Medical Records Clerk

As a Medical Records Management professional, your role involves collecting, organizing, and maintaining patients" medical records in a systematic and secure manner. You are responsible for ensuring proper documentation, coding, and classification of diseases using ICD coding standards. Key Responsibilities: - Input patient information accurately into hospital information systems (HIS). - Maintain both digital and physical records with confidentiality and accuracy. - Utilize standard medical classification systems such as ICD-10 and CPT for diagnosis and procedures. - Collaborate with doctors and billing departments to ensure accurate medical coding. - Ensure that all records meet legal, ethical, and regulatory standards. - Assist in medico-legal cases by providing certified medical documents as required. - Coordinate effectively with doctors, nurses, and administrative staff. - Retrieve records for ongoing patient care or audits. - Perform quality control audits on records for accuracy, completeness, and compliance. - Identify and flag any discrepancies or incomplete documentation for correction. Qualifications Required: - A degree or certification in Medical Records Management or a related field. - Proficiency in using medical classification systems such as ICD-10 and CPT. - Strong attention to detail and accuracy in record-keeping. - Knowledge of legal and ethical standards related to medical records management. - Excellent communication and coordination skills to work effectively with healthcare professionals. - Experience in quality control processes for medical records is preferred.,