TECHINICAN MEDICAL RECORD DEPARTMENT

Medical Records Technician – Key Responsibilities

• Patient Record Management
• Collect, organize, and maintain inpatient and outpatient medical records.
• Ensure proper filing, retrieval, and safe storage of patient records (both physical and electronic).
• Assign and manage medical record numbers.
• Data Entry & Documentation
• Enter patient demographic, clinical, and diagnostic data into the hospital information system (HIS).
• Maintain accuracy and completeness of patient charts and records.
• Ensure timely updating of admissions, discharges, transfers, and deaths.
• Confidentiality & Compliance
• Maintain confidentiality of patient health information in line with HIPAA or local regulations.
• Follow hospital policies regarding record access and release of information.
• Coding & Indexing
• Assist in medical coding (ICD-10/ICD-11, CPT) for diagnoses and procedures.
• Index patient records for statistical and research purposes.
• Reporting & Statistics
• Prepare daily, monthly, and annual hospital statistics (admissions, discharges, births, deaths, bed occupancy, etc.).
• Assist in generating reports for management, government agencies, and accreditation bodies (e.g., NABH, JCI).
• Quality Assurance
• Check records for completeness, accuracy, and legibility.
• Follow-up with consultants/nurses for missing reports or incomplete documentation.
• Participate in audits and support hospital accreditation requirements.
• Legal & Insurance Support
• Provide certified copies of medical records for medico-legal cases and insurance claims after due authorization.
• Maintain records as per legal retention policy.
• Coordination & Communication
• Coordinate with doctors, nurses, billing, and administrative staff for timely documentation.
• Assist patients/relatives in obtaining discharge summaries, certificates, or records (as per policy).
• Digital Records & Technology
• Operate Electronic Medical Records (EMR) systems.
• Scan, digitize, and archive paper-based records.
• Ensure backup and data security of hospital records.
• General Responsibilities
• Assist MRD Officer/Incharge in day-to-day operations.
• Participate in departmental meetings, training, and quality improvement initiatives.
• Ensure records are stored as per hospital retention schedule (short-term and long-term archiving).

Job Type: Full-time

Pay: ₹10,832.36 - ₹29,995.68 per month

Work Location: In person