Medical Records Assistant

Job Description

Key Responsibilities: Medical Records Management: Maintain and organize patient records accurately. File and retrieve medical records as requested by departments or clinicians. Ensure completeness and accuracy of patient records. Track movement of files using manual or digital logs. Data Entry & Documentation: Enter patient data into the Hospital Information System (HIS) or EMR. Update and verify patient discharge summaries, lab reports, imaging reports, and consent forms. Ensure timely entry of ICD coding (if trained). Confidentiality & Compliance: Handle all records confidentially in line with hospital policies and legal regulations. Assist in audits and compliance checks (e.g., NABH/NABL requirements). Records Retrieval: Retrieve patient files for readmission, legal, insurance, or audit purposes. Ensure that all outgoing and incoming records are logged properly. Archiving & Disposal: Assist in organizing old records for archiving or authorized destruction. Label and store archived files systematically. Coordination: Coordinate with billing, wards, ICU, labs, and OPD for collecting complete records. Inform departments regarding missing documents for closure. Reporting & Support: Support in preparing daily/monthly reports as required. Assist MRD in-charge in statistical data collection or special audits. Qualifications & Skills: Education: Minimum 12th pass. Preference for diploma/certificate in Medical Records/Health Information Management. Experience: 0–2 years (Freshers with good computer skills may also apply). Skills: Proficient in MS Office and data entry. Good typing and file-handling skills. Strong sense of confidentiality and attention to detail. Ability to work systematically and handle physical records. Good communication and coordination skills. Job Types: Full-time, Fresher Pay: From ₹10,000.00 per month Benefits: Commuter assistance Food provided Health insurance Provident Fund Schedule: Day shift Morning shift Supplemental Pay: Performance bonus Yearly bonus Work Location: In person