Medical Records Technician
6 months ago
Ø Co-ordinate the entire audit projects.
Ø Work to maintain complex audit processes and audit tools.
Ø Audit staff in accordance with established auditing processes and assist in making recommendations for improvement to the Health Information Manager.
Ø 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.
Ø Work in conjunction with Health Information Manager to establish patterns or trends that require additional training or corrective action.
Ø Communicate with different stakeholders such as doctors, nurses and others to provide feedback and recommendations for improvement.
Ø Follow up on given recommendations for improvement and report to concerned entities.
Ø Interpret findings to develop recommendations for changes to clinical practice.
Ø Assist Unit’s Training team to incorporate compliance and audit findings into training programs.
Ø Liaise with the different units and departments to receive relevant clinical, performance and operational information.
Ø To evaluate documentation for deficiencies in the patient’s medical records and to prepare a comprehensive audit report.
Ø To participate in educational programs such as seminars, workshops, and conferences related to medical record field.
Ø To carryout technical analysis and evaluation of medical records in accordance with the hospital standards.
Ø Maintain compiled statistics report for the audit (Doctor wise, Department wise, Area wise etc).
Ø Maintain patient confidentiality all time.
Ø To verify and proceed release of information requests.
Ø Development and revision of policy and procedures in relation to audit processes
Ø The post holder is required to undertake any other duties in line with the requirement of this post and as directed by management.
Ø To cooperate with all Units and departments related to medical record services in order to obtain acceptable records for providing efficient services.
Ø Comply with relevant rules, regulations, standards, policies and procedures.
**Job Type**: Permanent
Pay: ₹13,000.00 - ₹15,000.00 per month
**Benefits**:
- Health insurance
Schedule:
- Day shift
Ability to commute/relocate:
- Kochi, Ernakulam - 682030, Kerala: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Master's (required)
**Experience**:
- total work: 1 year (preferred)
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