Medical Records Technician

Primary Job responsibilities for a **Medical Records Technician** required for a **Cardiology Super Speciality Hospital**:
1. **Medical Records Management**
- **Job Responsibility**: Responsible for accurately maintaining, organizing, and updating patient records (both digital and paper). Ensure that all medical records are complete, current, and accessible for authorized medical staff.
- **Key Skills**: Attention to detail, organization, data entry skills, understanding of medical terminology.

2. **Data Entry & Coding**
- **Job Responsibility**: Enter patient data, diagnoses, and procedures into electronic health records (EHR) systems. Use ICD-10, CPT, and other coding systems to ensure proper classification of patient conditions and treatments.
- **Key Skills**: Proficiency in coding systems, familiarity with cardiology-specific codes, data entry accuracy.

3. **Compliance & Confidentiality**
- **Job Responsibility**: Ensure that all patient records comply with healthcare regulations and standards such as HIPAA, ensuring confidentiality and privacy of sensitive medical information.
- **Key Skills**: Knowledge of healthcare regulations, confidentiality standards, strong ethical practices.

4. **Medical Record Retrieval**
- **Job Responsibility**: Retrieve patient records and documents promptly as requested by medical staff or for administrative purposes, while ensuring that the integrity and confidentiality of records are maintained.
- **Key Skills**: Efficiency in retrieving records, familiarity with hospital EHR systems.

5. **Coordination with Medical Staff**
- **Job Responsibility**: Work closely with doctors, nurses, and other healthcare professionals to ensure all required patient information is accurately recorded and readily available for patient care.
- **Key Skills**: Strong communication skills, collaboration, understanding of cardiology terminology.

6. **Audit & Quality Control**
- **Job Responsibility**: Perform regular audits of medical records to ensure completeness, accuracy, and proper documentation of medical procedures, diagnosis, and treatment plans, particularly in cardiology.
- **Key Skills**: Attention to detail, familiarity with cardiology procedures, quality assurance protocols.

7. **Maintaining Electronic Health Records (EHR)**
- **Job Responsibility**: Update and manage electronic medical records for patients in the hospital’s digital system. Ensure that EHR systems are user-friendly, secure, and up to date.
- **Key Skills**: Technical proficiency in EHR systems, troubleshooting, and system maintenance.

8. **Patient Chart Review & Validation**
- **Job Responsibility**: Review patient charts for completeness, legibility, and accuracy. Ensure that all cardiology-related medical procedures and treatments are properly documented.
- **Key Skills**: Attention to detail, knowledge of cardiology treatments, chart review processes.

9. **Handling Medical Documentation**
- **Job Responsibility**: Ensure the proper filing, storage, and indexing of patient records (including images, test results, and reports), both in physical and digital formats, ensuring easy retrieval when needed.
- **Key Skills**: Document management, organization, familiarity with file indexing systems.

10. **Reporting & Statistical Analysis**
- **Job Responsibility**: Generate reports related to patient care, hospital metrics, and utilization of cardiology services. Assist in statistical analysis to support hospital management in decision-making.
- **Key Skills**: Data analysis, report generation, familiarity with healthcare reporting standards.

Additional Skills & Qualifications:

- **Education**: A degree in Health Information Management or related field, with certifications like RHIT (Registered Health Information Technician) or similar.
- **Experience**: Previous experience in a medical records position, preferably within a cardiology or healthcare setting.
- **Technical Skills**: Proficiency with medical record software (EHR/EMR systems), data entry software, and Microsoft Office suite.

Pay: From ₹15,000.00 per month

Work Location: In person