Medical Records Executive
Job Description
- Performs quality assurance of medical records, including deficiency analysis, completion and data preparation.
Responsibilities
- Perform technical analysis and evaluation of medical records in compliance with hospital standards
- Responsible for evaluating documentation deficiencies and arranging for completion of records
- Prepare monthly reports based on discharged inpatient records deficiencies
- Assist medical/nursing/paramedical staffs in completion of deficient records.
- Collect and arrange the data needed to prepare various hospital statistics
- Responsible for releasing the patient medical information upon authorized approval.
- Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, HAAD, JCI and ISO.
- Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
- Participates and contributes in scheduled in-service training programs, in‑house activities, conferences or other programs as requested.
- Exercises effective interpersonal skills in dealings with department staff, associates and management.
- Maintains confidentiality as per the agreement signed.
- Demonstrates the ability to listen to others in promoting effective communication.
- Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for them.
- Carries out other duties when requested by the Head of Department.
- Complies with all OSH and infection control policies, standards and procedures and cooperates with hospital management to comply with those requirements.
- Works in accordance with the documented OSH procedures and instructions, specific responsibilities.
- Be familiar with emergency and evacuation procedures.
- Notifies OSH hazards, incidents, near misses and issues and assists with the preparation of risk assessments and incident reports.
- Complies with waste management procedures and policies.
- Attends applicable OSH/Infection control training programs, mock drills and awareness programs.
- Uses appropriate personal protective equipment and safety systems.
Qualifications
- Qualification: Post‑Graduation in Medical Documentation
- Experience: Minimum Four (4) years.
- Skills: Computer literacy.
- Excellent command of oral and written English. Knowledge of Arabic is desirable but not essential.