Job Description

Key Responsibilities1. Medical Records Management

Ensure proper

collection, indexing, classification, filing, and archiving

of all patient records (IPD, OPD, Emergency). Maintain

patient discharge files

, ensure completeness, and obtain missing documents from respective departments. Ensure

timely assembly and coding

of medical records as per ICD-10/ICD-11 standards. Maintain

record retention

as per statutory guidelines.

2. Data Accuracy & Documentation

Verify accuracy and completeness of patient-related documents: Discharge summaries Consent forms Operative notes Investigation reports Ensure records are free from errors, overwriting, or missing signatures.

3. Confidentiality & Security

Implement strict confidentiality protocols for patient information. Ensure safe and secure storage (physical or digital) of all medical records. Restrict unauthorized access to records.

4. Retrieval & Reporting

Provide

timely retrieval

of patient records for clinical review, audits, TPA/Insurance, legal cases, or medico-legal purposes. Prepare

daily, weekly, and monthly MRD reports

, such as: Admission & discharge statistics Bed occupancy Mortality & morbidity data Birth & death records submission

5. Compliance & Standards

Ensure compliance with

NABH, ISO, and regulatory requirements

. Maintain complete documentation for audits. Handle

Medico-Legal Case (MLC)

files properly and coordinate with police/government as required.

6. Coordination

Work with clinical teams, TPA, billing, and nursing to obtain missing documents. Coordinate with IT for EMR/HIS-related issues. Support the Quality department during audits.

7. Staff Supervision

Supervise MRD clerks/executives. Conduct training on documentation standards and record-keeping protocols.
Job Types: Full-time, Permanent

Pay: ₹10,786.37 - ₹38,648.31 per month

Benefits:

Flexible schedule Leave encashment Paid sick time Paid time off
Work Location: In person