MEDICAL RECORD OFFICER

1. To establish, organize and manage the Medical Records Department with appropriate systems to provide an effective service in the hospital.

2. To develop policies and procedures relating to the Medical Records Department in accordance with the Health Directorate / Ministry of Health.

3. To assist the Medical services in designing and development of different forms required for hospital use.

4. To review the Medical Records of admission patients and emergency patients to ensure that they include all important document and pertaining information.

5. Shall prepare Patient Master Index (PMI) cards, arrange according to alphabetical order, file them in index cabinets and retrieve when required. If computerised PMI, feed and retrieve information electronically from computer.

6. To supervise medical reports/ MIS, medical certificate and birth and death registers to notify concerned authorities in duly completing the required procedures.

7. Daily checking of medical records in department and also ensuring the deficiencies are at negligible rate.

8. To supervise supply copies of indoor case papers by following due procedures to patients on application.

9. Ensure no patient records is altered, except genuine cases only through following due procedures.

10. To supervise prepare monthly statistics reports concerning the hospital activities carried out and to submit to concerned authorities any suggestion for improvement

11. To observe professional ethics and to protect the confidentiality of information from unauthorized persons; to keep medico legal record under safe custody and to attend court proceedings whenever required.

12. To supply patient files in accordance with the established procedures for medical care, medical education. Medical training, medical care evaluation management and legal purpose.

13. To maintain and protect medical records in accordance with the policies relating to preservation and destruction.

14. To cooperate with the medical (consultants) patients, health agencies, other hospitals and legal authorities for smooth and efficient function of the hospital in general and medical records department in particular.

15. To collect medical, administrative, and other statistics required by the hospital and to provide health information for planning and evaluation of health care.

16. To code and index disease, surgical operations and therapeutic procedures accordance to criteria set force by the health directorate/Ministry of health. Presently to follow ICD 10

17. To ensure that all the registers are completed and maintained by the medical records dept.

18. To correspond with various individuals and institution. This includes furnishing of information to courts on summons, police station for medico legal cases, insurance claims, corporate, medical board correspondence etc.,

19. To ensure scanning all the discharge files and other required reports.

To participate in educational programs such as seminars, workshops and conferences related to the medical record profession.

Job Type: Full-time

Pay: Up to ₹30,000.00 per month

Work Location: In person