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Medical Record Executive / Medical Record Technician

Medical Record Executive / Medical Record Technician

MIOT International

0 - 5 years

1 - 3 Lacs

chennai

Posted:19 hours ago| Platform:

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Skills Required

medical record records management legal clinical data management medical records patient care clinical data billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Department: Medical Records Department (MRD)

Reports To: Head Quality

Job Summary:

The Medical Record Executive is responsible for maintaining, organizing, and securing patients medical records in compliance with hospital policies and regulatory standards. The role ensures accurate documentation, retrieval, and confidentiality of medical information to support patient care, billing, legal, and research requirements.

Key Responsibilities:

Record Management:

Collect, organize, and file patient medical records (inpatient, outpatient, and emergency).
Ensure all medical documentation is complete, accurate, and signed by the responsible doctor.

Coding & Indexing:

Assign appropriate ICD codes to diagnoses and procedures for accurate data entry and reporting.
Index medical records for easy retrieval and statistical analysis.

Data Entry & Reporting:

Enter patient details, discharge summaries, and clinical data into the Hospital Information System (HIS).
Prepare and maintain monthly, quarterly, and annual statistical reports.

Confidentiality & Compliance:

Maintain strict confidentiality of patient information as per hospital and legal requirements.
Ensure compliance with NABH/NAB standards and other healthcare regulations.

Record Retrieval & Audit Support:

Retrieve records for audits, medico-legal cases, and internal or external reviews.
Support quality assurance and mortality review committees with relevant documentation.

Qualifications & Skills:

Diploma or Bachelors degree in Medical Record Technology or Health Information Management.

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