Medical Records

Job Title: Medical Records

Company Name: Manipal Hospitals

Job Description:
The Medical Records department at Manipal Hospitals is responsible for managing patient information and medical documentation. The Medical Records staff will ensure the accuracy, accessibility, and confidentiality of medical records in compliance with legal and regulatory requirements. This role involves organizing and maintaining patient files, coding medical diagnoses and procedures, and assisting with data entry and retrieval. The Medical Records staff will also collaborate with healthcare providers to ensure that medical records are complete and up-to-date.

Key Responsibilities:

• Maintain and organize patient medical records, both paper and electronic.
• Ensure compliance with legal, regulatory, and accreditation standards regarding medical records.
• Input and update patient information in the electronic health record (EHR) system.
• Assign appropriate codes to diagnoses and procedures for billing and statistical purposes.
• Prepare and process requests for medical records from patients and authorized personnel.
• Conduct audits to ensure the accuracy and completeness of records.
• Provide training and support to staff regarding medical record keeping practices.
• Collaborate with healthcare professionals to improve documentation practices.

Skills and Tools Required:

• Strong understanding of medical terminology and anatomy.
• Knowledge of health information management principles and practices.
• Proficiency in using electronic health record (EHR) systems.
• Familiarity with coding standards (such as ICD-10 and CPT).
• Excellent organizational and time management skills.
• Attention to detail and a high level of accuracy.
• Strong communication skills, both verbal and written.
• Ability to work independently and as part of a team.
• Proficiency in using office software such as Microsoft Office Suite.
• Commitment to maintaining patient confidentiality and security of information.