MRD Technician

The MRD Executive is responsible for maintaining, updating, and securing all patient medical records as per hospital policies and statutory guidelines. The role ensures accurate data entry, safe record storage, timely retrieval of files, and compliance with confidentiality standards.

Key Responsibilities

A. Medical Records Management

• Maintain and update inpatient and outpatient medical records accurately.
  
• Ensure proper filing, indexing, and tracking of all medical files.
  
• Retrieve patient records promptly on request from clinicians, nursing staff, or management.
  
• Ensure completeness of patient files including consent forms, discharge summaries, reports, etc.
  

B. Data Entry & Documentation

• Enter demographic and clinical data in HIS software.
  
• Ensure correct ICD coding for diagnoses and procedures (if trained).
  
• Prepare daily/monthly reports related to admissions, discharges, and deaths.
  

C. Compliance & Confidentiality

• Ensure compliance with NABH / statutory guidelines for medical records.
  
• Maintain confidentiality of patient information at all times.
  
• Safeguard records from damage, unauthorized access, and misuse.
  

D. Record Storage & Preservation

• Organize physical and digital records systematically for easy traceability.
  
• Monitor old records for weeding/destruction as per retention policy.
  
• Ensure proper labeling, barcoding, and tracking of files.
  

E. Coordination

• Coordinate with wards, billing, laboratory, radiology, and other departments for record completion.
  
• Follow up with doctors for pending discharge summaries and deficiencies.
  

F. Additional Responsibilities

• Support medical audits by providing requested records.
  
• Assist in medico-legal case file management.
  
• Participate in departmental meetings and quality improvement initiatives.
  

Skills & Competencies

• Good knowledge of medical terminology.
  
• Basic understanding of ICD coding (preferred).
  
• Proficiency in hospital software (HIS).
  
• Strong organizational and filing skills.
  
• Attention to detail and accuracy.
  
• Ability to maintain confidentiality.
  
• Good communication & teamwork abilities.
  

Educational Qualification

• Graduate (any stream).
  
• Certificate/Diploma in Medical Records Technology preferred.
  
• Experience in hospital MRD is an advantage.
  

Experience

• 03 years for Assistant level.
  
• 3–5 years of experience for Executive level.