Medical Record Executive

Required Education

• Any Graduate/Diploma in Medical Record

Experience

• Minimum 1+ years in relevant field

Technical competencies

ICD 10 Coding

• Medical Terminology

• EMR

• HIS

Behavioral Competencies

• Good interpersonal skills

• Good communication skills

• Good Analytical & Mathematical Skills

• People-oriented, flexible and adaptable

• Rapport Building

• Planning & Execution

• Time Management

Job Summary

• Maintaining and securing all written and electronic medical records within a facility's medical records department or its equivalent

• To ensure that information contained in the record is complete, accurate and only available to authorized personnel.

Key Responsibilities

Principal Responsibilities

• To work with the hospital information system and other information technology resources and software as may be assigned on a periodic basis from time to time as per attached appendix

• Preparing the files of the Discharges.

• Collecting the discharges from wards.

• Assembling the files in order.

• International Classification of diseases (ICD) coding of diseases.

• Responsible for arranging & maintaining the files in the Medical Record room.

• Issuing of path reports, Radiology reports, Cath lab reports, Cardiology reports, X-ray reports.

• Issuing of Discharge, Fitness, Expenditure, and Railway reservation Concession Certificates.

• Issuing of Med claim forms.

• Handing of queries related to Medical Records of the patients.

• Hand over the case papers to the patients and completing the necessary formality.

• Maintain the records for doctors visit.

• Maintaining & issuing the books for library.

• Maintaining Statistics (E.g. Admissions, discharges, death, Occupancy, etc.).

• Giving on-the-job training.

• Preparing SOPs.

• Ability to comprehend verbal instructions given by the supervisor or head of the department.

• To give accurate and tactful explanations to patients.

• Ability to comprehend written instructions given by the Doctors and the other related departmental personnel.

• Ability to plan & organize ones work schedule effectively. Speaking and listening are essential requirements to understand and carry out the instructions given by the supervisors and other related departmental personnel.