consultant. To inform about any deviation / delay / lapse in clinical care to MCO / CMS To ensure all relevant consents are competed before procedure. To arrange for ambulance service at the time of discharge. To be responsible to carry out allocated work depending upon your area of deployment. To coordinate with consultants regarding signing of daily notes, drug sheets and care plans. To carry out any other work assigned by the management Kindly carry a hard copy of your CV HR Department : 02067213000 / 9673338141

Role & responsibilities Transcribe and edit discharge summaries dictated by physicians and healthcare staff. Ensure accurate and timely transcription of medical information into electronic medical records (EMR/EHR) systems. Interpret and apply medical terminology, anatomy, and pharmacology to ensure quality documentation. Collaborate with healthcare providers to clarify inconsistencies or incomplete documentation. Adhere to HIPAA regulations and confidentiality guidelines in all aspects of patient documentation. Maintain up-to-date knowledge of transcription standards and hospital documentation requirements. Prioritize work to meet deadlines and turnaround times. Perform quality assurance checks and ensure all transcribed documents are grammatically correct and error-free. Preferred candidate profile Proven experience in medical transcription, with a focus on discharge summaries. Previous healthcare or clinical documentation experience is required. Familiarity with medical terminology, disease processes, medications, and treatment procedures. Excellent listening, typing, grammar, and editing skills. Strong attention to detail and ability to work independently. Certification in Medical Transcription (CMT/RMT) preferred but not mandatory.

To attend the patients on admission & inform the senior resident/ consultant immediately. To note the detailed history of the patient. To take rounds and inform seniors and consultants regarding patients condition as per defined frequency To confirm OT bookings. To receive the patient after surgery. To coordinate with blood bank and arrange for Blood Transfusion as and when necessary. To inform Nursing team about new admissions and coordinate with consultants about immediate care plan. To arrange for lab tests for the patient. To contact external doctor if needed after receiving necessary approvals from MCO/CMS. To accompany patient for investigations like imaging, procedures, etc. To visit patients as per defined frequency and record vitals. To inform patient about various diagnostics planned & preparation required for the same To help in shifting and positioning of the patient in some specific surgeries. To assist in preparing discharge summaries and complete all other discharge formalities To give necessary instructions about home care at the time of discharge To transcribe medication orders from progress notes to drug administrator chart and ensure that it is signed by Consultant. To inform about any deviation / delay / lapse in clinical care to MCO / CMS To ensure all relevant consents are competed before procedure. To arrange for ambulance service at the time of discharge. To be responsible to carry out allocated work depending upon your area of deployment. To coordinate with consultants regarding signing of daily notes, drug sheets and care plans. To carry out any other work assigned by the management Kindly carry a hard copy of your CV HR Department : 02067210567

Greetings from Sarvodaya Hospital , Greater Noida West Looking for Medical Transcriptionist - Discharge Summary Candidate having experience in good corporate hospital with min. 3 to 5 years of experience Interested candidates can share their CV on WhatsApp 7200175988 ( Deepika Bhainsora) along with their current CTC

Role & responsibilities • Conduct routine rounds in all wards, including the ICU, emergency, general wards. • Evaluate patients waiting for further investigation or admission to other departments. • Ensure prompt referrals to specialists if required. • Oversee patient admissions from ED or direct admissions, ensuring proper documentation and initial orders are made. • Ensure discharge planning is done efficiently, with prescriptions, follow-up instructions, and patient education as needed. • Maintain accurate, up-to-date records of all clinical encounters. • Review and update patient progress notes, and document any changes in the treatment protocol or condition. • Ensure legible and thorough documentation to avoid legal or medical discrepancies.