Roles & Responsibility of a Medical Records Officer

• Efficiently manage and maintain electronic and paper-based medical records for patients.
• Ensure strict compliance with confidentiality and privacy regulations when handling sensitive patient information.
• Accurately enter patient data into electronic health record (EHR) systems and verify the completeness and correctness of information.
• Assign appropriate medical codes to diagnoses, procedures, and treatments for accurate billing and statistical reporting.
• Facilitate the release of patient medical records to authorized individuals or organizations following legal and ethical guidelines.
• Conduct regular audits of medical records to identify discrepancies, errors, or omissions, and take corrective actions as needed.
• Collaborate with healthcare providers to support accurate and comprehensive documentation of patient care and treatment plans.
• Implement and maintain effective record-keeping procedures to ensure easy retrieval and accessibility of patient data.
• Provide training and guidance to clinical staff on proper medical record documentation practices and EHR usage.

Educational Qualification:

• A minimum of diploma/degree or certification Preferably Health Information Management, Health Information Technology, Medical Records Administration, or a related field.
• Bachelor Degree / Master Degree in Business Administration

Experience:

• 2 years Previous experience in medical records management or health information management.

Skills:

• Knowledge of Medical Terminology: Familiarity with medical terminology and healthcare procedures is essential for accurately handling medical records and coding.
• Proficiency in Health Information Systems: Familiarity with electronic health record (EHR) systems and health information technology.
• Attention to Detail: Need to be detail-oriented to ensure the accuracy and completeness of patient records.
• Organizational and Communication Skills
• Analytical Abilities: Need to analyze medical data and records to identify trends or potential issues.
• Ability to Work in a Team: Collaboration with other healthcare professionals is important.

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