Healthcare InfoGuide
Menu
  • Job Description
  • Standard Operating Procedures
  • Hospital Policies
  • Committee Terms of Reference
  • Management of Medication
  • Quality Department
  • Shop
    • Cart
    • Checkout
  • About
    • About
    • Contact
    • Do Business Together
    • Career
    • Vision and Mission
    • Privacy Policy
    • Terms of Use
  • Register
  • Log In
Menu
Medical Records Technician Job Description

Medical Records Technician Job Description

Posted on June 21, 2020August 15, 2020 by Healthcare InfoGuide
  • Assembling the Inpatient case records in the form of order of arrangement of the case sheets
  • Collecting death information from the wards and preparing death reports to be sent to Corporation with acknowledgement.
  • Receiving all discharges/ death records from all the wards
  • To carry out other duties and functions related to Medical Record Services as instructed by the immediate chief.
  • To carry out technical analysis and evaluation of medical records in accordance with hospital standards.
  • To cooperate with all departments related to medical record services in order to obtain acceptable records for providing efficient services.
  • To cooperate with the medical, nursing and other staff in completing patient medical records.
  • To establish, organize and manage medical record department with appropriate systems to provide an effective service in the hospital.
  • To evaluate documentation for deficiencies in the inpatient medical files and to arranging for completion of records with the cooperation of medical and nursing staff.
  • To observe and maintain medical ethics as recommended for medical record heads
  • To observe professional ethics and to protect the confidentiality of information from authorized person; to keep medico-legal records under safe custody and to attend court whenever required.
  • To participate in educational programs such as seminars, workshops, and conferences related to medical record fields.
  • To perform any other work related to medical records as instructed by his or her direct or immediate chief.
  • To prepare and maintain medical reports, and medical certificates, death registers and to notify concerned authorities in duly completing the required procedures.
  • To prepare monthly statistical reports concerning the hospital activities carried out, and to submit to concerned authorities any suggestions for improvements.
  • To protect medical records especially MLC from unauthorized disclosure so as to maintain confidentiality.
  • To review the medical records of outpatients, inpatients and emergency patients to ensure that they include all important documents and patient information.
  • To scan the complete patient record to the computer for processing, storage, and retrieval when required.
  • To supply patient files in accordance with the established procedures for medical care, medical education, medical training, medical care evaluation management, and legal purposes.
  • To do a close audit of paper and evaluate percentages of
  1. Percentage of Medical Records not having discharge summary
  2. Percentage of medical records not having initial assessment / Care Plan
  3. Percentage of medical records with incomplete consent form
  4. Percentage of Total Medical Records not completed
  5. Percentage of missing records
  6. Percentage of Inpatient Medical Records Not having ICD Code
  7. Bed Occupancy rate
  8. Average Length of Stay
  9. Total Number of Outpatients
  10. Total Number of Inpatient
  11. Total Number of Discharges
  12. Number of MLC Cases reported
  13. Notifiable Disease
  14. Total deaths/months

Share this:

  • LinkedIn
  • WhatsApp
  • Facebook
  • Twitter
  • Print
  • Reddit
  • Tumblr

Related

Leave a Reply Cancel reply

Search

Access to the largest healthcare library

You can access to the largest collection of Google Drive documents at a nominal price - The largest library on healthcare and hospital standards, worldwide accepted guidelines, protocols, policies and other literatures.

Subscribe to our newsletter

* indicates required
Healthcare InfoGuide

Hai,

Myself Ashlin Joby Thekkan. Living in a place known as God’s Own Country – Kerala, India.

I have a Masters Degree in Hospital Administration (MHA) and is working in the healthcare industry for the last 10 years.

When I found myself really passionate about teaching topics related with healthcare administration, I started looking for platforms through which I can reach out to other healthcare professionals, I found starting a blog itself is the right platform for me.

And that helped me to become the founder of Healthcare InfoGuide, “A Detailed Guide on Hospital and Healthcare Policies, SOPs and Guidelines!”.

Categories

Recent posts

  • Learn 5S With A Checklist And Scoring Guideline
  • What is Standard Operating Procedure? How To Write An SOP?
  • Hazardous Material Spill Management Protocol
  • Hazardous Material Management
  • Credentialing And Privileging Of Medical and Nursing Professionals

Archives

  • March 2022 (1)
  • June 2021 (1)
  • September 2020 (11)
  • August 2020 (1)
  • June 2020 (106)

Top Posts & Pages

  • Medical Records Department
  • Hospital Patient Registration Process
  • What Are The Rights And Responsibilities Of An Employee?
  • OT Incharge Job Description
  • Matron Job Description
©2023 Healthcare InfoGuide | Design: Newspaperly WordPress Theme