Collect, organize, and maintain inpatient and outpatient medical records.
Ensure proper filing, retrieval, and safe storage of patient records (both physical and electronic).
Assign and manage medical record numbers.
Data Entry & Documentation
Enter patient demographic, clinical, and diagnostic data into the hospital information system (HIS).
Maintain accuracy and completeness of patient charts and records.
Ensure timely updating of admissions, discharges, transfers, and deaths.
Confidentiality & Compliance
Maintain confidentiality of patient health information in line with
HIPAA
or local regulations.
Follow hospital policies regarding record access and release of information.
Coding & Indexing
Assist in medical coding (ICD-10/ICD-11, CPT) for diagnoses and procedures.
Index patient records for statistical and research purposes.
Reporting & Statistics
Prepare daily, monthly, and annual hospital statistics (admissions, discharges, births, deaths, bed occupancy, etc.).
Assist in generating reports for management, government agencies, and accreditation bodies (e.g., NABH, JCI).
Quality Assurance
Check records for completeness, accuracy, and legibility.
Follow-up with consultants/nurses for missing reports or incomplete documentation.
Participate in audits and support hospital accreditation requirements.
Legal & Insurance Support
Provide certified copies of medical records for medico-legal cases and insurance claims after due authorization.
Maintain records as per legal retention policy.
Coordination & Communication
Coordinate with doctors, nurses, billing, and administrative staff for timely documentation.
Assist patients/relatives in obtaining discharge summaries, certificates, or records (as per policy).
Digital Records & Technology
Operate Electronic Medical Records (EMR) systems.
Scan, digitize, and archive paper-based records.
Ensure backup and data security of hospital records.
General Responsibilities
Assist MRD Officer/Incharge in day-to-day operations.
Participate in departmental meetings, training, and quality improvement initiatives.
Ensure records are stored as per hospital retention schedule (short-term and long-term archiving).
Job Type: Full-time
Pay: ₹10,832.36 - ₹29,995.68 per month
Work Location: In person
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