Job Description

Job Summary

The Medical Records & Documentation Executive (Fresher) will assist in maintaining accurate and confidential patient medical records. The role involves basic documentation, data entry, coordination with clinical staff, and learning healthcare record-keeping processes under supervision.

Key Responsibilities

Medical Records Support

Assist in creating and maintaining patient files (physical and digital) Enter patient details, treatment notes, and reports into the system File and retrieve medical records as required Ensure documents are complete and properly organized

Documentation & Accuracy

Check basic completeness of patient forms and reports Follow documentation formats and clinic procedures Report missing or incorrect documents to seniors

EMR / Data Entry

Perform data entry in EMR / hospital software Update records after consultations and procedures Maintain daily logs and registers

Coordination & Support

Coordinate with doctors, nurses, and front office staff for documentation Assist billing team with required medical documents Respond to internal requests for patient records

Confidentiality & Compliance

Maintain strict confidentiality of patient information Follow clinic policies, data protection, and ethical standards
Eligibility & Skills

BSC in Botany or Zoology Freshers welcome Basic computer knowledge (MS Word, Excel) Willingness to learn EMR / hospital systems Attention to detail and good organizational skills Good communication and teamwork
Training & Growth

On-the-job training will be provided Opportunity to grow into Medical Records Officer / Executive role
Reporting To

Medical Records Officer / Clinic Manager
Job Type: Full-time

Pay: ₹12,000.00 - ₹20,000.00 per month

Education:

Bachelor's (Preferred)
Location:

Thirumala, Thiruvananthapuram, Kerala (Preferred)
Work Location: In person