Medical Records Technician

1. Co-ordinate the entire audit projects.

2. Work to maintain complex audit processes and audit tools.

3. Work in hand with the Assistant Manager to bring improvement in documentation.

4. To evaluate documentation for identifying potential deficiencies in outpatient and inpatient medical record documentation and to coordinate with the concerned unit regarding the completion process.

5. Work in conjunction with the Assistant Manager to establish patterns or trends that require additional training or corrective action.

6. Communicate with different stakeholders such as doctors, nurses and others to provide feedback and recommendations for improvement.

7. Follow up on given recommendations for improvement and report to concerned entities.

8. Interpret findings to develop recommendations for changes to clinical practice.

9. Assist Unit’s Training team to incorporate compliance and audit findings into training programs.

10. Liaise with the different units and departments to receive relevant clinical, performance and operational information.

11. To evaluate documentation for deficiencies in the patient’s medical records and to prepare a comprehensive audit report.

12. To participate in educational programs such as seminars, workshops, and conferences related to medical record field.

13. To carryout technical analysis and evaluation of medical records in accordance with the hospital standards.

14. Maintain compiled statistics report for the audit (Doctor wise, Department wise, Area wise etc).

15. Maintain patient confidentiality all time.

16. To verify and proceed release of information requests.

17. Development and revision of policy and procedures in relation to audit processes

18. The post holder is required to undertake any other duties in line with the requirement of this post and as directed by management.

19. To cooperate with all Units and departments related to medical record services in order to obtain acceptable records for providing efficient services.

20. Comply with relevant rules, regulations, standards, policies and procedures.

Job Types: Full-time, Permanent

Pay: ₹15,000.00 - ₹18,000.00 per month

Education:

• Master's (Required)

License/Certification:

• MSc Medical Documentation (Required)