Mrd Record

2 weeks ago

Vadapalani Chennai Tamil Nadu, India DR. KAMARAJ HOSPITAL PVT LTD. Full time

**Job Purpose**:
To manage and maintain patient medical records and ensure their accuracy, confidentiality, and timely availability in accordance with hospital policies and legal standards.

**Key Responsibilities**:

- **Medical Records Management**:

- Maintain and organize physical and electronic health records.
- Ensure completeness, accuracy, and timely filing of all patient records.
- Assemble and analyze patient records for completeness and accuracy after patient discharge.
- **Data Entry & Documentation**:

- Accurately enter patient data into Hospital Information System (HIS).
- Index records and assign appropriate codes as per ICD (International Classification of Diseases) guidelines.
- **Record Retrieval & Archival**:

- Retrieve patient files on request from authorized personnel.
- Archive old records systematically and ensure secure storage.
- Monitor and implement record retention policies.
- **Compliance & Confidentiality**:

- Ensure compliance with data protection laws and hospital policies.
- Maintain confidentiality and security of all medical records.
- Respond to requests for medical information from patients, physicians, legal entities, etc., after verifying proper authorization.
- **Reporting & Auditing**:

- Assist in preparing monthly/quarterly reports on departmental performance.
- Cooperate with internal and external auditors during audits.
- **Quality Assurance**:

- Conduct periodic checks for missing or incomplete documentation.
- Coordinate with medical and administrative staff to correct discrepancies.
- **Team Coordination**:

- Assist MRD Manager in training and supervising junior staff.
- Support cross-functional coordination with departments such as billing, nursing, and IT.

**Key Skills & Competencies**:

- Attention to detail and accuracy
- Knowledge of medical terminology and coding standards (e.g., ICD-10, CPT)
- Familiarity with Hospital Information Systems (HIS)
- Confidentiality and integrity
- Time management and organizational skills
- Strong communication and interpersonal abilities

**Educational Qualification**:

- Bachelor’s degree in Health Information Management / Life Sciences / Medical Records Technology or equivalent
- Certification in Medical Records or Health Information is a plus

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Work Location: In person

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