Job Description

To oversee the daily operations of the

Medical Records Department

, ensuring that all patient health information is accurate, stored securely, and easily retrievable. The Incharge is responsible for maintaining the hospital's clinical data integrity and ensuring 100% compliance with legal, statutory, and accreditation standards (e.g., NABH).

Key Responsibilities1. Departmental Management

Workflow Oversight:

Manage the end-to-end process of record collection, indexing, coding (ICD-10), and archiving for both Inpatient (IPD) and Outpatient (OPD) files.

Retrieval Systems:

Ensure a "zero-delay" system for retrieving records for follow-ups, research, or legal requests.

Digitization:

Lead the transition or maintenance of Electronic Medical Records (EMR) and oversee the scanning/digitization of physical files.

2. Compliance & Quality Assurance

Auditing:

Conduct regular "File Audits" to check for deficiencies (missing signatures, incomplete discharge summaries, etc.) and coordinate with doctors for completion.

Statutory Norms:

Ensure the department meets all state and national healthcare regulations regarding record retention and destruction.

Accreditation:

Maintain all documentation required for

NABH

or other quality certifications.

3. Medico-Legal & Data Privacy

MLC Management:

Act as the custodian for Medico-Legal Case (MLC) records, ensuring they are stored under high security and produced in court as required.

Confidentiality:

Enforce strict HIPAA or local data privacy protocols to ensure no unauthorized access to patient information.

4. Reporting & Statistics

Data Analysis:

Generate daily, monthly, and annual hospital statistics (e.g., Bed Occupancy Rate, Death Rate, Discharge Trends).

Management Reporting:

Present data-driven insights to hospital leadership for administrative planning and budgeting.
Job Types: Full-time, Permanent

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

Benefits:

Provident Fund
Work Location: In person